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Plan Benefits
Platinum | Gold Rx | Silver Rx | Bronze | HSA Compatible | Child-only
Plan Premiums
Platinum | Gold Rx | Silver Rx | Bronze | HSA Compatible | Child-only

Silver Rx Rates
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