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Plan Benefits:
Diamond 15 | Pearl 25 HMO
| Emerald 40 | Crystal 80 HDHP | Crystal 100 HDHP
Plan Rates:
Diamond 15 | Pearl 25 HMO | Emerald 40 | Crystal 80 HDHP | Crystal 100 HDHP
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Oregon Medical Insurance > Emerald 40 >
Effective date : 10/1/2009
Valid thru : 9/30/2010
Counties : Baker, Clatsop, Columbia, Coos, Crook, Curry, Douglas, Gilliam, Grant, Harney, Hood River, Jackson, Jefferson, Josephine, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wasco, Wheeler
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 1000 | |||
| 0-2 | 213.00 | N/A | N/A | N/A |
| 3-18 | 164.00 | N/A | N/A | N/A |
| 19-24 | 207.00 | 414.00 | 311.00 | 580.00 |
| 25-29 | 224.00 | 448.00 | 336.00 | 672.00 |
| 30-34 | 256.00 | 512.00 | 384.00 | 730.00 |
| 35-39 | 273.00 | 546.00 | 410.00 | 779.00 |
| 40-44 | 352.00 | 704.00 | 528.00 | 845.00 |
| 45-49 | 423.00 | 846.00 | 635.00 | 1016.00 |
| 50-54 | 489.00 | 978.00 | 724.00 | 1125.00 |
| 55-59 | 593.00 | 1186.00 | 801.00 | 1305.00 |
| 60-64 | 681.00 | 1362.00 | 886.00 | 1499.00 |
| 65+ | 762.00 | 1524.00 | 976.00 | 1677.00 |
| Age | Deductible : 2500 | |||
| 0-2 | 179.00 | N/A | N/A | N/A |
| 3-18 | 138.00 | N/A | N/A | N/A |
| 19-24 | 174.00 | 348.00 | 261.00 | 488.00 |
| 25-29 | 188.00 | 376.00 | 282.00 | 564.00 |
| 30-34 | 215.00 | 430.00 | 323.00 | 613.00 |
| 35-39 | 229.00 | 458.00 | 344.00 | 653.00 |
| 40-44 | 296.00 | 592.00 | 444.00 | 711.00 |
| 45-49 | 355.00 | 710.00 | 533.00 | 852.00 |
| 50-54 | 411.00 | 822.00 | 609.00 | 946.00 |
| 55-59 | 498.00 | 996.00 | 673.00 | 1096.00 |
| 60-64 | 573.00 | 1146.00 | 745.00 | 1261.00 |
| 65+ | 640.00 | 1280.00 | 820.00 | 1408.00 |
| Age | Deductible : 5000 | |||
| 0-2 | 147.00 | N/A | N/A | N/A |
| 3-18 | 113.00 | N/A | N/A | N/A |
| 19-24 | 143.00 | 286.00 | 215.00 | 401.00 |
| 25-29 | 154.00 | 308.00 | 231.00 | 462.00 |
| 30-34 | 177.00 | 354.00 | 266.00 | 505.00 |
| 35-39 | 188.00 | 376.00 | 282.00 | 536.00 |
| 40-44 | 233.00 | 466.00 | 350.00 | 560.00 |
| 45-49 | 274.00 | 548.00 | 411.00 | 658.00 |
| 50-54 | 334.00 | 668.00 | 495.00 | 769.00 |
| 55-59 | 394.00 | 788.00 | 532.00 | 867.00 |
| 60-64 | 450.00 | 900.00 | 585.00 | 990.00 |
| 65+ | 525.00 | 1050.00 | 672.00 | 1155.00 |
| Age | Deductible : 7500 | |||
| 0-2 | 119.00 | N/A | N/A | N/A |
| 3-18 | 99.00 | N/A | N/A | N/A |
| 19-24 | 116.00 | 232.00 | 174.00 | 325.00 |
| 25-29 | 125.00 | 250.00 | 188.00 | 375.00 |
| 30-34 | 142.00 | 284.00 | 213.00 | 405.00 |
| 35-39 | 149.00 | 298.00 | 224.00 | 425.00 |
| 40-44 | 180.00 | 360.00 | 270.00 | 432.00 |
| 45-49 | 213.00 | 426.00 | 320.00 | 512.00 |
| 50-54 | 261.00 | 522.00 | 387.00 | 601.00 |
| 55-59 | 305.00 | 610.00 | 412.00 | 671.00 |
| 60-64 | 350.00 | 700.00 | 455.00 | 770.00 |
| 65+ | 416.00 | 832.00 | 533.00 | 916.00 |
| Age | Deductible : 10000 | |||
| 0-2 | 103.00 | N/A | N/A | N/A |
| 3-18 | 80.00 | N/A | N/A | N/A |
| 19-24 | 81.00 | 162.00 | 122.00 | 227.00 |
| 25-29 | 99.00 | 198.00 | 149.00 | 297.00 |
| 30-34 | 113.00 | 226.00 | 170.00 | 323.00 |
| 35-39 | 128.00 | 256.00 | 192.00 | 365.00 |
| 40-44 | 154.00 | 308.00 | 231.00 | 370.00 |
| 45-49 | 183.00 | 366.00 | 275.00 | 440.00 |
| 50-54 | 227.00 | 454.00 | 336.00 | 523.00 |
| 55-59 | 262.00 | 524.00 | 354.00 | 577.00 |
| 60-64 | 301.00 | 602.00 | 392.00 | 663.00 |
| 65+ | 326.00 | 652.00 | 418.00 | 718.00 |
Counties : Deschutes, Klamath, Lake
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 1000 | |||
| 0-2 | 213.00 | N/A | N/A | N/A |
| 3-18 | 164.00 | N/A | N/A | N/A |
| 19-24 | 207.00 | 414.00 | 311.00 | 580.00 |
| 25-29 | 224.00 | 448.00 | 336.00 | 672.00 |
| 30-34 | 256.00 | 512.00 | 384.00 | 730.00 |
| 35-39 | 273.00 | 546.00 | 410.00 | 779.00 |
| 40-44 | 352.00 | 704.00 | 528.00 | 845.00 |
| 45-49 | 423.00 | 846.00 | 635.00 | 1016.00 |
| 50-54 | 489.00 | 978.00 | 724.00 | 1125.00 |
| 55-59 | 593.00 | 1186.00 | 801.00 | 1305.00 |
| 60-64 | 681.00 | 1362.00 | 886.00 | 1499.00 |
| 65+ | 762.00 | 1524.00 | 976.00 | 1677.00 |
| Age | Deductible : 2500 | |||
| 0-2 | 179.00 | N/A | N/A | N/A |
| 3-18 | 138.00 | N/A | N/A | N/A |
| 19-24 | 174.00 | 348.00 | 261.00 | 488.00 |
| 25-29 | 188.00 | 376.00 | 282.00 | 564.00 |
| 30-34 | 215.00 | 430.00 | 323.00 | 613.00 |
| 35-39 | 229.00 | 458.00 | 344.00 | 653.00 |
| 40-44 | 296.00 | 592.00 | 444.00 | 711.00 |
| 45-49 | 355.00 | 710.00 | 533.00 | 852.00 |
| 50-54 | 411.00 | 822.00 | 609.00 | 946.00 |
| 55-59 | 498.00 | 996.00 | 673.00 | 1096.00 |
| 60-64 | 573.00 | 1146.00 | 745.00 | 1261.00 |
| 65+ | 640.00 | 1280.00 | 820.00 | 1408.00 |
| Age | Deductible : 5000 | |||
| 0-2 | 147.00 | N/A | N/A | N/A |
| 3-18 | 113.00 | N/A | N/A | N/A |
| 19-24 | 143.00 | 286.00 | 215.00 | 401.00 |
| 25-29 | 154.00 | 308.00 | 231.00 | 462.00 |
| 30-34 | 177.00 | 354.00 | 266.00 | 505.00 |
| 35-39 | 188.00 | 376.00 | 282.00 | 536.00 |
| 40-44 | 233.00 | 466.00 | 350.00 | 560.00 |
| 45-49 | 274.00 | 548.00 | 411.00 | 658.00 |
| 50-54 | 334.00 | 668.00 | 495.00 | 769.00 |
| 55-59 | 394.00 | 788.00 | 532.00 | 867.00 |
| 60-64 | 450.00 | 900.00 | 585.00 | 990.00 |
| 65+ | 525.00 | 1050.00 | 672.00 | 1155.00 |
| Age | Deductible : 7500 | |||
| 0-2 | 119.00 | N/A | N/A | N/A |
| 3-18 | 99.00 | N/A | N/A | N/A |
| 19-24 | 116.00 | 232.00 | 174.00 | 325.00 |
| 25-29 | 125.00 | 250.00 | 188.00 | 375.00 |
| 30-34 | 142.00 | 284.00 | 213.00 | 405.00 |
| 35-39 | 149.00 | 298.00 | 224.00 | 425.00 |
| 40-44 | 180.00 | 360.00 | 270.00 | 432.00 |
| 45-49 | 213.00 | 426.00 | 320.00 | 512.00 |
| 50-54 | 261.00 | 522.00 | 387.00 | 601.00 |
| 55-59 | 305.00 | 610.00 | 412.00 | 671.00 |
| 60-64 | 350.00 | 700.00 | 455.00 | 770.00 |
| 65+ | 416.00 | 832.00 | 533.00 | 916.00 |
| Age | Deductible : 10000 | |||
| 0-2 | 103.00 | N/A | N/A | N/A |
| 3-18 | 80.00 | N/A | N/A | N/A |
| 19-24 | 81.00 | 162.00 | 122.00 | 227.00 |
| 25-29 | 99.00 | 198.00 | 149.00 | 297.00 |
| 30-34 | 113.00 | 226.00 | 170.00 | 323.00 |
| 35-39 | 128.00 | 256.00 | 192.00 | 365.00 |
| 40-44 | 154.00 | 308.00 | 231.00 | 370.00 |
| 45-49 | 183.00 | 366.00 | 275.00 | 440.00 |
| 50-54 | 227.00 | 454.00 | 336.00 | 523.00 |
| 55-59 | 262.00 | 524.00 | 354.00 | 577.00 |
| 60-64 | 301.00 | 602.00 | 392.00 | 663.00 |
| 65+ | 326.00 | 652.00 | 418.00 | 718.00 |
Counties : Benton, Clackamas, Lane, Linn, Marion, Multnomah, Polk, Washington, Yamhill
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : 1000 | |||
| 0-2 | 193.00 | N/A | N/A | N/A |
| 3-18 | 149.00 | N/A | N/A | N/A |
| 19-24 | 188.00 | 376.00 | 282.00 | 527.00 |
| 25-29 | 203.00 | 406.00 | 305.00 | 609.00 |
| 30-34 | 233.00 | 466.00 | 350.00 | 665.00 |
| 35-39 | 248.00 | 496.00 | 372.00 | 707.00 |
| 40-44 | 320.00 | 640.00 | 480.00 | 768.00 |
| 45-49 | 384.00 | 768.00 | 576.00 | 922.00 |
| 50-54 | 445.00 | 890.00 | 659.00 | 1024.00 |
| 55-59 | 539.00 | 1078.00 | 728.00 | 1186.00 |
| 60-64 | 619.00 | 1238.00 | 805.00 | 1362.00 |
| 65+ | 693.00 | 1386.00 | 888.00 | 1525.00 |
| Age | Deductible : 2500 | |||
| 0-2 | 163.00 | N/A | N/A | N/A |
| 3-18 | 125.00 | N/A | N/A | N/A |
| 19-24 | 158.00 | 316.00 | 237.00 | 443.00 |
| 25-29 | 171.00 | 342.00 | 257.00 | 513.00 |
| 30-34 | 196.00 | 392.00 | 294.00 | 559.00 |
| 35-39 | 209.00 | 418.00 | 314.00 | 596.00 |
| 40-44 | 269.00 | 538.00 | 404.00 | 646.00 |
| 45-49 | 323.00 | 646.00 | 485.00 | 776.00 |
| 50-54 | 374.00 | 748.00 | 554.00 | 861.00 |
| 55-59 | 453.00 | 906.00 | 612.00 | 997.00 |
| 60-64 | 521.00 | 1042.00 | 678.00 | 1147.00 |
| 65+ | 582.00 | 1164.00 | 745.00 | 1281.00 |
| Age | Deductible : 5000 | |||
| 0-2 | 133.00 | N/A | N/A | N/A |
| 3-18 | 103.00 | N/A | N/A | N/A |
| 19-24 | 130.00 | 260.00 | 195.00 | 364.00 |
| 25-29 | 140.00 | 280.00 | 210.00 | 420.00 |
| 30-34 | 161.00 | 322.00 | 242.00 | 459.00 |
| 35-39 | 171.00 | 342.00 | 257.00 | 488.00 |
| 40-44 | 212.00 | 424.00 | 318.00 | 509.00 |
| 45-49 | 249.00 | 498.00 | 374.00 | 598.00 |
| 50-54 | 304.00 | 608.00 | 450.00 | 700.00 |
| 55-59 | 358.00 | 716.00 | 484.00 | 788.00 |
| 60-64 | 410.00 | 820.00 | 533.00 | 902.00 |
| 65+ | 477.00 | 954.00 | 611.00 | 1050.00 |
| Age | Deductible : 7500 | |||
| 0-2 | 109.00 | N/A | N/A | N/A |
| 3-18 | 90.00 | N/A | N/A | N/A |
| 19-24 | 106.00 | 212.00 | 159.00 | 297.00 |
| 25-29 | 114.00 | 228.00 | 171.00 | 342.00 |
| 30-34 | 129.00 | 258.00 | 194.00 | 368.00 |
| 35-39 | 136.00 | 272.00 | 204.00 | 388.00 |
| 40-44 | 164.00 | 328.00 | 246.00 | 394.00 |
| 45-49 | 194.00 | 388.00 | 291.00 | 466.00 |
| 50-54 | 237.00 | 474.00 | 351.00 | 546.00 |
| 55-59 | 277.00 | 554.00 | 374.00 | 610.00 |
| 60-64 | 318.00 | 636.00 | 414.00 | 700.00 |
| 65+ | 378.00 | 756.00 | 484.00 | 832.00 |
| Age | Deductible : 10000 | |||
| 0-2 | 93.00 | N/A | N/A | N/A |
| 3-18 | 73.00 | N/A | N/A | N/A |
| 19-24 | 74.00 | 148.00 | 111.00 | 208.00 |
| 25-29 | 90.00 | 180.00 | 135.00 | 270.00 |
| 30-34 | 103.00 | 206.00 | 155.00 | 294.00 |
| 35-39 | 117.00 | 234.00 | 176.00 | 334.00 |
| 40-44 | 140.00 | 280.00 | 210.00 | 336.00 |
| 45-49 | 167.00 | 334.00 | 251.00 | 401.00 |
| 50-54 | 206.00 | 412.00 | 305.00 | 474.00 |
| 55-59 | 239.00 | 478.00 | 323.00 | 526.00 |
| 60-64 | 273.00 | 546.00 | 355.00 | 601.00 |
| 65+ | 297.00 | 594.00 | 381.00 | 654.00 |
* - not all of the zip codes are eligible in this county
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