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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 5000 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 : 5000 |
| 0-24 |
68.00 |
80.00 |
| 25-29 |
74.00 |
89.00 |
| 30-34 |
81.00 |
97.00 |
| 35-39 |
90.00 |
108.00 |
| 40-44 |
109.00 |
131.00 |
| 45-49 |
129.00 |
157.00 |
| 50-54 |
157.00 |
187.00 |
| 55-59 |
193.00 |
230.00 |
| 60-64 |
245.00 |
293.00 |
| 65+ |
245.00 |
293.00 |
| Child |
59.00 |
59.00 |
Counties :
Grays Harbor,
Island,
King,
Kitsap,
Lewis,
Mason,
Pierce,
San Juan,
Skagit,
Snohomish,
Thurston,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 5000 |
| 0-24 |
67.00 |
79.00 |
| 25-29 |
72.00 |
87.00 |
| 30-34 |
79.00 |
96.00 |
| 35-39 |
88.00 |
106.00 |
| 40-44 |
107.00 |
129.00 |
| 45-49 |
126.00 |
152.00 |
| 50-54 |
152.00 |
184.00 |
| 55-59 |
188.00 |
225.00 |
| 60-64 |
238.00 |
286.00 |
| 65+ |
238.00 |
286.00 |
| Child |
57.00 |
57.00 |
* - not all of the zip codes are eligible in this county
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