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Oregon Medical Insurance > Silver Rx >
Effective date : 10/1/2009
Valid thru : 1/1/2011
Counties : Columbia, Multnomah, Polk, Washington, Yamhill, Benton*, Clackamas*, Hood River*, Linn*, Marion*
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 1500 | |||
| 0-19 | 102.00 | N/A | N/A | N/A |
| 20-25 | 122.00 | 244.00 | 233.00 | 355.00 |
| 26-29 | 148.00 | 296.00 | 283.00 | 431.00 |
| 30-34 | 188.00 | 376.00 | 359.00 | 547.00 |
| 35-39 | 206.00 | 412.00 | 394.00 | 600.00 |
| 40-44 | 256.00 | 512.00 | 460.00 | 716.00 |
| 45-49 | 275.00 | 550.00 | 479.00 | 754.00 |
| 50-54 | 358.00 | 716.00 | 562.00 | 920.00 |
| 55-59 | 443.00 | 886.00 | 647.00 | 1090.00 |
| 60-64 | 485.00 | 970.00 | 689.00 | 1174.00 |
| 65+ | 485.00 | N/A | N/A | N/A |
| Age | Deductible : 2500 | |||
| 0-19 | 93.00 | N/A | N/A | N/A |
| 20-25 | 111.00 | 222.00 | 212.00 | 323.00 |
| 26-29 | 135.00 | 270.00 | 258.00 | 393.00 |
| 30-34 | 172.00 | 344.00 | 328.00 | 500.00 |
| 35-39 | 188.00 | 376.00 | 359.00 | 547.00 |
| 40-44 | 233.00 | 466.00 | 419.00 | 652.00 |
| 45-49 | 250.00 | 500.00 | 436.00 | 686.00 |
| 50-54 | 326.00 | 652.00 | 512.00 | 838.00 |
| 55-59 | 404.00 | 808.00 | 590.00 | 994.00 |
| 60-64 | 442.00 | 884.00 | 628.00 | 1070.00 |
| 65+ | 442.00 | N/A | N/A | N/A |
| Age | Deductible : 3500 | |||
| 0-19 | 89.00 | N/A | N/A | N/A |
| 20-25 | 106.00 | 212.00 | 203.00 | 309.00 |
| 26-29 | 129.00 | 258.00 | 246.00 | 375.00 |
| 30-34 | 164.00 | 328.00 | 314.00 | 478.00 |
| 35-39 | 180.00 | 360.00 | 344.00 | 524.00 |
| 40-44 | 223.00 | 446.00 | 401.00 | 624.00 |
| 45-49 | 240.00 | 480.00 | 418.00 | 658.00 |
| 50-54 | 312.00 | 624.00 | 490.00 | 802.00 |
| 55-59 | 387.00 | 774.00 | 565.00 | 952.00 |
| 60-64 | 423.00 | 846.00 | 601.00 | 1024.00 |
| 65+ | 423.00 | N/A | N/A | N/A |
| Age | Deductible : 5000 | |||
| 0-19 | 82.00 | N/A | N/A | N/A |
| 20-25 | 98.00 | 196.00 | 187.00 | 285.00 |
| 26-29 | 119.00 | 238.00 | 227.00 | 346.00 |
| 30-34 | 151.00 | 302.00 | 289.00 | 440.00 |
| 35-39 | 166.00 | 332.00 | 317.00 | 483.00 |
| 40-44 | 206.00 | 412.00 | 370.00 | 576.00 |
| 45-49 | 221.00 | 442.00 | 385.00 | 606.00 |
| 50-54 | 287.00 | 574.00 | 451.00 | 738.00 |
| 55-59 | 356.00 | 712.00 | 520.00 | 876.00 |
| 60-64 | 390.00 | 780.00 | 554.00 | 944.00 |
| 65+ | 390.00 | N/A | N/A | N/A |
| Age | Deductible : 7500 | |||
| 0-19 | 78.00 | N/A | N/A | N/A |
| 20-25 | 93.00 | 186.00 | 178.00 | 271.00 |
| 26-29 | 113.00 | 226.00 | 216.00 | 329.00 |
| 30-34 | 144.00 | 288.00 | 275.00 | 419.00 |
| 35-39 | 158.00 | 316.00 | 302.00 | 460.00 |
| 40-44 | 196.00 | 392.00 | 352.00 | 548.00 |
| 45-49 | 210.00 | 420.00 | 366.00 | 576.00 |
| 50-54 | 273.00 | 546.00 | 429.00 | 702.00 |
| 55-59 | 339.00 | 678.00 | 495.00 | 834.00 |
| 60-64 | 371.00 | 742.00 | 527.00 | 898.00 |
| 65+ | 371.00 | N/A | N/A | N/A |
* - not all of the zip codes are eligible in this county
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