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Index | Exclusions | Provider
Directory | Download Application
Benefit Schedules:
Centric | Centric Enhanced | Healthy Investor HSA
Rate Schedules:
Centric | Centric Enhanced | Healthy Investor HSA
Centric Rates
Effective date : 5/1/2010
Valid thru : 4/30/2011
Counties :
Clallam,
Clark,
Cowlitz,
Grays Harbor,
Island,
Jefferson,
King,
Kitsap,
Lewis,
Mason,
Pacific,
Pierce,
San Juan,
Skagit,
Skamania,
Snohomish,
Thurston,
Wahkiakum,
Whatcom
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 2000 |
| 0-24 |
133.00 |
158.00 |
| 25-29 |
150.00 |
177.00 |
| 30-34 |
158.00 |
187.00 |
| 35-39 |
173.00 |
205.00 |
| 40-44 |
208.00 |
246.00 |
| 45-49 |
237.00 |
276.00 |
| 50-54 |
297.00 |
350.00 |
| 55-59 |
385.00 |
456.00 |
| 60+ |
488.00 |
576.00 |
| Child |
106.00 |
106.00 |
| Age |
Deductible : 3000 |
| 0-24 |
116.00 |
138.00 |
| 25-29 |
131.00 |
154.00 |
| 30-34 |
138.00 |
162.00 |
| 35-39 |
151.00 |
179.00 |
| 40-44 |
181.00 |
214.00 |
| 45-49 |
207.00 |
241.00 |
| 50-54 |
258.00 |
305.00 |
| 55-59 |
335.00 |
397.00 |
| 60+ |
425.00 |
501.00 |
| Child |
92.00 |
92.00 |
| Age |
Deductible : 5000 |
| 0-24 |
96.00 |
114.00 |
| 25-29 |
109.00 |
128.00 |
| 30-34 |
114.00 |
135.00 |
| 35-39 |
125.00 |
148.00 |
| 40-44 |
150.00 |
177.00 |
| 45-49 |
172.00 |
200.00 |
| 50-54 |
214.00 |
253.00 |
| 55-59 |
278.00 |
330.00 |
| 60+ |
353.00 |
416.00 |
| Child |
77.00 |
77.00 |
Counties :
Adams,
Asotin,
Benton,
Chelan,
Columbia,
Douglas,
Ferry,
Franklin,
Garfield,
Grant,
Kittitas,
Klickitat,
Lincoln,
Okanogan,
Pend Oreille,
Spokane,
Stevens,
Walla Walla,
Whitman,
Yakima
| Family Status : |
Applicant
Non-Smoker |
Applicant
Smoker |
| Age |
Deductible : 2000 |
| 0-24 |
141.00 |
167.00 |
| 25-29 |
159.00 |
188.00 |
| 30-34 |
167.00 |
198.00 |
| 35-39 |
183.00 |
217.00 |
| 40-44 |
220.00 |
261.00 |
| 45-49 |
251.00 |
293.00 |
| 50-54 |
315.00 |
371.00 |
| 55-59 |
408.00 |
483.00 |
| 60+ |
517.00 |
611.00 |
| Child |
112.00 |
112.00 |
| Age |
Deductible : 3000 |
| 0-24 |
123.00 |
146.00 |
| 25-29 |
139.00 |
163.00 |
| 30-34 |
146.00 |
172.00 |
| 35-39 |
160.00 |
190.00 |
| 40-44 |
192.00 |
227.00 |
| 45-49 |
219.00 |
255.00 |
| 50-54 |
273.00 |
323.00 |
| 55-59 |
355.00 |
421.00 |
| 60+ |
451.00 |
531.00 |
| Child |
98.00 |
98.00 |
| Age |
Deductible : 5000 |
| 0-24 |
102.00 |
121.00 |
| 25-29 |
116.00 |
136.00 |
| 30-34 |
121.00 |
143.00 |
| 35-39 |
133.00 |
157.00 |
| 40-44 |
159.00 |
188.00 |
| 45-49 |
182.00 |
212.00 |
| 50-54 |
227.00 |
268.00 |
| 55-59 |
295.00 |
350.00 |
| 60+ |
374.00 |
441.00 |
| Child |
82.00 |
82.00 |
* - not all of the zip codes are eligible in this county
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