| Medical Rates for Self-Pay Participants |
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| Retirees |
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View rates as a PDF
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2009 Retiree Medical Plan Monthly Premium Rates
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Retiree
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Retiree & Spouse/Partner
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Retiree & Children
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Retiree & Family
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Kaiser Permanente HMO1
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$759.47
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$1,017.70
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$873.40
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$1,040.48
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Kaiser Permanente Added Choice POS2
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803.43
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1,076.60
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923.95
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1,100.70
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ProvidenceChoice PPO3
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753.77
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1,010.03
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866.84
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1,032.65
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Regence BCBSO PPO3
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837.49
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1,122.11
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963.05
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1,147.24
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Kaiser Permanente Part-time & Retiree HMO4
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642.93
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861.52
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739.36
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880.81
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Kaiser Permanente Added Choice Part-time & Retiree POS4
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650.03
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871.03
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747.53
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890.54
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ProvidenceChoice Part-time & Retiree PPO5
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595.85
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798.44
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685.23
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816.31
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Regence BCBSO Part-time & Retiree PPO5
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665.32
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891.44
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765.08
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911.42
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1 Kaiser Permanente HMO routine vision services
2 Routine vision services only through Kaiser Permanente HMO
3 Routine vision services through VSP
4 Vision exam only
5 No vision benefit
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| COBRA Participants |
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View rates as a PDF
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2009 COBRA Participant Medical Plan Monthly Premium Rates
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Self
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Self & Spouse/Partner
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Self & Children
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Self & Family
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Kaiser Permanente HMO1
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$770.75
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$1,032.81
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$886.37
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$1,055.93
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Kaiser Permanente Added Choice POS2
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815.37
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1,092.59
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937.67
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1,117.05
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ProvidenceChoice PPO3
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764.97
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1,025.02
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879.72
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1,047.99
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Regence BCBSO PPO3
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849.93
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1,138.77
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977.36
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1,164.28
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Kaiser Permanente Part-time & Retiree HMO4
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652.47
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874.31
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750.34
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893.89
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Kaiser Permanente Added Choice Part-time & Retiree POS4
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659.68
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883.97
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758.63
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903.76
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ProvidenceChoice Part-time & Retiree PPO5
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604.70
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810.29
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695.41
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828.44
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Regence BCBSO Part-time & Retiree PPO5
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675.20
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904.68
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776.44
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924.96
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1 Kaiser Permanente HMO routine vision services
2 Routine vision services only through Kaiser Permanente HMO
3 Routine vision services through VSP
4 Vision exam only
5 No vision benefit
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| Other Self-pay Participants |
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These medical premium rates are for the following self-pay groups: Blind Business Enterprise employees, OLCC agents, state-certified foster parents, J1 Visa holders and OUS post docs.
View rates as a PDF
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2009 Self-pay Participant Medical Plan Monthly Premium Rates
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Self
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Self & Spouse/Partner
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Self & Children
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Self & Family
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Kaiser Permanente HMO¹
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$766.76
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$1,023.97
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$880.24
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$1,046.66
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Kaiser Permanente Added Choice POS2
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810.55
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1,082.64
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930.59
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1,106.64
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ProvidenceChoice PPO³
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761.09
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1,016.32
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873.71
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1,038.86
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Regence BCBSO PPO³
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844.48
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1,127.97
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969.54
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1,152.99
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1 Kaiser Permanente HMO routine vision services
2 Routine vision services only through Kaiser Permanente HMO
3 Routine vision services through VSP
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