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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
Bronze Plan 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 : 2500 |
| 0-25 |
102.00 |
120.00 |
204.00 |
240.00 |
184.00 |
216.00 |
306.00 |
360.00 |
| 26-29 |
120.00 |
141.00 |
240.00 |
282.00 |
216.00 |
254.00 |
360.00 |
423.00 |
| 30-34 |
149.00 |
176.00 |
298.00 |
352.00 |
268.00 |
317.00 |
447.00 |
528.00 |
| 35-39 |
204.00 |
240.00 |
408.00 |
480.00 |
367.00 |
432.00 |
612.00 |
720.00 |
| 40-44 |
275.00 |
324.00 |
550.00 |
648.00 |
495.00 |
583.00 |
825.00 |
972.00 |
| 45-49 |
304.00 |
358.00 |
608.00 |
716.00 |
547.00 |
644.00 |
912.00 |
1074.00 |
| 50-54 |
358.00 |
422.00 |
716.00 |
844.00 |
644.00 |
760.00 |
1074.00 |
1266.00 |
| 55-59 |
370.00 |
436.00 |
740.00 |
872.00 |
666.00 |
785.00 |
1110.00 |
1308.00 |
| 60+ |
381.00 |
449.00 |
762.00 |
898.00 |
686.00 |
808.00 |
1143.00 |
1347.00 |
| Age |
Deductible : 3500 |
| 0-25 |
96.00 |
112.00 |
192.00 |
224.00 |
173.00 |
202.00 |
288.00 |
336.00 |
| 26-29 |
113.00 |
133.00 |
226.00 |
266.00 |
203.00 |
239.00 |
339.00 |
399.00 |
| 30-34 |
141.00 |
165.00 |
282.00 |
330.00 |
254.00 |
297.00 |
423.00 |
495.00 |
| 35-39 |
193.00 |
226.00 |
386.00 |
452.00 |
347.00 |
407.00 |
579.00 |
678.00 |
| 40-44 |
260.00 |
304.00 |
520.00 |
608.00 |
468.00 |
547.00 |
780.00 |
912.00 |
| 45-49 |
287.00 |
336.00 |
574.00 |
672.00 |
517.00 |
605.00 |
861.00 |
1008.00 |
| 50-54 |
338.00 |
396.00 |
676.00 |
792.00 |
608.00 |
713.00 |
1014.00 |
1188.00 |
| 55-59 |
349.00 |
409.00 |
698.00 |
818.00 |
628.00 |
736.00 |
1047.00 |
1227.00 |
| 60+ |
359.00 |
420.00 |
718.00 |
840.00 |
646.00 |
756.00 |
1077.00 |
1260.00 |
| Age |
Deductible : 5000 |
| 0-25 |
90.00 |
105.00 |
180.00 |
210.00 |
162.00 |
189.00 |
270.00 |
315.00 |
| 26-29 |
107.00 |
125.00 |
214.00 |
250.00 |
193.00 |
225.00 |
321.00 |
375.00 |
| 30-34 |
132.00 |
155.00 |
264.00 |
310.00 |
238.00 |
279.00 |
396.00 |
465.00 |
| 35-39 |
181.00 |
212.00 |
362.00 |
424.00 |
326.00 |
382.00 |
543.00 |
636.00 |
| 40-44 |
244.00 |
285.00 |
488.00 |
570.00 |
439.00 |
513.00 |
732.00 |
855.00 |
| 45-49 |
270.00 |
316.00 |
540.00 |
632.00 |
486.00 |
569.00 |
810.00 |
948.00 |
| 50-54 |
318.00 |
372.00 |
636.00 |
744.00 |
572.00 |
670.00 |
954.00 |
1116.00 |
| 55-59 |
329.00 |
384.00 |
658.00 |
768.00 |
592.00 |
691.00 |
987.00 |
1152.00 |
| 60+ |
337.00 |
393.00 |
674.00 |
786.00 |
607.00 |
707.00 |
1011.00 |
1179.00 |
| Age |
Deductible : 7500 |
| 0-25 |
87.00 |
102.00 |
174.00 |
204.00 |
157.00 |
184.00 |
261.00 |
306.00 |
| 26-29 |
103.00 |
120.00 |
206.00 |
240.00 |
185.00 |
216.00 |
309.00 |
360.00 |
| 30-34 |
128.00 |
149.00 |
256.00 |
298.00 |
230.00 |
268.00 |
384.00 |
447.00 |
| 35-39 |
175.00 |
204.00 |
350.00 |
408.00 |
315.00 |
367.00 |
525.00 |
612.00 |
| 40-44 |
236.00 |
275.00 |
472.00 |
550.00 |
425.00 |
495.00 |
708.00 |
825.00 |
| 45-49 |
261.00 |
304.00 |
522.00 |
608.00 |
470.00 |
547.00 |
783.00 |
912.00 |
| 50-54 |
308.00 |
358.00 |
616.00 |
716.00 |
554.00 |
644.00 |
924.00 |
1074.00 |
| 55-59 |
318.00 |
370.00 |
636.00 |
740.00 |
572.00 |
666.00 |
954.00 |
1110.00 |
| 60+ |
326.00 |
381.00 |
652.00 |
762.00 |
587.00 |
686.00 |
978.00 |
1143.00 |
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 : 2500 |
| 0-25 |
93.00 |
111.00 |
186.00 |
222.00 |
167.00 |
200.00 |
279.00 |
333.00 |
| 26-29 |
110.00 |
132.00 |
220.00 |
264.00 |
198.00 |
238.00 |
330.00 |
396.00 |
| 30-34 |
137.00 |
163.00 |
274.00 |
326.00 |
247.00 |
293.00 |
411.00 |
489.00 |
| 35-39 |
188.00 |
224.00 |
376.00 |
448.00 |
338.00 |
403.00 |
564.00 |
672.00 |
| 40-44 |
253.00 |
301.00 |
506.00 |
602.00 |
455.00 |
542.00 |
759.00 |
903.00 |
| 45-49 |
279.00 |
333.00 |
558.00 |
666.00 |
502.00 |
599.00 |
837.00 |
999.00 |
| 50-54 |
329.00 |
393.00 |
658.00 |
786.00 |
592.00 |
707.00 |
987.00 |
1179.00 |
| 55-59 |
340.00 |
405.00 |
680.00 |
810.00 |
612.00 |
729.00 |
1020.00 |
1215.00 |
| 60+ |
348.00 |
416.00 |
696.00 |
832.00 |
626.00 |
749.00 |
1044.00 |
1248.00 |
| Age |
Deductible : 3500 |
| 0-25 |
88.00 |
104.00 |
176.00 |
208.00 |
158.00 |
187.00 |
264.00 |
312.00 |
| 26-29 |
103.00 |
123.00 |
206.00 |
246.00 |
185.00 |
221.00 |
309.00 |
369.00 |
| 30-34 |
128.00 |
153.00 |
256.00 |
306.00 |
230.00 |
275.00 |
384.00 |
459.00 |
| 35-39 |
176.00 |
209.00 |
352.00 |
418.00 |
317.00 |
376.00 |
528.00 |
627.00 |
| 40-44 |
237.00 |
282.00 |
474.00 |
564.00 |
427.00 |
508.00 |
711.00 |
846.00 |
| 45-49 |
262.00 |
312.00 |
524.00 |
624.00 |
472.00 |
562.00 |
786.00 |
936.00 |
| 50-54 |
309.00 |
367.00 |
618.00 |
734.00 |
556.00 |
661.00 |
927.00 |
1101.00 |
| 55-59 |
319.00 |
379.00 |
638.00 |
758.00 |
574.00 |
682.00 |
957.00 |
1137.00 |
| 60+ |
328.00 |
390.00 |
656.00 |
780.00 |
590.00 |
701.00 |
984.00 |
1170.00 |
| Age |
Deductible : 5000 |
| 0-25 |
82.00 |
97.00 |
164.00 |
194.00 |
148.00 |
175.00 |
246.00 |
291.00 |
| 26-29 |
97.00 |
115.00 |
194.00 |
230.00 |
175.00 |
207.00 |
291.00 |
345.00 |
| 30-34 |
120.00 |
142.00 |
240.00 |
284.00 |
216.00 |
256.00 |
360.00 |
426.00 |
| 35-39 |
165.00 |
195.00 |
330.00 |
390.00 |
297.00 |
351.00 |
495.00 |
585.00 |
| 40-44 |
222.00 |
263.00 |
444.00 |
526.00 |
400.00 |
473.00 |
666.00 |
789.00 |
| 45-49 |
245.00 |
291.00 |
490.00 |
582.00 |
441.00 |
524.00 |
735.00 |
873.00 |
| 50-54 |
289.00 |
342.00 |
578.00 |
684.00 |
520.00 |
616.00 |
867.00 |
1026.00 |
| 55-59 |
298.00 |
354.00 |
596.00 |
708.00 |
536.00 |
637.00 |
894.00 |
1062.00 |
| 60+ |
307.00 |
363.00 |
614.00 |
726.00 |
553.00 |
653.00 |
921.00 |
1089.00 |
| Age |
Deductible : 7500 |
| 0-25 |
79.00 |
93.00 |
158.00 |
186.00 |
142.00 |
167.00 |
237.00 |
279.00 |
| 26-29 |
93.00 |
110.00 |
186.00 |
220.00 |
167.00 |
198.00 |
279.00 |
330.00 |
| 30-34 |
116.00 |
137.00 |
232.00 |
274.00 |
209.00 |
247.00 |
348.00 |
411.00 |
| 35-39 |
159.00 |
187.00 |
318.00 |
374.00 |
286.00 |
337.00 |
477.00 |
561.00 |
| 40-44 |
214.00 |
253.00 |
428.00 |
506.00 |
385.00 |
455.00 |
642.00 |
759.00 |
| 45-49 |
236.00 |
279.00 |
472.00 |
558.00 |
425.00 |
502.00 |
708.00 |
837.00 |
| 50-54 |
278.00 |
329.00 |
556.00 |
658.00 |
500.00 |
592.00 |
834.00 |
987.00 |
| 55-59 |
287.00 |
340.00 |
574.00 |
680.00 |
517.00 |
612.00 |
861.00 |
1020.00 |
| 60+ |
296.00 |
348.00 |
592.00 |
696.00 |
532.00 |
626.00 |
888.00 |
1044.00 |
* - not all of the zip codes are eligible in this county
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