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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 500 Rates
Effective date : 1/1/2010
Valid thru : 6/30/2010
Counties :
Benton,
Columbia,
Franklin,
Kittitas,
Spokane,
Walla Walla,
Whitman,
Yakima
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 500 |
| 0-25 |
242.00 |
290.00 |
| 26-29 |
282.00 |
339.00 |
| 30-34 |
306.00 |
367.00 |
| 35-39 |
284.00 |
340.00 |
| 40-44 |
297.00 |
356.00 |
| 45-49 |
339.00 |
407.00 |
| 50-54 |
420.00 |
504.00 |
| 55-59 |
500.00 |
600.00 |
| 60-64 |
646.00 |
775.00 |
| 65+ |
646.00 |
775.00 |
| Child |
152.00 |
152.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 500 |
| 0-25 |
236.00 |
284.00 |
| 26-29 |
256.00 |
308.00 |
| 30-34 |
297.00 |
357.00 |
| 35-39 |
278.00 |
333.00 |
| 40-44 |
290.00 |
348.00 |
| 45-49 |
331.00 |
398.00 |
| 50-54 |
410.00 |
492.00 |
| 55-59 |
489.00 |
586.00 |
| 60-64 |
631.00 |
757.00 |
| 65+ |
631.00 |
757.00 |
| Child |
149.00 |
149.00 |
Rates
Effective date : 12/31/1969
Valid thru : 12/31/1969
Counties :
Available in all counties
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 500 |
| 0-25 |
236.00 |
284.00 |
| 26-29 |
256.00 |
308.00 |
| 30-34 |
297.00 |
357.00 |
| 35-39 |
278.00 |
333.00 |
| 40-44 |
290.00 |
348.00 |
| 45-49 |
331.00 |
398.00 |
| 50-54 |
410.00 |
492.00 |
| 55-59 |
489.00 |
586.00 |
| 60-64 |
631.00 |
757.00 |
| 65+ |
631.00 |
757.00 |
| Child |
149.00 |
149.00 |
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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