 CoventryOne Authorized Agent |
|
CoventryOne POS $35 Copay Health Insurance Options
Monthly Rates - Effective 4/15/10
Area 1 - Use these rates if you live in Banks, Barrow, Bartow, Bibb, Bleckley, Burke, Butts, Cherokee,
Clayton, Cobb, Columbia, Coweta, Crawford, Dawson, Dekalb, Dooly, Douglas, Fayette,
Forsyth, Fulton, Greene, Gwinnett, Henry, Houston, Jackson, Jasper, Jones, Lamar, Lincoln,
Macon, McDuffie, Meriwether, Monroe, Morgan, Newton, Paulding, Peach, Pike, Richmond,
Rockdale, Spalding, Taylor, Troup, Twiggs, Walton or Wilkinson county
If you do not live in one of these counties, please click here to find your rates
*Note- Families of 4 or more members get a 10% discount
---------Add 10% to premium if you are a tobacco user under age 40
---------Add 20% to premium if you are a tobacco user over age 40
These rates are available for applicants enrolling April 15, 2010 through July 15, 2010
|
CoventryOne
$35 Copay Plan $1,000 Deductible* |
CoventryOne
$35 Copay Plan $2,500 Deductible* |
CoventryOne
$35 Copay Plan $3,500 Deductible* |
CoventryOne
$35 Copay Plan $5,000 Deductible* |
CoventryOne
Basic $35 Copay Plan $7,500 Deductible* |
CoventryOne
Basic $35 Copay Plan $10,000 Deductible* |
||||||||
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Age |
| 0 |
$310.31 |
$310.31 |
$175.15 |
$175.15 |
$167.81 |
$167.81 |
$154.21 |
$154.21 |
$126.26 |
$126.26 |
$115.23 |
$115.23 |
0 |
| 1 |
186.18 |
186.18 |
105.09 |
105.09 |
100.57 |
100.57 |
92.52 |
92.52 |
75.76 |
75.76 |
69.14 |
69.14 |
1 |
| 2-5 |
102.81 |
102.81 |
57.32 |
57.32 |
54.85 |
54.85 |
49.86 |
49.86 |
41.96 |
41.96 |
38.29 |
38.29 |
2-5 |
| 6-16 |
100.10 |
100.10 |
57.32 |
57.32 |
54.85 |
54.85 |
49.86 |
49.86 |
41.96 |
41.96 |
38.29 |
38.29 |
6-16 |
| 17 |
100.10 |
106.61 |
57.32 |
61.06 |
54.85 |
58.43 |
49.86 |
53.09 |
41.96 |
44.70 |
38.29 |
40.80 |
17 |
| 18 |
100.10 |
107.79 |
57.32 |
64.71 |
54.85 |
61.92 |
49.86 |
56.28 |
41.96 |
47.37 |
38.29 |
43.23 |
18 |
| 19 |
100.10 |
107.79 |
57.32 |
66.94 |
54.85 |
64.05 |
49.86 |
58.22 |
41.96 |
49.01 |
38.29 |
44.73 |
19 |
| 20 |
100.53 |
129.35 |
57.58 |
74.51 |
55.09 |
71.31 |
50.08 |
64.89 |
42.14 |
53.09 |
38.46 |
48.46 |
20 |
| 21 |
101.66 |
142.85 |
58.22 |
82.28 |
55.71 |
78.73 |
50.62 |
71.67 |
42.62 |
58.63 |
38.90 |
53.51 |
21 |
| 22 |
102.81 |
146.50 |
58.88 |
84.39 |
56.35 |
80.76 |
51.20 |
73.50 |
43.10 |
60.13 |
39.33 |
54.89 |
22 |
| 23 |
103.63 |
153.28 |
59.35 |
88.44 |
56.79 |
84.62 |
51.61 |
77.02 |
43.45 |
63.02 |
39.65 |
57.51 |
23 |
| 24 |
104.44 |
153.28 |
59.81 |
92.48 |
57.23 |
88.49 |
52.02 |
80.56 |
43.78 |
65.90 |
39.95 |
60.15 |
24 |
| 25 |
111.35 |
167.79 |
63.12 |
95.08 |
60.41 |
90.98 |
56.11 |
83.43 |
45.40 |
68.39 |
41.43 |
62.42 |
25 |
|
CoventryOne
$35 Copay Plan $1,000 Deductible* |
CoventryOne
$35 Copay Plan $2,500 Deductible* |
CoventryOne
$35 Copay Plan $3,500 Deductible* |
CoventryOne
$35 Copay Plan $5,000 Deductible* |
CoventryOne
Basic $35 Copay Plan $7,500 Deductible* |
CoventryOne
Basic $35 Copay Plan $10,000 Deductible* |
||||||||
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Age |
| 26 |
112.21 |
170.86 |
63.61 |
96.82 |
60.87 |
92.65 |
56.53 |
84.95 |
45.75 |
69.64 |
41.75 |
63.56 |
26 |
| 27 |
113.09 |
174.40 |
64.11 |
98.84 |
61.35 |
94.58 |
56.99 |
86.72 |
46.11 |
71.08 |
42.08 |
64.88 |
27 |
| 28 |
114.41 |
177.80 |
64.86 |
100.74 |
62.07 |
96.40 |
57.65 |
88.41 |
46.65 |
72.48 |
42.58 |
66.16 |
28 |
| 29 |
118.19 |
182.66 |
67.00 |
103.51 |
64.11 |
99.04 |
59.55 |
90.82 |
48.18 |
74.45 |
43.98 |
67.95 |
29 |
| 30 |
125.11 |
188.01 |
70.62 |
107.08 |
67.57 |
102.47 |
62.18 |
93.65 |
50.91 |
76.98 |
46.47 |
70.26 |
30 |
| 31 |
132.42 |
196.27 |
74.74 |
111.78 |
71.52 |
106.96 |
65.81 |
97.74 |
53.89 |
80.36 |
49.10 |
73.35 |
31 |
| 32 |
137.93 |
203.61 |
77.86 |
115.95 |
74.50 |
110.96 |
68.55 |
101.40 |
56.12 |
83.37 |
51.22 |
76.09 |
32 |
| 33 |
139.77 |
206.36 |
78.89 |
117.53 |
75.49 |
112.46 |
69.45 |
102.78 |
56.88 |
84.49 |
51.92 |
77.11 |
33 |
| 34 |
141.61 |
210.03 |
79.93 |
119.62 |
76.48 |
114.47 |
70.38 |
104.61 |
57.63 |
86.00 |
52.59 |
78.48 |
34 |
| 35 |
146.31 |
210.90 |
83.05 |
120.63 |
79.46 |
115.42 |
73.16 |
105.23 |
60.42 |
87.08 |
55.14 |
79.48 |
35 |
| 36 |
153.23 |
214.55 |
86.97 |
122.70 |
83.23 |
117.42 |
76.62 |
107.05 |
63.27 |
88.58 |
57.75 |
80.84 |
36 |
| 37 |
159.99 |
217.26 |
90.80 |
124.27 |
86.89 |
118.91 |
79.99 |
108.41 |
66.07 |
89.71 |
60.30 |
81.88 |
37 |
| 38 |
167.61 |
221.81 |
95.14 |
126.87 |
91.04 |
121.40 |
83.81 |
110.68 |
69.21 |
91.58 |
63.16 |
83.58 |
38 |
| 39 |
168.23 |
225.44 |
99.10 |
128.95 |
94.82 |
123.39 |
87.30 |
112.49 |
72.09 |
93.08 |
65.80 |
84.96 |
39 |
| 40 |
178.98 |
235.04 |
101.87 |
133.86 |
97.48 |
128.08 |
89.45 |
117.45 |
72.70 |
96.55 |
66.35 |
88.12 |
40 |
| 41 |
185.88 |
238.55 |
105.80 |
135.85 |
101.23 |
129.98 |
92.90 |
119.20 |
75.50 |
98.00 |
68.90 |
89.44 |
41 |
| 42 |
190.58 |
242.98 |
108.47 |
138.38 |
103.80 |
132.42 |
95.26 |
121.42 |
77.42 |
99.83 |
70.65 |
91.11 |
42 |
| 43 |
194.58 |
246.94 |
113.46 |
140.63 |
108.57 |
134.57 |
99.65 |
123.39 |
80.98 |
101.45 |
73.91 |
92.59 |
43 |
|
CoventryOne
$35 Copay Plan $1,000 Deductible* |
CoventryOne
$35 Copay Plan $2,500 Deductible* |
CoventryOne
$35 Copay Plan $3,500 Deductible* |
CoventryOne
$35 Copay Plan $5,000 Deductible* |
CoventryOne
Basic $35 Copay Plan $7,500 Deductible* |
CoventryOne
Basic $35 Copay Plan $10,000 Deductible* |
||||||||
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Age |
| 44 |
194.58 |
251.31 |
124.82 |
143.13 |
119.44 |
136.96 |
109.61 |
125.58 |
89.07 |
103.25 |
81.29 |
94.24 |
44 |
| 45 |
221.44 |
259.74 |
135.83 |
147.65 |
129.97 |
141.29 |
119.18 |
129.35 |
98.00 |
106.35 |
89.44 |
97.06 |
45 |
| 46 |
236.87 |
272.87 |
149.42 |
161.48 |
142.99 |
154.52 |
131.10 |
141.49 |
107.79 |
116.32 |
98.37 |
106.17 |
46 |
| 47 |
253.21 |
286.02 |
164.37 |
175.33 |
157.28 |
167.77 |
144.22 |
153.61 |
118.57 |
126.29 |
108.22 |
115.27 |
47 |
| 48 |
266.14 |
296.12 |
180.80 |
191.99 |
173.00 |
183.72 |
158.64 |
168.20 |
130.42 |
138.29 |
119.04 |
126.22 |
48 |
| 49 |
269.34 |
305.71 |
198.88 |
210.22 |
190.30 |
201.15 |
174.50 |
184.18 |
143.47 |
151.43 |
130.94 |
138.21 |
49 |
| 50 |
303.40 |
324.48 |
219.69 |
233.00 |
210.22 |
222.96 |
193.13 |
203.70 |
158.85 |
168.51 |
144.97 |
153.80 |
50 |
| 51 |
335.42 |
340.69 |
231.77 |
241.16 |
221.78 |
230.75 |
203.74 |
210.83 |
167.59 |
174.41 |
152.95 |
159.19 |
51 |
| 52 |
349.56 |
357.76 |
243.34 |
250.12 |
232.85 |
239.34 |
213.93 |
218.66 |
175.96 |
180.90 |
160.59 |
165.10 |
52 |
| 53 |
367.04 |
375.65 |
254.31 |
259.37 |
243.34 |
248.19 |
223.54 |
228.77 |
183.87 |
187.58 |
167.82 |
171.20 |
53 |
| 54 |
367.47 |
390.00 |
270.20 |
272.35 |
258.55 |
260.62 |
237.52 |
238.10 |
195.36 |
196.97 |
178.30 |
179.77 |
54 |
| 55 |
409.39 |
414.67 |
288.06 |
288.08 |
275.64 |
275.66 |
253.26 |
251.83 |
209.42 |
206.61 |
191.13 |
188.58 |
55 |
| 56 |
430.88 |
434.66 |
308.24 |
308.24 |
294.94 |
294.94 |
270.98 |
269.46 |
224.08 |
221.07 |
204.51 |
201.76 |
56 |
| 57 |
452.36 |
436.06 |
324.95 |
323.14 |
310.94 |
309.21 |
285.69 |
282.49 |
236.23 |
231.77 |
215.60 |
211.52 |
57 |
| 58 |
464.65 |
436.06 |
335.35 |
332.83 |
320.90 |
318.48 |
294.83 |
290.96 |
243.78 |
238.72 |
222.49 |
217.88 |
58 |
| 59 |
475.94 |
436.06 |
353.80 |
349.48 |
338.55 |
334.41 |
311.04 |
305.51 |
257.19 |
250.64 |
234.73 |
228.75 |
59 |
| 60 |
557.84 |
507.22 |
376.62 |
368.17 |
360.38 |
352.29 |
329.08 |
322.77 |
271.28 |
266.55 |
247.60 |
243.28 |
60 |
| 61 |
585.84 |
507.22 |
389.80 |
381.05 |
373.00 |
364.63 |
340.60 |
334.08 |
280.77 |
275.88 |
256.26 |
251.79 |
61 |
| 62 |
615.15 |
507.22 |
401.10 |
393.39 |
383.81 |
376.43 |
350.47 |
344.89 |
288.91 |
284.81 |
263.68 |
259.94 |
62 |
| 63 |
645.75 |
507.22 |
412.13 |
405.19 |
394.35 |
387.73 |
360.10 |
355.24 |
296.86 |
293.36 |
270.94 |
267.74 |
63 |
| Age |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Male |
Female |
Age |
|
CoventryOne
$35 Copay Plan $1,000 Deductible* |
CoventryOne
$35 Copay Plan $2,500 Deductible* |
CoventryOne
$35 Copay Plan $3,500 Deductible* |
CoventryOne
$35 Copay Plan $5,000 Deductible* |
CoventryOne
Basic $35 Copay Plan $7,500 Deductible* |
CoventryOne
Basic $35 Copay Plan $10,000 Deductible* |
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| *Rates subject to underwriting and approval by CoventyOne | |||||||||||||
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