Kaiser Permanete for Individual and Families
The rate you pay for your coverage depends on your age, where you live, and how
many family members are enrolling. If applying for family, use the age of the
youngest subscriber or spouse to determine your rate. Or, if applying for
child-only, use the age of the youngest child to determine your rate
| $1500 Deductable Plan |
| |
-----------------------------A g e-------------------------- |
| Category |
19-29 |
30-39 |
40-49 |
50-59 |
60-69 |
65+ ** |
| Subscriber Only |
$ 88 |
$ 124 |
$ 192 |
$ 298 |
$ 358 |
$ 904 |
| Subscriber + Spouse |
$ 172 |
$ 241 |
$ 376 |
$ 585 |
$ 701 |
$ 1752 |
| Subscriber + One Child |
$ 157 |
$ 200 |
$ 281 |
$ 413 |
$ 502 |
$ 1343 |
| Subscriber + Two or more Children |
$ 215 |
$ 264 |
$ 345 |
$ 467 |
$ 551 |
$ 1650 |
| Subscriber, Spouse + one or more Children |
$ 258 |
$ 333 |
$ 468 |
$ 667 |
$ 777 |
$ 1950 |
** Non-Medicare
If you are eligible for Medicare, you may qualify for lower monthly rates under Senior
Advantage. Please call
1-866-363-1407 for more information.
| Monthly child-only rates |
| One child, under age 1 |
$144 |
| Two children, under age 1 |
$296 |
| Three or more children, under age 1 |
$444 |
