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Regence BlueCross BlueShield - Online
Application
Index | Optional Dental | Exclusions
& Limitations | Provider
Directory | Download
Application
Benefit Schedules:
Evolve Core | Evolve Plus | Evolve HSA 50 | Evolve
HSA 80 | Evolve HSA 100
Rate Schedules:
Evolve Core | Evolve Plus | Evolve HSA 50 | Evolve
HSA 80 | Evolve HSA 100
Evolve Core Rates
Effective date : 3/1/2010
Valid thru : 2/28/2011
Counties :
Clark
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 2500 |
| 0-24 |
119.00 |
137.00 |
| 25-29 |
137.00 |
157.00 |
| 30-34 |
159.00 |
183.00 |
| 35-39 |
188.00 |
216.00 |
| 40-44 |
221.00 |
254.00 |
| 45-49 |
267.00 |
307.00 |
| 50-54 |
318.00 |
365.00 |
| 55-59 |
373.00 |
429.00 |
| 60+ |
437.00 |
502.00 |
| Child |
119.00 |
137.00 |
| Age |
Deductible : 5000 |
| 0-24 |
99.00 |
114.00 |
| 25-29 |
113.00 |
130.00 |
| 30-34 |
132.00 |
151.00 |
| 35-39 |
155.00 |
179.00 |
| 40-44 |
183.00 |
210.00 |
| 45-49 |
221.00 |
254.00 |
| 50-54 |
263.00 |
303.00 |
| 55-59 |
309.00 |
355.00 |
| 60+ |
362.00 |
416.00 |
| Child |
99.00 |
114.00 |
| Age |
Deductible : 7500 |
| 0-24 |
89.00 |
103.00 |
| 25-29 |
103.00 |
118.00 |
| 30-34 |
119.00 |
137.00 |
| 35-39 |
141.00 |
162.00 |
| 40-44 |
165.00 |
190.00 |
| 45-49 |
200.00 |
230.00 |
| 50-54 |
238.00 |
274.00 |
| 55-59 |
280.00 |
322.00 |
| 60+ |
328.00 |
377.00 |
| Child |
89.00 |
103.00 |
| Age |
Deductible : 10000 |
| 0-24 |
82.00 |
95.00 |
| 25-29 |
94.00 |
109.00 |
| 30-34 |
110.00 |
126.00 |
| 35-39 |
130.00 |
149.00 |
| 40-44 |
152.00 |
175.00 |
| 45-49 |
184.00 |
212.00 |
| 50-54 |
219.00 |
252.00 |
| 55-59 |
258.00 |
296.00 |
| 60+ |
302.00 |
347.00 |
| Child |
82.00 |
95.00 |
* - not all of the zip codes are eligible in this county
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Assurant Health
