| Plan Names | Summaries of Benefits | Disclosures |
|---|---|---|
| Bronze DPPO/$1000/MAC | English | |
| Bronze DPPO/$1000/MAC/Child Only Ortho | English | |
| Bronze Voluntary DPPO/$1000/MAC | English | |
| Bronze Voluntary DPPO/$1000/MAC/Child Only Ortho | English | |
| Silver DPPO/$1500/MAC | English | |
| Silver DPPO/$1500/MAC/Adult+Child Ortho | English | |
| Silver DPPO/$1500/U90 | English | |
| Silver DPPO/$1500/U90/Adult+Child Ortho | English | |
| Gold DPPO/$1500/U90 | English | |
| Gold DPPO/$1500/U90/Adult+Child Ortho | English | |
| Gold DPPO/$2000/U90 | English | |
| Gold DPPO/$2000/U90/Adult+Child Ortho | English | |
| Platinum DPPO/$2500/U90 | English | |
| Platinum DPPO/$2500/U90/Adult+Child Ortho | English | |
| Platinum DPPO/$3000/U90 | English | |
| Platinum DPPO/$3000/U90/Adult+Child Ortho | English | |
| Platinum DPPO/$5000/U90 | English | |
| Platinum DPPO/$5000/U90/Adult+Child Ortho | English | |
| Diamond DPPO/$3000/U95 | English | |
| Diamond DPPO/$3000/U95/Adult+Child Ortho | English | |
| Diamond DPPO/$5000/U95 | English | |
| Diamond DPPO/$5000/U95/Adult+Child Ortho | English |
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Health insurance products are offered by Blue Shield of California Life & Health Insurance Company. Health plans are offered by Blue Shield of California.