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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
Silver 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 : 1500 |
| 0-25 |
158.00 |
188.00 |
316.00 |
376.00 |
284.00 |
338.00 |
474.00 |
564.00 |
| 26-29 |
186.00 |
222.00 |
372.00 |
444.00 |
335.00 |
400.00 |
558.00 |
666.00 |
| 30-34 |
207.00 |
247.00 |
414.00 |
494.00 |
373.00 |
445.00 |
621.00 |
741.00 |
| 35-39 |
238.00 |
284.00 |
476.00 |
568.00 |
428.00 |
511.00 |
714.00 |
852.00 |
| 40-44 |
294.00 |
351.00 |
588.00 |
702.00 |
529.00 |
632.00 |
882.00 |
1053.00 |
| 45-49 |
348.00 |
415.00 |
696.00 |
830.00 |
626.00 |
747.00 |
1044.00 |
1245.00 |
| 50-54 |
436.00 |
521.00 |
872.00 |
1042.00 |
785.00 |
938.00 |
1308.00 |
1563.00 |
| 55-59 |
507.00 |
606.00 |
1014.00 |
1212.00 |
913.00 |
1091.00 |
1521.00 |
1818.00 |
| 60+ |
591.00 |
705.00 |
1182.00 |
1410.00 |
1064.00 |
1267.00 |
1773.00 |
2115.00 |
| Age |
Deductible : 2500 |
| 0-25 |
151.00 |
180.00 |
302.00 |
360.00 |
272.00 |
324.00 |
453.00 |
540.00 |
| 26-29 |
178.00 |
212.00 |
356.00 |
424.00 |
320.00 |
382.00 |
534.00 |
636.00 |
| 30-34 |
198.00 |
236.00 |
396.00 |
472.00 |
356.00 |
425.00 |
594.00 |
708.00 |
| 35-39 |
228.00 |
271.00 |
456.00 |
542.00 |
410.00 |
488.00 |
684.00 |
813.00 |
| 40-44 |
281.00 |
335.00 |
562.00 |
670.00 |
506.00 |
603.00 |
843.00 |
1005.00 |
| 45-49 |
333.00 |
396.00 |
666.00 |
792.00 |
599.00 |
713.00 |
999.00 |
1188.00 |
| 50-54 |
417.00 |
497.00 |
834.00 |
994.00 |
751.00 |
895.00 |
1251.00 |
1491.00 |
| 55-59 |
485.00 |
578.00 |
970.00 |
1156.00 |
873.00 |
1040.00 |
1455.00 |
1734.00 |
| 60+ |
566.00 |
674.00 |
1132.00 |
1348.00 |
1019.00 |
1213.00 |
1698.00 |
2022.00 |
| Age |
Deductible : 3500 |
| 0-25 |
144.00 |
172.00 |
288.00 |
344.00 |
259.00 |
310.00 |
432.00 |
516.00 |
| 26-29 |
171.00 |
203.00 |
342.00 |
406.00 |
308.00 |
365.00 |
513.00 |
609.00 |
| 30-34 |
189.00 |
225.00 |
378.00 |
450.00 |
340.00 |
405.00 |
567.00 |
675.00 |
| 35-39 |
218.00 |
259.00 |
436.00 |
518.00 |
392.00 |
466.00 |
654.00 |
777.00 |
| 40-44 |
269.00 |
320.00 |
538.00 |
640.00 |
484.00 |
576.00 |
807.00 |
960.00 |
| 45-49 |
318.00 |
378.00 |
636.00 |
756.00 |
572.00 |
680.00 |
954.00 |
1134.00 |
| 50-54 |
399.00 |
475.00 |
798.00 |
950.00 |
718.00 |
855.00 |
1197.00 |
1425.00 |
| 55-59 |
464.00 |
552.00 |
928.00 |
1104.00 |
835.00 |
994.00 |
1392.00 |
1656.00 |
| 60+ |
540.00 |
643.00 |
1080.00 |
1286.00 |
971.00 |
1157.00 |
1620.00 |
1929.00 |
| Age |
Deductible : 5000 |
| 0-25 |
138.00 |
164.00 |
276.00 |
328.00 |
248.00 |
295.00 |
414.00 |
492.00 |
| 26-29 |
164.00 |
194.00 |
328.00 |
388.00 |
295.00 |
349.00 |
492.00 |
582.00 |
| 30-34 |
182.00 |
216.00 |
364.00 |
432.00 |
328.00 |
389.00 |
546.00 |
648.00 |
| 35-39 |
209.00 |
248.00 |
418.00 |
496.00 |
376.00 |
446.00 |
627.00 |
744.00 |
| 40-44 |
258.00 |
306.00 |
516.00 |
612.00 |
464.00 |
551.00 |
774.00 |
918.00 |
| 45-49 |
306.00 |
362.00 |
612.00 |
724.00 |
551.00 |
652.00 |
918.00 |
1086.00 |
| 50-54 |
383.00 |
455.00 |
766.00 |
910.00 |
689.00 |
819.00 |
1149.00 |
1365.00 |
| 55-59 |
445.00 |
528.00 |
890.00 |
1056.00 |
801.00 |
950.00 |
1335.00 |
1584.00 |
| 60+ |
517.00 |
615.00 |
1034.00 |
1230.00 |
930.00 |
1106.00 |
1551.00 |
1845.00 |
| Age |
Deductible : 7500 |
| 0-25 |
134.00 |
158.00 |
268.00 |
316.00 |
241.00 |
284.00 |
402.00 |
474.00 |
| 26-29 |
158.00 |
187.00 |
316.00 |
374.00 |
284.00 |
337.00 |
474.00 |
561.00 |
| 30-34 |
175.00 |
208.00 |
350.00 |
416.00 |
315.00 |
374.00 |
525.00 |
624.00 |
| 35-39 |
202.00 |
239.00 |
404.00 |
478.00 |
364.00 |
430.00 |
606.00 |
717.00 |
| 40-44 |
249.00 |
295.00 |
498.00 |
590.00 |
448.00 |
531.00 |
747.00 |
885.00 |
| 45-49 |
295.00 |
349.00 |
590.00 |
698.00 |
531.00 |
628.00 |
885.00 |
1047.00 |
| 50-54 |
370.00 |
438.00 |
740.00 |
876.00 |
666.00 |
788.00 |
1110.00 |
1314.00 |
| 55-59 |
430.00 |
509.00 |
860.00 |
1018.00 |
774.00 |
916.00 |
1290.00 |
1527.00 |
| 60+ |
501.00 |
592.00 |
1002.00 |
1184.00 |
902.00 |
1065.00 |
1503.00 |
1776.00 |
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 : 1500 |
| 0-25 |
148.00 |
178.00 |
296.00 |
356.00 |
266.00 |
320.00 |
444.00 |
534.00 |
| 26-29 |
175.00 |
211.00 |
350.00 |
422.00 |
315.00 |
380.00 |
525.00 |
633.00 |
| 30-34 |
194.00 |
234.00 |
388.00 |
468.00 |
349.00 |
421.00 |
582.00 |
702.00 |
| 35-39 |
223.00 |
269.00 |
446.00 |
538.00 |
401.00 |
484.00 |
669.00 |
807.00 |
| 40-44 |
275.00 |
332.00 |
550.00 |
664.00 |
495.00 |
598.00 |
825.00 |
996.00 |
| 45-49 |
326.00 |
393.00 |
652.00 |
786.00 |
587.00 |
707.00 |
978.00 |
1179.00 |
| 50-54 |
409.00 |
494.00 |
818.00 |
988.00 |
736.00 |
889.00 |
1227.00 |
1482.00 |
| 55-59 |
475.00 |
574.00 |
950.00 |
1148.00 |
855.00 |
1033.00 |
1425.00 |
1722.00 |
| 60+ |
554.00 |
667.00 |
1108.00 |
1334.00 |
997.00 |
1200.00 |
1662.00 |
2001.00 |
| Age |
Deductible : 2500 |
| 0-25 |
141.00 |
170.00 |
282.00 |
340.00 |
254.00 |
306.00 |
423.00 |
510.00 |
| 26-29 |
167.00 |
201.00 |
334.00 |
402.00 |
301.00 |
362.00 |
501.00 |
603.00 |
| 30-34 |
185.00 |
223.00 |
370.00 |
446.00 |
333.00 |
401.00 |
555.00 |
669.00 |
| 35-39 |
213.00 |
256.00 |
426.00 |
512.00 |
383.00 |
461.00 |
639.00 |
768.00 |
| 40-44 |
263.00 |
316.00 |
526.00 |
632.00 |
473.00 |
569.00 |
789.00 |
948.00 |
| 45-49 |
311.00 |
375.00 |
622.00 |
750.00 |
560.00 |
675.00 |
933.00 |
1125.00 |
| 50-54 |
390.00 |
470.00 |
780.00 |
940.00 |
702.00 |
846.00 |
1170.00 |
1410.00 |
| 55-59 |
453.00 |
546.00 |
906.00 |
1092.00 |
815.00 |
983.00 |
1359.00 |
1638.00 |
| 60+ |
528.00 |
637.00 |
1056.00 |
1274.00 |
950.00 |
1147.00 |
1584.00 |
1911.00 |
| Age |
Deductible : 3500 |
| 0-25 |
134.00 |
162.00 |
268.00 |
324.00 |
241.00 |
292.00 |
402.00 |
486.00 |
| 26-29 |
159.00 |
191.00 |
318.00 |
382.00 |
286.00 |
344.00 |
477.00 |
573.00 |
| 30-34 |
176.00 |
212.00 |
352.00 |
424.00 |
317.00 |
382.00 |
528.00 |
636.00 |
| 35-39 |
203.00 |
244.00 |
406.00 |
488.00 |
365.00 |
439.00 |
609.00 |
732.00 |
| 40-44 |
250.00 |
301.00 |
500.00 |
602.00 |
450.00 |
542.00 |
750.00 |
903.00 |
| 45-49 |
297.00 |
357.00 |
594.00 |
714.00 |
535.00 |
643.00 |
891.00 |
1071.00 |
| 50-54 |
372.00 |
447.00 |
744.00 |
894.00 |
670.00 |
805.00 |
1116.00 |
1341.00 |
| 55-59 |
432.00 |
520.00 |
864.00 |
1040.00 |
778.00 |
936.00 |
1296.00 |
1560.00 |
| 60+ |
502.00 |
606.00 |
1004.00 |
1212.00 |
903.00 |
1091.00 |
1506.00 |
1818.00 |
| Age |
Deductible : 5000 |
| 0-25 |
129.00 |
154.00 |
258.00 |
308.00 |
232.00 |
277.00 |
387.00 |
462.00 |
| 26-29 |
152.00 |
182.00 |
304.00 |
364.00 |
274.00 |
328.00 |
456.00 |
546.00 |
| 30-34 |
169.00 |
203.00 |
338.00 |
406.00 |
304.00 |
365.00 |
507.00 |
609.00 |
| 35-39 |
194.00 |
233.00 |
388.00 |
466.00 |
349.00 |
419.00 |
582.00 |
699.00 |
| 40-44 |
240.00 |
288.00 |
480.00 |
576.00 |
432.00 |
518.00 |
720.00 |
864.00 |
| 45-49 |
284.00 |
340.00 |
568.00 |
680.00 |
511.00 |
612.00 |
852.00 |
1020.00 |
| 50-54 |
356.00 |
427.00 |
712.00 |
854.00 |
641.00 |
769.00 |
1068.00 |
1281.00 |
| 55-59 |
413.00 |
496.00 |
826.00 |
992.00 |
743.00 |
893.00 |
1239.00 |
1488.00 |
| 60+ |
482.00 |
577.00 |
964.00 |
1154.00 |
868.00 |
1038.00 |
1446.00 |
1731.00 |
| Age |
Deductible : 7500 |
| 0-25 |
124.00 |
148.00 |
248.00 |
296.00 |
223.00 |
266.00 |
372.00 |
444.00 |
| 26-29 |
146.00 |
175.00 |
292.00 |
350.00 |
263.00 |
315.00 |
438.00 |
525.00 |
| 30-34 |
162.00 |
195.00 |
324.00 |
390.00 |
292.00 |
351.00 |
486.00 |
585.00 |
| 35-39 |
187.00 |
224.00 |
374.00 |
448.00 |
337.00 |
403.00 |
561.00 |
672.00 |
| 40-44 |
231.00 |
276.00 |
462.00 |
552.00 |
416.00 |
497.00 |
693.00 |
828.00 |
| 45-49 |
273.00 |
327.00 |
546.00 |
654.00 |
491.00 |
589.00 |
819.00 |
981.00 |
| 50-54 |
342.00 |
411.00 |
684.00 |
822.00 |
616.00 |
740.00 |
1026.00 |
1233.00 |
| 55-59 |
398.00 |
477.00 |
796.00 |
954.00 |
716.00 |
859.00 |
1194.00 |
1431.00 |
| 60+ |
464.00 |
555.00 |
928.00 |
1110.00 |
835.00 |
997.00 |
1392.00 |
1665.00 |
* - not all of the zip codes are eligible in this county
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