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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 1750 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 : 1750 |
| 0-24 |
200.00 |
240.00 |
| 25-29 |
242.00 |
291.00 |
| 30-34 |
252.00 |
304.00 |
| 35-39 |
235.00 |
281.00 |
| 40-44 |
245.00 |
294.00 |
| 45-49 |
279.00 |
336.00 |
| 50-54 |
346.00 |
416.00 |
| 55-59 |
413.00 |
496.00 |
| 60-64 |
534.00 |
638.00 |
| 65+ |
534.00 |
638.00 |
| Child |
125.00 |
125.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 1750 |
| 0-24 |
196.00 |
235.00 |
| 25-29 |
237.00 |
285.00 |
| 30-34 |
248.00 |
296.00 |
| 35-39 |
229.00 |
275.00 |
| 40-44 |
240.00 |
287.00 |
| 45-49 |
274.00 |
328.00 |
| 50-54 |
338.00 |
405.00 |
| 55-59 |
403.00 |
485.00 |
| 60-64 |
521.00 |
625.00 |
| 65+ |
521.00 |
625.00 |
| Child |
122.00 |
122.00 |
* - not all of the zip codes are eligible in this county
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