|
Premera Blue Cross - Online application
Index | Exclusions
& Limitations | Provider
List | Download Application
Benefit Schedules:
Protector Plus 20 | Value
Plus 30 | Preferred Plus
30 | Preferred Plus 20
Rate Schedules:
Protector Plus 20 | Value
Plus 30 | Preferred Plus 30 | Preferred
Plus 20
Heritage Preferred Plus 30 Rates
Effective date : 10/1/2010
Valid thru : 9/30/2011
Counties :
Not available in
Clark
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 1000 |
| 0-24 |
376.00 |
437.00 |
| 25-29 |
445.00 |
518.00 |
| 30-34 |
466.00 |
538.00 |
| 35-39 |
518.00 |
604.00 |
| 40-44 |
685.00 |
797.00 |
| 45-49 |
797.00 |
927.00 |
| 50-54 |
914.00 |
1065.00 |
| 55-59 |
1109.00 |
1288.00 |
| 60-64 |
1295.00 |
1506.00 |
| 65+ |
1387.00 |
1612.00 |
| Child |
285.00 |
285.00 |
* - not all of the zip codes are eligible in this county
|
Assurant Health
