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Home | Qualifying
Conditions | Eligibility | Provider
Directory | Exclusions | Plan
information and Enrollment Form
Benefits: OMIP Plan 500 | OMIP Plan
750 | OMIP Plan 1000
| OMIP Plan 1500 | FMIP Plan 500 | FMIP Plan 750
Rates: OMIP Plan 500 | OMIP Plan
750 | OMIP Plan 1000 | OMIP Plan
1500 | FMIP Plan 500 | FMIP Plan 750
OMIP Plan 500 - Medical Eligibility Rates
Effective date : 1/1/2010
Valid thru : 12/31/2010
Counties :
Available in all counties
| Family Status : |
Applicant |
Two |
Three+ |
| Age |
Deductible : 500 |
| 0-17 |
262.00 |
524.00 |
786.00 |
| 18-19 |
294.00 |
588.00 |
850.00 |
| 20-24 |
331.00 |
662.00 |
924.00 |
| 25-29 |
355.00 |
710.00 |
972.00 |
| 30-34 |
396.00 |
792.00 |
1054.00 |
| 35-39 |
412.00 |
824.00 |
1086.00 |
| 40-44 |
490.00 |
980.00 |
1242.00 |
| 45-49 |
564.00 |
1128.00 |
1390.00 |
| 50-54 |
646.00 |
1292.00 |
1554.00 |
| 55-59 |
742.00 |
1484.00 |
1746.00 |
| 60-64 |
742.00 |
1484.00 |
1746.00 |
| 65+ |
779.00 |
1558.00 |
1820.00 |
* - not all of the zip codes are eligible in this county
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