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Kaiser Permenente - Apply Online or Download an Application
Index | Locate
Physicians | Locate
Facility
Plan Benefits
Gold w/ Rx | Silver w/ Rx | Bronze
Plan Premiums
Gold w/ Rx | Silver w/ Rx | Bronze
Gold Plan with Rx Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties :
Cowlitz*,
Lewis*,
Skamania*,
Wahkiakum*
| Family Status : |
Applicant Non-Smoker |
Applicant Smoker |
Couple Non-Smoker |
Couple Smoker |
Applicant+Child(ren) Non-Smoker |
Applicant+Child(ren) Smoker |
Family Non-Smoker |
Family Smoker |
| Age |
Deductible : 500 |
| 0-25 |
177.00 |
212.00 |
354.00 |
424.00 |
319.00 |
382.00 |
531.00 |
636.00 |
| 26-29 |
209.00 |
251.00 |
418.00 |
502.00 |
376.00 |
452.00 |
627.00 |
753.00 |
| 30-34 |
232.00 |
278.00 |
464.00 |
556.00 |
418.00 |
500.00 |
696.00 |
834.00 |
| 35-39 |
267.00 |
320.00 |
534.00 |
640.00 |
481.00 |
576.00 |
801.00 |
960.00 |
| 40-44 |
329.00 |
395.00 |
658.00 |
790.00 |
592.00 |
711.00 |
987.00 |
1185.00 |
| 45-49 |
390.00 |
468.00 |
780.00 |
936.00 |
702.00 |
842.00 |
1170.00 |
1404.00 |
| 50-54 |
489.00 |
587.00 |
978.00 |
1174.00 |
880.00 |
1057.00 |
1467.00 |
1761.00 |
| 55-59 |
569.00 |
682.00 |
1138.00 |
1364.00 |
1024.00 |
1228.00 |
1707.00 |
2046.00 |
| 60+ |
663.00 |
795.00 |
1326.00 |
1590.00 |
1193.00 |
1431.00 |
1989.00 |
2385.00 |
| Age |
Deductible : 1000 |
| 0-25 |
168.00 |
201.00 |
336.00 |
402.00 |
302.00 |
362.00 |
504.00 |
603.00 |
| 26-29 |
199.00 |
238.00 |
398.00 |
476.00 |
358.00 |
428.00 |
597.00 |
714.00 |
| 30-34 |
221.00 |
264.00 |
442.00 |
528.00 |
398.00 |
475.00 |
663.00 |
792.00 |
| 35-39 |
254.00 |
304.00 |
508.00 |
608.00 |
457.00 |
547.00 |
762.00 |
912.00 |
| 40-44 |
314.00 |
375.00 |
628.00 |
750.00 |
565.00 |
675.00 |
942.00 |
1125.00 |
| 45-49 |
371.00 |
444.00 |
742.00 |
888.00 |
668.00 |
799.00 |
1113.00 |
1332.00 |
| 50-54 |
466.00 |
557.00 |
932.00 |
1114.00 |
839.00 |
1003.00 |
1398.00 |
1671.00 |
| 55-59 |
541.00 |
648.00 |
1082.00 |
1296.00 |
974.00 |
1166.00 |
1623.00 |
1944.00 |
| 60+ |
630.00 |
753.00 |
1260.00 |
1506.00 |
1132.00 |
1355.00 |
1890.00 |
2259.00 |
Counties :
Clark*
| Family Status : |
Applicant Non-Smoker |
Applicant Smoker |
Couple Non-Smoker |
Couple Smoker |
Applicant+Child(ren) Non-Smoker |
Applicant+Child(ren) Smoker |
Family Non-Smoker |
Family Smoker |
| Age |
Deductible : 500 |
| 0-25 |
167.00 |
202.00 |
334.00 |
404.00 |
301.00 |
364.00 |
501.00 |
606.00 |
| 26-29 |
197.00 |
239.00 |
394.00 |
478.00 |
355.00 |
430.00 |
591.00 |
717.00 |
| 30-34 |
219.00 |
265.00 |
438.00 |
530.00 |
394.00 |
477.00 |
657.00 |
795.00 |
| 35-39 |
252.00 |
305.00 |
504.00 |
610.00 |
454.00 |
549.00 |
756.00 |
915.00 |
| 40-44 |
311.00 |
377.00 |
622.00 |
754.00 |
560.00 |
679.00 |
933.00 |
1131.00 |
| 45-49 |
368.00 |
446.00 |
736.00 |
892.00 |
662.00 |
803.00 |
1104.00 |
1338.00 |
| 50-54 |
462.00 |
560.00 |
924.00 |
1120.00 |
832.00 |
1008.00 |
1386.00 |
1680.00 |
| 55-59 |
537.00 |
650.00 |
1074.00 |
1300.00 |
967.00 |
1170.00 |
1611.00 |
1950.00 |
| 60+ |
626.00 |
757.00 |
1252.00 |
1514.00 |
1127.00 |
1363.00 |
1878.00 |
2271.00 |
| Age |
Deductible : 1000 |
| 0-25 |
158.00 |
192.00 |
316.00 |
384.00 |
284.00 |
346.00 |
474.00 |
576.00 |
| 26-29 |
187.00 |
226.00 |
374.00 |
452.00 |
337.00 |
407.00 |
561.00 |
678.00 |
| 30-34 |
208.00 |
251.00 |
416.00 |
502.00 |
374.00 |
452.00 |
624.00 |
753.00 |
| 35-39 |
239.00 |
289.00 |
478.00 |
578.00 |
430.00 |
520.00 |
717.00 |
867.00 |
| 40-44 |
295.00 |
357.00 |
590.00 |
714.00 |
531.00 |
643.00 |
885.00 |
1071.00 |
| 45-49 |
349.00 |
423.00 |
698.00 |
846.00 |
628.00 |
761.00 |
1047.00 |
1269.00 |
| 50-54 |
438.00 |
530.00 |
876.00 |
1060.00 |
788.00 |
954.00 |
1314.00 |
1590.00 |
| 55-59 |
509.00 |
616.00 |
1018.00 |
1232.00 |
916.00 |
1109.00 |
1527.00 |
1848.00 |
| 60+ |
592.00 |
718.00 |
1184.00 |
1436.00 |
1065.00 |
1292.00 |
1776.00 |
2154.00 |
* - not all of the zip codes are eligible in this county
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