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Kaiser Permanente
2009 Balance HMO Plan Rates

Rates for plans effective through 12/1/2009

	Balance HMO 2000		Balance HMO 3000		Balance HMO 5000
Age	Male	Female	Male	Female	Male	Female
0-19	$99	$104	$88	$96	$82	$83
20-24	113	139	105	128	91	111
25-29	138	176	126	162	113	139
30-34	146	225	134	208	116	179
35-39	168	265	155	245	137	209
40-44	191	268	176	245	153	213
45-49	236	290	214	263	186	228
50-54	270	326	247	297	216	258
55-59	350	374	322	343	276	297
60-64	455	428	418	392	361	340

	Balance HMO 7500		Balance HMO 10000		Kaiser Balance HMO Plans are available for individual enrollment only. Please call with any questions 404 575-1960.
Age	Male	Female	Male	Female
0-19	$80	$82	$79	$82
20-24	88	107	87	104
25-29	109	132	107	126
30-34	113	168	109	159
35-39	129	199	126	189
40-44	146	201	142	192
45-49	178	216	170	207
50-54	204	242	195	232
55-59	261	279	249	267
60-64	338	318	322	303

Blue Cross Blue Shield of Georgia is an Independent Licensee of the Blue Cross Blue Shield Association. BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association � Registered marks of the BlueCross BlueShield Association, an Association of Independent BlueCross BlueShield Plans

Kaiser Permanente 2009 Balance HMO Plan Rates

Kaiser Permanente
2009 Balance HMO Plan Rates