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Apply Online Now - Electronic Application
Index | Plan
Exclusions | Provider
List | Download Application
Benefit Schedules:
Balance 1250 | Balance 1750 | Balance
2500 | Balance
5000 | HealthPays™ | Welcome
Plans
Rate Schedules:
Balance 1250 | Balance 1750 | Balance 2500 | Balance 5000 | HealthPays™ | Welcome
Plans
Balance 1250 Rates
Effective date : 7/1/2010
Valid thru : 12/31/2010
Counties :
Benton,
Columbia,
Franklin,
Kittitas,
Spokane,
Walla Walla,
Whitman,
Yakima
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 1250 |
| 0-24 |
237.00 |
284.00 |
| 25-29 |
286.00 |
344.00 |
| 30-34 |
299.00 |
358.00 |
| 35-39 |
277.00 |
333.00 |
| 40-44 |
289.00 |
346.00 |
| 45-49 |
329.00 |
396.00 |
| 50-54 |
409.00 |
491.00 |
| 55-59 |
488.00 |
585.00 |
| 60-64 |
629.00 |
755.00 |
| 65+ |
629.00 |
755.00 |
| Child |
148.00 |
148.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 1250 |
| 0-24 |
231.00 |
277.00 |
| 25-29 |
280.00 |
336.00 |
| 30-34 |
293.00 |
350.00 |
| 35-39 |
271.00 |
325.00 |
| 40-44 |
283.00 |
339.00 |
| 45-49 |
323.00 |
387.00 |
| 50-54 |
399.00 |
481.00 |
| 55-59 |
477.00 |
572.00 |
| 60-64 |
615.00 |
739.00 |
| 65+ |
615.00 |
739.00 |
| Child |
146.00 |
146.00 |
* - not all of the zip codes are eligible in this county
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