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Oregon Medical Insurance > Platinum Rx >
Effective date : 10/1/2009
Valid thru : 1/1/2011
Counties : Columbia, Multnomah, Polk, Washington, Yamhill, Benton*, Clackamas*, Hood River*, Linn*, Marion*
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : None | |||
| 0-19 | 161.00 | N/A | N/A | N/A |
| 20-25 | 192.00 | 384.00 | 367.00 | 559.00 |
| 26-29 | 233.00 | 466.00 | 446.00 | 679.00 |
| 30-34 | 297.00 | 594.00 | 567.00 | 864.00 |
| 35-39 | 326.00 | 652.00 | 622.00 | 948.00 |
| 40-44 | 404.00 | 808.00 | 726.00 | 1130.00 |
| 45-49 | 434.00 | 868.00 | 756.00 | 1190.00 |
| 50-54 | 564.00 | 1128.00 | 886.00 | 1450.00 |
| 55-59 | 699.00 | 1398.00 | 1021.00 | 1720.00 |
| 60-64 | 765.00 | 1530.00 | 1087.00 | 1852.00 |
| 65+ | 765.00 | N/A | N/A | N/A |
Platinum Rx Rates
Effective date : 10/1/2009
Valid thru : 1/1/2011
Counties : Columbia, Multnomah, Polk, Washington, Yamhill, Benton*, Clackamas*, Hood River*, Linn*, Marion*
| Family Status : | Applicant | Applicant and Spouse | Applicant and Child(ren) | Applicant and Family |
| Age | Deductible : None | |||
| 0-19 | 171.00 | N/A | N/A | N/A |
| 20-25 | 204.00 | 408.00 | 390.00 | 594.00 |
| 26-29 | 248.00 | 496.00 | 474.00 | 722.00 |
| 30-34 | 315.00 | 630.00 | 602.00 | 917.00 |
| 35-39 | 346.00 | 692.00 | 661.00 | 1007.00 |
| 40-44 | 429.00 | 858.00 | 771.00 | 1200.00 |
| 45-49 | 461.00 | 922.00 | 803.00 | 1264.00 |
| 50-54 | 599.00 | 1198.00 | 941.00 | 1540.00 |
| 55-59 | 743.00 | 1486.00 | 1085.00 | 1828.00 |
| 60-64 | 812.00 | 1624.00 | 1154.00 | 1966.00 |
| 65+ | 812.00 | N/A | N/A | N/A |
* - not all of the zip codes are eligible in this county
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