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Index | Exclusions | Provider Directory | ApplicationPlan Benefits:
Optimum Benefits | Value Benefits | Prime Benefits | HSA Benefits
Plan Rates:
Optimum Rates | Value Rates | Prime Rates | HSA Rates
LifeWise Health Plans of Oregon
Regence BC BS of OR
ODS Health Plans
PacificSource
Providence Health Plans
HealthNet of Oregon
Kaiser Permanente
Oregon Medical Insurance Pool
Medicare Supplement Plans
- Medicare Plans Overview
- Medicare Supplements
- Medicare Advantage
- Medicare Part D
- AARP
- American Republic
- Humana
- Lifewise
- ODS Senior Select
- Regence
- United of Omaha
- UCT
- Woodmen
Other Insurance
Oregon Medical Insurance > Prime >
Effective date : 11/1/2009
Valid thru : 10/31/2010
Counties : Benton, Clackamas, Columbia, Crook, Deschutes, Grant, Harney, Jefferson, Klamath, Lane, Linn, Marion, Multnomah, Polk, Washington, Wheeler, Yamhill
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 1000 | |||
| 1-17 | 123.00 | N/A | N/A | N/A |
| 18-20 | 159.00 | 318.00 | 239.00 | 446.00 |
| 21-24 | 190.00 | 381.00 | 286.00 | 534.00 |
| 25-29 | 206.00 | 412.00 | 309.00 | 608.00 |
| 30-34 | 234.00 | 468.00 | 351.00 | 702.00 |
| 35-39 | 250.00 | 500.00 | 375.00 | 739.00 |
| 40-44 | 320.00 | 639.00 | 479.00 | 927.00 |
| 45-49 | 376.00 | 754.00 | 565.00 | 943.00 |
| 50-54 | 438.00 | 875.00 | 657.00 | 1007.00 |
| 55-59 | 527.00 | 1054.00 | 790.00 | 1212.00 |
| 60-64 | 603.00 | 1208.00 | 906.00 | 1330.00 |
| Age | Deductible : 2500 | |||
| 1-17 | 102.00 | N/A | N/A | N/A |
| 18-20 | 132.00 | 263.00 | 197.00 | 369.00 |
| 21-24 | 158.00 | 316.00 | 237.00 | 442.00 |
| 25-29 | 170.00 | 341.00 | 256.00 | 503.00 |
| 30-34 | 193.00 | 387.00 | 290.00 | 581.00 |
| 35-39 | 208.00 | 415.00 | 311.00 | 612.00 |
| 40-44 | 264.00 | 529.00 | 396.00 | 767.00 |
| 45-49 | 312.00 | 625.00 | 468.00 | 780.00 |
| 50-54 | 362.00 | 726.00 | 544.00 | 834.00 |
| 55-59 | 436.00 | 873.00 | 654.00 | 1000.00 |
| 60-64 | 500.00 | 1000.00 | 751.00 | 1101.00 |
| Age | Deductible : 5000 | |||
| 1-17 | 85.00 | N/A | N/A | N/A |
| 18-20 | 112.00 | 223.00 | 167.00 | 313.00 |
| 21-24 | 133.00 | 267.00 | 200.00 | 374.00 |
| 25-29 | 144.00 | 288.00 | 217.00 | 426.00 |
| 30-34 | 164.00 | 328.00 | 246.00 | 492.00 |
| 35-39 | 175.00 | 351.00 | 263.00 | 518.00 |
| 40-44 | 224.00 | 448.00 | 336.00 | 649.00 |
| 45-49 | 264.00 | 529.00 | 395.00 | 660.00 |
| 50-54 | 307.00 | 614.00 | 460.00 | 705.00 |
| 55-59 | 369.00 | 738.00 | 554.00 | 849.00 |
| 60-64 | 423.00 | 847.00 | 635.00 | 932.00 |
| Age | Deductible : 10000 | |||
| 1-17 | 68.00 | N/A | N/A | N/A |
| 18-20 | 88.00 | 176.00 | 133.00 | 248.00 |
| 21-24 | 106.00 | 212.00 | 159.00 | 296.00 |
| 25-29 | 115.00 | 229.00 | 171.00 | 338.00 |
| 30-34 | 130.00 | 260.00 | 195.00 | 390.00 |
| 35-39 | 139.00 | 278.00 | 209.00 | 411.00 |
| 40-44 | 177.00 | 355.00 | 266.00 | 516.00 |
| 45-49 | 210.00 | 420.00 | 315.00 | 524.00 |
| 50-54 | 243.00 | 487.00 | 365.00 | 560.00 |
| 55-59 | 292.00 | 586.00 | 439.00 | 674.00 |
| 60-64 | 336.00 | 672.00 | 503.00 | 739.00 |
Optimum Plan 1000 Rates
Effective date : 11/1/2009
Valid thru : 10/31/2010
Counties : Benton, Clackamas, Columbia, Crook, Deschutes, Grant, Harney, Jefferson, Klamath, Lane, Linn, Marion, Multnomah, Polk, Washington, Wheeler, Yamhill
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 1000 | |||
| 1-17 | 123.00 | N/A | N/A | N/A |
| 18-20 | 159.00 | 318.00 | 239.00 | 446.00 |
| 21-24 | 190.00 | 381.00 | 286.00 | 534.00 |
| 25-29 | 206.00 | 412.00 | 309.00 | 608.00 |
| 30-34 | 234.00 | 468.00 | 351.00 | 702.00 |
| 35-39 | 250.00 | 500.00 | 375.00 | 739.00 |
| 40-44 | 320.00 | 639.00 | 479.00 | 927.00 |
| 45-49 | 376.00 | 754.00 | 565.00 | 943.00 |
| 50-54 | 438.00 | 875.00 | 657.00 | 1007.00 |
| 55-59 | 527.00 | 1054.00 | 790.00 | 1212.00 |
| 60-64 | 603.00 | 1208.00 | 906.00 | 1330.00 |
| Age | Deductible : 2500 | |||
| 1-17 | 102.00 | N/A | N/A | N/A |
| 18-20 | 132.00 | 263.00 | 197.00 | 369.00 |
| 21-24 | 158.00 | 316.00 | 237.00 | 442.00 |
| 25-29 | 170.00 | 341.00 | 256.00 | 503.00 |
| 30-34 | 193.00 | 387.00 | 290.00 | 581.00 |
| 35-39 | 208.00 | 415.00 | 311.00 | 612.00 |
| 40-44 | 264.00 | 529.00 | 396.00 | 767.00 |
| 45-49 | 312.00 | 625.00 | 468.00 | 780.00 |
| 50-54 | 362.00 | 726.00 | 544.00 | 834.00 |
| 55-59 | 436.00 | 873.00 | 654.00 | 1000.00 |
| 60-64 | 500.00 | 1000.00 | 751.00 | 1101.00 |
| Age | Deductible : 5000 | |||
| 1-17 | 85.00 | N/A | N/A | N/A |
| 18-20 | 112.00 | 223.00 | 167.00 | 313.00 |
| 21-24 | 133.00 | 267.00 | 200.00 | 374.00 |
| 25-29 | 144.00 | 288.00 | 217.00 | 426.00 |
| 30-34 | 164.00 | 328.00 | 246.00 | 492.00 |
| 35-39 | 175.00 | 351.00 | 263.00 | 518.00 |
| 40-44 | 224.00 | 448.00 | 336.00 | 649.00 |
| 45-49 | 264.00 | 529.00 | 395.00 | 660.00 |
| 50-54 | 307.00 | 614.00 | 460.00 | 705.00 |
| 55-59 | 369.00 | 738.00 | 554.00 | 849.00 |
| 60-64 | 423.00 | 847.00 | 635.00 | 932.00 |
| Age | Deductible : 10000 | |||
| 1-17 | 68.00 | N/A | N/A | N/A |
| 18-20 | 88.00 | 176.00 | 133.00 | 248.00 |
| 21-24 | 106.00 | 212.00 | 159.00 | 296.00 |
| 25-29 | 115.00 | 229.00 | 171.00 | 338.00 |
| 30-34 | 130.00 | 260.00 | 195.00 | 390.00 |
| 35-39 | 139.00 | 278.00 | 209.00 | 411.00 |
| 40-44 | 177.00 | 355.00 | 266.00 | 516.00 |
| 45-49 | 210.00 | 420.00 | 315.00 | 524.00 |
| 50-54 | 243.00 | 487.00 | 365.00 | 560.00 |
| 55-59 | 292.00 | 586.00 | 439.00 | 674.00 |
| 60-64 | 336.00 | 672.00 | 503.00 | 739.00 |
Optimum Plan 2500 Rates
Effective date : 11/1/2008
Valid thru : 10/31/2009
Counties : Benton, Clackamas, Columbia, Crook, Deschutes, Grant, Harney, Jefferson, Klamath, Lane, Linn, Marion, Multnomah, Polk, Washington, Wheeler, Yamhill
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 2500 | |||
| 1-17 | 88.00 | N/A | N/A | N/A |
| 18-20 | 113.00 | 226.00 | 170.00 | 317.00 |
| 21-24 | 136.00 | 271.00 | 203.00 | 380.00 |
| 25-29 | 146.00 | 293.00 | 220.00 | 432.00 |
| 30-34 | 167.00 | 332.00 | 250.00 | 499.00 |
| 35-39 | 178.00 | 356.00 | 267.00 | 525.00 |
| 40-44 | 227.00 | 454.00 | 340.00 | 658.00 |
| 45-49 | 268.00 | 536.00 | 402.00 | 670.00 |
| 50-54 | 311.00 | 622.00 | 466.00 | 715.00 |
| 55-59 | 374.00 | 748.00 | 561.00 | 861.00 |
| 60-64 | 429.00 | 858.00 | 644.00 | 944.00 |
Optimum Plan 5000 Rates
Effective date : 11/1/2008
Valid thru : 10/31/2009
Counties : Benton, Clackamas, Columbia, Crook, Deschutes, Grant, Harney, Jefferson, Klamath, Lane, Linn, Marion, Multnomah, Polk, Washington, Wheeler, Yamhill
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 5000 | |||
| 1-17 | 74.00 | N/A | N/A | N/A |
| 18-20 | 95.00 | 192.00 | 144.00 | 268.00 |
| 21-24 | 115.00 | 229.00 | 173.00 | 321.00 |
| 25-29 | 123.00 | 248.00 | 186.00 | 365.00 |
| 30-34 | 141.00 | 281.00 | 211.00 | 422.00 |
| 35-39 | 150.00 | 301.00 | 226.00 | 444.00 |
| 40-44 | 192.00 | 384.00 | 288.00 | 557.00 |
| 45-49 | 226.00 | 453.00 | 339.00 | 567.00 |
| 50-54 | 263.00 | 526.00 | 394.00 | 605.00 |
| 55-59 | 317.00 | 633.00 | 475.00 | 728.00 |
| 60-64 | 363.00 | 726.00 | 545.00 | 799.00 |
Prime Rates
Effective date : 11/1/2009
Valid thru : 10/31/2010
Counties : Benton, Clackamas, Columbia, Crook, Deschutes, Grant, Harney, Jefferson, Klamath, Lane, Linn, Marion, Multnomah, Polk, Washington, Wheeler, Yamhill
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 10000 | |||
| 1-17 | 56.00 | N/A | N/A | N/A |
| 18-20 | 73.00 | 147.00 | 110.00 | 206.00 |
| 21-24 | 87.00 | 175.00 | 132.00 | 246.00 |
| 25-29 | 94.00 | 189.00 | 142.00 | 280.00 |
| 30-34 | 108.00 | 216.00 | 161.00 | 324.00 |
| 35-39 | 115.00 | 231.00 | 173.00 | 341.00 |
| 40-44 | 147.00 | 294.00 | 221.00 | 427.00 |
| 45-49 | 173.00 | 348.00 | 260.00 | 435.00 |
| 50-54 | 202.00 | 404.00 | 303.00 | 464.00 |
| 55-59 | 243.00 | 485.00 | 364.00 | 559.00 |
| 60-64 | 278.00 | 557.00 | 418.00 | 613.00 |
* - not all of the zip codes are eligible in this county
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