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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 1500 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 : 1500 |
| 0-25 |
176.00 |
211.00 |
| 26-29 |
213.00 |
256.00 |
| 30-34 |
222.00 |
268.00 |
| 35-39 |
207.00 |
247.00 |
| 40-44 |
216.00 |
259.00 |
| 45-49 |
246.00 |
296.00 |
| 50-54 |
305.00 |
366.00 |
| 55-59 |
364.00 |
437.00 |
| 60-64 |
470.00 |
562.00 |
| 65+ |
470.00 |
562.00 |
| Child |
110.00 |
110.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant Non-Smoker |
Applicant Smoker |
| Age |
Deductible : 1500 |
| 0-25 |
173.00 |
207.00 |
| 26-29 |
209.00 |
251.00 |
| 30-34 |
218.00 |
261.00 |
| 35-39 |
202.00 |
242.00 |
| 40-44 |
211.00 |
253.00 |
| 45-49 |
241.00 |
289.00 |
| 50-54 |
298.00 |
357.00 |
| 55-59 |
355.00 |
427.00 |
| 60-64 |
459.00 |
550.00 |
| 65+ |
459.00 |
550.00 |
| Child |
107.00 |
107.00 |
* - not all of the zip codes are eligible in this county
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