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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
HealthPaysTM 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 |
Family
Non-Smoker |
Family
Smoker |
| Age |
Deductible : 2750 |
| 18-24 |
78.00 |
94.00 |
N/A |
N/A |
| 25-29 |
87.00 |
103.00 |
N/A |
N/A |
| 30-34 |
94.00 |
113.00 |
N/A |
N/A |
| 35-39 |
105.00 |
126.00 |
N/A |
N/A |
| 40-44 |
127.00 |
153.00 |
N/A |
N/A |
| 45-49 |
151.00 |
181.00 |
N/A |
N/A |
| 50-54 |
182.00 |
217.00 |
N/A |
N/A |
| 55-59 |
223.00 |
268.00 |
N/A |
N/A |
| 60-64 |
283.00 |
340.00 |
N/A |
N/A |
| 65+ |
283.00 |
340.00 |
N/A |
N/A |
| Child |
68.00 |
68.00 |
N/A |
N/A |
| Age |
Deductible : 5500 |
| 18-24 |
N/A |
N/A |
78.00 |
94.00 |
| 25-29 |
N/A |
N/A |
87.00 |
103.00 |
| 30-34 |
N/A |
N/A |
94.00 |
113.00 |
| 35-39 |
N/A |
N/A |
105.00 |
126.00 |
| 40-44 |
N/A |
N/A |
127.00 |
153.00 |
| 45-49 |
N/A |
N/A |
151.00 |
181.00 |
| 50-54 |
N/A |
N/A |
182.00 |
217.00 |
| 55-59 |
N/A |
N/A |
223.00 |
268.00 |
| 60-64 |
N/A |
N/A |
283.00 |
340.00 |
| 65+ |
N/A |
N/A |
283.00 |
340.00 |
| Child |
N/A |
N/A |
68.00 |
68.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
Family
Non-Smoker |
Family
Smoker |
| Age |
Deductible : 2750 |
| 18-24 |
77.00 |
92.00 |
N/A |
N/A |
| 25-29 |
84.00 |
101.00 |
N/A |
N/A |
| 30-34 |
92.00 |
111.00 |
N/A |
N/A |
| 35-39 |
102.00 |
122.00 |
N/A |
N/A |
| 40-44 |
124.00 |
150.00 |
N/A |
N/A |
| 45-49 |
148.00 |
177.00 |
N/A |
N/A |
| 50-54 |
177.00 |
213.00 |
N/A |
N/A |
| 55-59 |
219.00 |
262.00 |
N/A |
N/A |
| 60-64 |
277.00 |
332.00 |
N/A |
N/A |
| 65+ |
277.00 |
332.00 |
N/A |
N/A |
| Child |
66.00 |
66.00 |
N/A |
N/A |
| Age |
Deductible : 5500 |
| 18-24 |
N/A |
N/A |
77.00 |
92.00 |
| 25-29 |
N/A |
N/A |
84.00 |
101.00 |
| 30-34 |
N/A |
N/A |
92.00 |
111.00 |
| 35-39 |
N/A |
N/A |
102.00 |
122.00 |
| 40-44 |
N/A |
N/A |
124.00 |
150.00 |
| 45-49 |
N/A |
N/A |
148.00 |
177.00 |
| 50-54 |
N/A |
N/A |
177.00 |
213.00 |
| 55-59 |
N/A |
N/A |
219.00 |
262.00 |
| 60-64 |
N/A |
N/A |
277.00 |
332.00 |
| 65+ |
N/A |
N/A |
277.00 |
332.00 |
| Child |
N/A |
N/A |
66.00 |
66.00 |
* - not all of the zip codes are eligible in this county
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