Authorized Kaiser Agent

Rates are only for Atlanta, Georgia and surrounding areas - Questions? Call Chris, Holly or Bob at 770-396-9517

2009 HMO Personal Plans Atlanta Monthly Premiums - Rates effective 3/02/2009 - 6/01/2009

Now Premier Plus Rates ($0 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$187	$197	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	187	197	$380	$387	$646	$842	$383	$574	$846
20-24	215	309	406	499	675	864	524	715	984
25-29	265	392	456	584	726	919	661	850	1118
30-34	281	494	472	687	741	930	779	966	1236
35-39	327	556	518	748	787	978	885	1076	1342
40-44	364	530	549	698	809	896	954	1139	1398
45-49	453	562	621	724	855	967	1047	1217	1453
50-54	524	636	681	793	904	1062	1162	1320	1539
55-59	681	734	842	897	1062	1291	1373	1530	1752
60-64**	894	842	1061	999	1296	1384	1784	1951	2185

 

Now 500 Plan Rates ($500 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$140	$149	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	140	149	$284	$294	$487	$633	$288	$433	$635
20-24	162	232	306	378	508	655	396	540	744
25-29	202	296	345	443	548	692	497	641	845
30-34	210	374	355	519	559	703	585	730	932
35-39	247	419	391	564	595	738	666	811	1013
40-44	274	400	414	526	611	676	721	857	1055
45-49	341	425	468	544	645	727	792	917	1093
50-54	396	480	515	598	680	803	876	992	1161
55-59	515	552	635	678	803	975	1035	1154	1321
60-64**	675	635	800	753	979	1042	1345	1473	1649

Now 1,000 Plus Plan Rates ($1,000 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$119	$128	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	119	128	$245	$250	$419	$542	$248	$371	$545
20-24	138	201	263	323	435	561	339	461	637
25-29	172	253	296	377	469	592	426	549	723
30-34	183	321	305	444	479	603	503	626	797
35-39	211	360	336	485	508	634	571	695	866
40-44	235	342	354	452	523	579	617	736	903
45-49	293	362	400	467	554	623	679	786	938
50-54	341	411	441	513	585	685	752	853	996
55-59	441	472	544	580	685	836	887	990	1133
60-64**	578	544	687	645	838	893	1154	1263	1413

Now 2,000 Plus Plan Rates ($2,000 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$90	$93	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	90	93	$179	$184	$308	$400	$183	$273	$401
20-24	101	147	194	239	322	413	250	341	468
25-29	127	186	217	278	346	437	314	405	534
30-34	133	235	225	327	353	445	370	463	588
35-39	157	266	249	356	374	466	419	512	640
40-44	173	252	262	333	386	425	453	541	668
45-49	216	270	296	344	407	460	500	579	691
50-54	250	302	326	377	431	506	552	627	733
55-59	326	348	400	427	506	615	653	729	834
60-64**	425	400	506	476	616	657	850	930	1041

Now 4,000 Plus Plan Rates ($4,000 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child*		Subscriber/ Children*		Subscriber/ Spouse*	Subscriber/ Spouse/Child*	Subscriber/ Spouse/Children*
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$77	$81	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	77	81	$159	$163	$272	$353	$162	$242	$355
20-24	92	132	172	211	286	367	220	300	414
25-29	113	165	192	248	306	387	280	358	471
30-34	117	209	199	291	312	395	328	408	522
35-39	138	234	218	316	332	413	373	453	567
40-44	153	224	231	295	342	378	402	480	591
45-49	190	237	261	303	361	406	442	513	612
50-54	221	269	288	335	382	449	489	557	648
55-59	288	309	355	378	449	545	579	645	739
60-64**	377	355	447	422	546	584	751	824	922

Now 6,000 Plus Plan Rates ($6,000 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child**		Subscriber/ Children**		Subscriber/ Spouse**	Subscriber/ Spouse/Child**	Subscriber/ Spouse/Children**
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$72	$75	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	72	75	$147	$152	$253	$328	$150	$225	$329
20-24	85	122	159	195	265	340	204	278	384
25-29	104	153	179	230	284	359	259	332	437
30-34	109	194	184	270	290	366	304	378	484
35-39	127	217	202	293	308	383	346	420	526
40-44	142	208	215	273	317	351	373	446	548
45-49	177	220	242	281	334	377	410	476	568
50-54	205	249	267	311	354	416	453	516	601
55-59	267	287	329	351	416	506	537	598	685
60-64**	350	329	415	391	507	541	696	765	855

Now 10,000 Plus Plan Rates ($10,000 Deductible) With Prescription Coverage
	Single Subscriber		Subscriber/ Child**		Subscriber/ Children**		Subscriber/ Spouse**	Subscriber/ Spouse/Child**	Subscriber/ Spouse/Children**
age*	Male	Female	Male	Female	Male	Female	M or F	M or F	M or F
0-11	$65	$68	N/A	N/A	N/A	N/A	N/A	N/A	N/A
12-19	65	68	$133	$137	$229	$297	$136	$203	$298
20-24	77	111	144	177	240	308	185	252	348
25-29	95	138	162	209	257	325	235	301	396
30-34	99	176	167	244	262	332	276	343	438
35-39	116	196	183	265	279	347	313	380	476
40-44	128	188	194	248	287	318	337	404	496
45-49	160	199	219	255	303	341	371	431	514
50-54	186	226	242	281	321	377	411	468	545
55-59	242	260	298	318	377	458	486	542	621
60-64**	317	298	376	354	459	490	631	693	775

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Click here to download a Kaiser Application	Click here for HSA plan rates
Click here to apply online
Click here to have an enrollment kit mailed to you
* Family coverage is based on the age of the oldest family member applying. (The oldest family member applying is the "subscriber.") **If you are 65 or older, please inquire about our coverage for Medicare-eligible members at 770-396-9517.
Fax your completed application to our fax: 770-396-4318 (if paying by check, check must be received prior to effective date requested)

	To receive your Kaiser Personal Plans enrollment kit, call Holly, Bob or Chris at (770) 396-9517 or Email: holly@insurance-now.com