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Asuris Northwest Health - Online
Application
Index | Optional Dental | Exclusions
& Limitations | Provider
Directory | Download Application
Benefit Schedules:
Emerge Core | Emerge Plus | Emerge HSA 50 | Emerge
HSA 80 | Emerge HSA 100
Rate Schedules:
Emerge Core | Emerge Plus | Emerge HSA 50 | Emerge HSA 80 | Emerge HSA 100
Emerge Core Rates
Effective date : 10/1/2010
Valid thru : 6/30/2011
Counties :
Adams,
Benton,
Chelan,
Douglas,
Ferry,
Franklin,
Grant,
Kittitas,
Lincoln,
Okanogan,
Pend Oreille,
Spokane,
Stevens,
Whitman
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 2500 |
| 0-24 |
103.00 |
119.00 |
| 25-29 |
119.00 |
137.00 |
| 30-34 |
138.00 |
159.00 |
| 35-39 |
163.00 |
187.00 |
| 40-44 |
192.00 |
220.00 |
| 45-49 |
232.00 |
267.00 |
| 50-54 |
276.00 |
317.00 |
| 55-59 |
324.00 |
372.00 |
| 60+ |
379.00 |
436.00 |
| Child |
103.00 |
103.00 |
| Age |
Deductible : 5000 |
| 0-24 |
85.00 |
98.00 |
| 25-29 |
98.00 |
112.00 |
| 30-34 |
113.00 |
130.00 |
| 35-39 |
134.00 |
154.00 |
| 40-44 |
157.00 |
181.00 |
| 45-49 |
190.00 |
219.00 |
| 50-54 |
226.00 |
260.00 |
| 55-59 |
266.00 |
306.00 |
| 60+ |
311.00 |
358.00 |
| Child |
85.00 |
85.00 |
| Age |
Deductible : 7500 |
| 0-24 |
74.00 |
85.00 |
| 25-29 |
84.00 |
97.00 |
| 30-34 |
98.00 |
113.00 |
| 35-39 |
116.00 |
133.00 |
| 40-44 |
136.00 |
157.00 |
| 45-49 |
165.00 |
190.00 |
| 50-54 |
196.00 |
226.00 |
| 55-59 |
230.00 |
265.00 |
| 60+ |
270.00 |
310.00 |
| Child |
74.00 |
74.00 |
| Age |
Deductible : 10000 |
| 0-24 |
66.00 |
76.00 |
| 25-29 |
76.00 |
87.00 |
| 30-34 |
88.00 |
101.00 |
| 35-39 |
104.00 |
120.00 |
| 40-44 |
122.00 |
141.00 |
| 45-49 |
148.00 |
170.00 |
| 50-54 |
176.00 |
202.00 |
| 55-59 |
207.00 |
238.00 |
| 60+ |
242.00 |
278.00 |
| Child |
66.00 |
66.00 |
* - not all of the zip codes are eligible in this county
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Assurant Health
