BCBS GA High Deductible Health Plan (HDHP) PPO Monthly Rates - Effective October 1, 2009

RATES - AREAS 1 & 2 - Use these rates if you live in Baldwin, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brooks, Burke, Butts, Calhoun, Cherokee, Clarke, Clayton, Cobb, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dekalb, Dodge, Dougherty, Douglas, Elbert, Emanuel, Fayette, Forsyth, Fulton, Glascock, Grady, Greene, Gwinnett, Hancock, Henry, Houston, Irwin, Jackson, Jasper, Jefferson, Jenkins, Johnson, Jones, Laurens, Lanier, Lee, Lincoln, Lowndes, McDuffie, Madison, Montgomery, Monroe, Morgan, Newton, Oconee, Oglethorpe, Paulding, Peach, Pulaski, Putnam, Randolph, Richmond, Robkdale, Screven, Spalding, Taliaferro, Telfair, Terrell, Thomas, Tift, Treutlen, Turner, Twiggs, Walton, Warren, Washington, Wheeler, Wilcox, Wilkinson, Wilkes, and Worth Counties

These rates are available for applicants enrolling October 1, 2009 through December 31, 2009.

HDHP
$1,150 / $2,300
Deductible
100% Coverage

HDHP
$1,800 / $3,500
Deductible 100% Coverage

HDHP
$2,600 / $5,150
Deductible
100% Coverage

HDHP
$1,150 / $2,300
Deductible
80% Coverage

HDHP
$1,800 / $3,500
Deductible
80% Coverage

HDHP
$2,600 / $5,150
Deductible
80% Coverage

Age

Male

Female

Family

Male

Female

Family

Male

Female

Family

Male

Female

Family

Male

Female

Family

Male

Female

Family

0-19

$144.75

$666.60

$121.31

$558.64

$94.25

$434.03

$109.39

$503.74

$92.08

$424.04

$74.13

$341.39

20-24

156.15

767.01

130.86

164.23

642.78

101.67

127.60

499.40

118.00

148.09

579.62

99.33

124.66

487.91

79.97

100.36

392.81

25-29

187.22

236.72

871.47

156.90

198.38

730.33

121.90

154.13

567.42

141.48

178.89

658.56

119.10

150.58

554.36

95.88

121.23

446.31

30-34

198.62

304.18

1007.32

166.45

254.92

844.18

129.32

198.05

655.87

150.10

229.86

761.22

126.35

193.49

640.78

101.72

155.78

515.89

35-39

253.43

358.99

890.52

212.39

300.85

746.29

165.01

233.74

579.82

191.51

271.28

672.95

161.21

228.36

566.48

129.79

183.85

456.07

40-44

296.06

391.78

841.65

248.11

328.33

705.34

192.77

255.09

548.00

223.73

296.06

636.02

188.33

249.22

535.39

151.62

200.64

431.04

45-49

381.79

480.47

974.38

319.95

402.66

816.57

248.58

312.84

634.42

288.51

363.09

736.32

242.86

305.64

619.82

195.53

246.07

499.01

50-54

467.67

527.01

1066.35

391.93

441.65

893.64

304.50

343.14

694.30

353.14

398.25

805.82

297.49

335.24

678.32

239.51

269.90

546.12

55-59

582.44

597.12

1193.77

488.11

500.41

1000.42

379.23

388.79

777.27

440.14

451.23

902.11

370.50

379.84

759.38

298.29

305.81

611.37

60-64

813.07

714.70

1438.45

681.39

598.95

1205.48

529.40

465.34

936.58

614.43

540.09

1087.02

517.21

454.63

915.03

416.40

366.02

736.68

65+*

988.59

871.32

1654.25

828.47

730.20

1386.33

643.67

567.32

1077.09

747.06

658.44

1250.09

628.86

554.26

1052.30

506.29

446.23

847.20

* For those not eligible for Medicare

RATES - AREA 3 - Use these rates if you live in Appling, Atkinson, Bacon, Baker, Banks, Brantley, Bryan, Bulloch, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Clay, Clinch, Coffee, Dade, Dawson, Decatur, Dooly, Early, Echols, Effingham, Evans, Fannin, Floyd, Franklin, Gilmer, Glynn, Gordon, Habersham, Hall, Haralson, Harris, Hart, Heard, Jeff Davis, Lamar, Liberty, Long, Lumpkin, McIntosh, Macon, Marion, Meriwether, Miller, Mitchell, Murray, Muscogee, Pickens, Pierce, Pike, Polk, Quitman, Rabun, Schley, Seminole, Stephens, Stewart, Sumter, Talbot, Tattnall, Taylor, Toombs, Towns, Troup, Union, Upson, Walker, Ware, Wayne, Webster, Whitfield or White County.

These rates are available for applicants enrolling October 1, 2009 through December 31, 2009.

HDHP
$1,150 / $2,300
Deductible
100% Coverage

HDHP
$1,800 / $3,500
Deductible
100% Coverage

HDHP
$2,600 / $5,150
Deductible
100% Coverage

HDHP
$1,150 / $2,300
Deductible
80% Coverage

HDHP
$1,800 / $3,500
Deductible
80% Coverage

HDHP
$2,600 / $5,150
Deductible
80% Coverage

Age

Male

Female

Family

Male

Female

Family

Male

Female

Family

Male

Female

Family

Male

Female

Family

Male

Female

Family

0-19

$133.17

$613.28

$111.60

$513.95

$86.71

$399.31

$100.64

$463.44

$84.71

$390.12

$68.20

$314.08

20-24

143.66

180.29

705.65

120.39

151.09

591.36

93.54

117.39

459.45

108.56

136.24

533.25

91.38

114.69

448.88

73.57

92.33

361.39

25-29

172.25

217.79

801.76

144.35

182.51

671.90

112.15

141.80

522.03

130.16

164.58

605.87

109.57

138.54

510.01

88.21

111.54

410.61

30-34

182.73

279.85

926.74

153.14

234.52

776.64

118.98

182.21

603.40

138.09

211.47

700.32

116.24

178.02

589.52

93.58

143.32

474.62

35-39

233.16

330.27

819.28

195.39

276.78

686.59

151.81

215.04

533.44

176.19

249.58

619.12

148.32

210.09

521.16

119.41

169.14

419.58

40-44

272.38

360.44

774.32

228.26

302.06

648.91

177.35

234.68

504.16

205.83

272.38

585.14

173.26

229.28

492.56

139.49

184.59

396.56

45-49

351.24

442.04

896.43

294.36

370.44

751.24

228.70

287.81

583.67

265.43

334.04

677.41

223.43

281.19

570.23

179.88

226.38

459.09

50-54

430.26

484.85

981.04

360.57

406.32

822.15

280.14

315.69

638.76

325.14

366.39

741.36

273.69

308.42

624.06

220.35

248.34

562.46

55-59

535.84

549.35

1098.27

449.06

460.38

920.39

348.89

357.68

715.09

404.93

415.13

829.94

340.86

349.45

698.63

274.43

281.34

562.46

60-64

748.03

657.52

1323.38

626.88

551.03

1109.04

487.04

428.12

861.66

565.27

496.88

1000.05

475.863

418.26

841.83

383.09

336.74

677.75

65+*

909.50

801.61

1521.91

762.20

671.78

1275.42

592.18

521.93

990.92

587.29

605.76

1150.08

578.55

509.92

968.12

465.79

410.53

779.43

* For those not eligible for Medicare