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Providence Health Insurance


Apply Online Now - Electronic Application

Index | Exclusions | Locate Providers | Coverage Area Map | Download Application
Plan Benefits:
Optimum Plan | Value Plan | Prime Plan | HSA Plan
Plan Rates:
Optimum Plan | Value Plan | Prime Plan | HSA Plan


HSA Plan 3500 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 : 2500
0-17 109.00 N/A N/A N/A
18-20 141.00 N/A N/A N/A
21-24 168.00 N/A N/A N/A
25-29 182.00 N/A N/A N/A
30-34 208.00 N/A N/A N/A
35-39 222.00 N/A N/A N/A
40-44 283.00 N/A N/A N/A
45-49 334.00 N/A N/A N/A
50-54 387.00 N/A N/A N/A
55-59 466.00 N/A N/A N/A
60-64 535.00 N/A N/A N/A
Age Deductible : 3500
0-17 101.00 N/A N/A N/A
18-20 131.00 N/A N/A N/A
21-24 156.00 N/A N/A N/A
25-29 169.00 N/A N/A N/A
30-34 192.00 N/A N/A N/A
35-39 206.00 N/A N/A N/A
40-44 262.00 N/A N/A N/A
45-49 310.00 N/A N/A N/A
50-54 359.00 N/A N/A N/A
55-59 433.00 N/A N/A N/A
60-64 495.00 N/A N/A N/A
Age Deductible : 5000
0-17 N/A N/A N/A N/A
18-20 N/A 262.00 196.00 367.00
21-24 N/A 315.00 236.00 440.00
25-29 N/A 339.00 254.00 500.00
30-34 N/A 385.00 289.00 579.00
35-39 N/A 413.00 310.00 610.00
40-44 N/A 527.00 394.00 764.00
45-49 N/A 622.00 466.00 777.00
50-54 N/A 722.00 541.00 830.00
55-59 N/A 868.00 651.00 998.00
60-64 N/A 996.00 747.00 1095.00
Age Deductible : 7000
0-17 N/A N/A N/A N/A
18-20 N/A 241.00 180.00 338.00
21-24 N/A 289.00 217.00 405.00
25-29 N/A 313.00 234.00 461.00
30-34 N/A 355.00 266.00 533.00
35-39 N/A 379.00 284.00 560.00
40-44 N/A 484.00 363.00 702.00
45-49 N/A 572.00 429.00 715.00
50-54 N/A 664.00 497.00 764.00
55-59 N/A 799.00 599.00 919.00
60-64 N/A 917.00 687.00 1008.00



HSA Plan 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 : 2500
0-17 109.00 N/A N/A N/A
18-20 141.00 N/A N/A N/A
21-24 168.00 N/A N/A N/A
25-29 182.00 N/A N/A N/A
30-34 208.00 N/A N/A N/A
35-39 222.00 N/A N/A N/A
40-44 283.00 N/A N/A N/A
45-49 334.00 N/A N/A N/A
50-54 387.00 N/A N/A N/A
55-59 466.00 N/A N/A N/A
60-64 535.00 N/A N/A N/A
Age Deductible : 3500
0-17 101.00 N/A N/A N/A
18-20 131.00 N/A N/A N/A
21-24 156.00 N/A N/A N/A
25-29 169.00 N/A N/A N/A
30-34 192.00 N/A N/A N/A
35-39 206.00 N/A N/A N/A
40-44 262.00 N/A N/A N/A
45-49 310.00 N/A N/A N/A
50-54 359.00 N/A N/A N/A
55-59 433.00 N/A N/A N/A
60-64 495.00 N/A N/A N/A
Age Deductible : 5000
0-17 N/A N/A N/A N/A
18-20 N/A 262.00 196.00 367.00
21-24 N/A 315.00 236.00 440.00
25-29 N/A 339.00 254.00 500.00
30-34 N/A 385.00 289.00 579.00
35-39 N/A 413.00 310.00 610.00
40-44 N/A 527.00 394.00 764.00
45-49 N/A 622.00 466.00 777.00
50-54 N/A 722.00 541.00 830.00
55-59 N/A 868.00 651.00 998.00
60-64 N/A 996.00 747.00 1095.00
Age Deductible : 7000
0-17 N/A N/A N/A N/A
18-20 N/A 241.00 180.00 338.00
21-24 N/A 289.00 217.00 405.00
25-29 N/A 313.00 234.00 461.00
30-34 N/A 355.00 266.00 533.00
35-39 N/A 379.00 284.00 560.00
40-44 N/A 484.00 363.00 702.00
45-49 N/A 572.00 429.00 715.00
50-54 N/A 664.00 497.00 764.00
55-59 N/A 799.00 599.00 919.00
60-64 N/A 917.00 687.00 1008.00



* - not all of the zip codes are eligible in this county

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