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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
Welcome 750 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 : 750 |
| 0-24 |
253.00 |
303.00 |
| 25-29 |
294.00 |
354.00 |
| 30-34 |
320.00 |
383.00 |
| 35-39 |
297.00 |
355.00 |
| 40-44 |
310.00 |
372.00 |
| 45-49 |
354.00 |
425.00 |
| 50-54 |
439.00 |
526.00 |
| 55-59 |
522.00 |
626.00 |
| 60-64 |
675.00 |
809.00 |
| 65+ |
675.00 |
809.00 |
| Child |
159.00 |
159.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 750 |
| 0-24 |
246.00 |
297.00 |
| 25-29 |
267.00 |
322.00 |
| 30-34 |
310.00 |
373.00 |
| 35-39 |
290.00 |
348.00 |
| 40-44 |
303.00 |
363.00 |
| 45-49 |
346.00 |
416.00 |
| 50-54 |
428.00 |
514.00 |
| 55-59 |
511.00 |
612.00 |
| 60-64 |
659.00 |
790.00 |
| 65+ |
659.00 |
790.00 |
| Child |
156.00 |
156.00 |
Welcome 1820 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 : 1820 |
| 0-24 |
92.00 |
110.00 |
| 25-29 |
102.00 |
121.00 |
| 30-34 |
111.00 |
133.00 |
| 35-39 |
122.00 |
148.00 |
| 40-44 |
149.00 |
180.00 |
| 45-49 |
176.00 |
211.00 |
| 50-54 |
213.00 |
254.00 |
| 55-59 |
262.00 |
315.00 |
| 60-64 |
333.00 |
399.00 |
| 65+ |
333.00 |
399.00 |
| Child |
79.00 |
79.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 1820 |
| 0-24 |
91.00 |
107.00 |
| 25-29 |
100.00 |
119.00 |
| 30-34 |
109.00 |
131.00 |
| 35-39 |
120.00 |
144.00 |
| 40-44 |
147.00 |
175.00 |
| 45-49 |
172.00 |
207.00 |
| 50-54 |
208.00 |
250.00 |
| 55-59 |
255.00 |
308.00 |
| 60-64 |
327.00 |
391.00 |
| 65+ |
327.00 |
391.00 |
| Child |
77.00 |
77.00 |
Welcome 3500 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 : 3500 |
| 0-24 |
76.00 |
91.00 |
| 25-29 |
83.00 |
101.00 |
| 30-34 |
92.00 |
110.00 |
| 35-39 |
102.00 |
121.00 |
| 40-44 |
123.00 |
149.00 |
| 45-49 |
146.00 |
176.00 |
| 50-54 |
176.00 |
211.00 |
| 55-59 |
217.00 |
261.00 |
| 60-64 |
275.00 |
330.00 |
| 65+ |
275.00 |
330.00 |
| Child |
65.00 |
65.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 3500 |
| 0-24 |
75.00 |
89.00 |
| 25-29 |
82.00 |
97.00 |
| 30-34 |
89.00 |
107.00 |
| 35-39 |
100.00 |
119.00 |
| 40-44 |
121.00 |
145.00 |
| 45-49 |
143.00 |
172.00 |
| 50-54 |
172.00 |
207.00 |
| 55-59 |
212.00 |
254.00 |
| 60-64 |
268.00 |
322.00 |
| 65+ |
268.00 |
322.00 |
| Child |
64.00 |
64.00 |
* - not all of the zip codes are eligible in this county
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