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LifeWise Health Plan of WA - Online
Application
Index | Exclusions
& Limitations | Provider
List | Download Application
Benefit Schedules:
WiseEssentials Rx | WiseEssentials Copay | WiseSimplicity | WiseChoices
Prime | WiseSavings
Rate Schedules:
WiseEssentials Rx | WiseEssentials Copay | WiseSimplicity | WiseChoices
Prime | WiseSavings
WiseSimplicity Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties :
Available in all counties
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 10000 |
| 0-24 |
54.00 |
62.00 |
| 25-29 |
60.00 |
70.00 |
| 30-34 |
70.00 |
81.00 |
| 35-39 |
83.00 |
97.00 |
| 40-44 |
98.00 |
115.00 |
| 45-49 |
123.00 |
142.00 |
| 50-54 |
151.00 |
175.00 |
| 55-59 |
175.00 |
204.00 |
| 60-64 |
199.00 |
232.00 |
| 65+ |
199.00 |
232.00 |
| Child |
44.00 |
44.00 |
* - not all of the zip codes are eligible in this county
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Assurant Health
