MSA Washington: Health Savings Accounts in Washington

Regence BlueCross BlueShield - Online Application

Index | Exclusions | Provider Directory | Download Application

Benefit Schedule
Evolve HSA 50 | Evolve HSA 80 | Evolve HSA 100 | Optional Dental Coverage
Rate Schedule
Evolve HSA 50 | Evolve HSA 80 | Evolve HSA 100

Evolve HSA 50 Rates
Effective date : 3/1/2010
Valid thru : 2/28/2011
Counties : Clark

Family Status :	Applicant Non-Smoker	Applicant Smoker	Family Non-Smoker	Family Smoker
Age	Deductible : 2000
0-24	92.00	106.00	N/A	N/A
25-29	106.00	122.00	N/A	N/A
30-34	123.00	142.00	N/A	N/A
35-39	145.00	167.00	N/A	N/A
40-44	171.00	197.00	N/A	N/A
45-49	207.00	238.00	N/A	N/A
50-54	246.00	283.00	N/A	N/A
55-59	289.00	332.00	N/A	N/A
60+	338.00	389.00	N/A	N/A
Child	92.00	106.00	N/A	N/A
Age	Deductible : 3500
0-24	74.00	85.00	N/A	N/A
25-29	85.00	97.00	N/A	N/A
30-34	98.00	113.00	N/A	N/A
35-39	116.00	133.00	N/A	N/A
40-44	136.00	157.00	N/A	N/A
45-49	165.00	190.00	N/A	N/A
50-54	196.00	226.00	N/A	N/A
55-59	230.00	265.00	N/A	N/A
60+	270.00	310.00	N/A	N/A
Child	270.00	310.00	N/A	N/A
Age	Deductible : 4000
0-24	N/A	N/A	92.00	106.00
25-29	N/A	N/A	106.00	122.00
30-34	N/A	N/A	123.00	142.00
35-39	N/A	N/A	145.00	167.00
40-44	N/A	N/A	171.00	197.00
45-49	N/A	N/A	207.00	238.00
50-54	N/A	N/A	246.00	283.00
55-59	N/A	N/A	289.00	332.00
60+	N/A	N/A	338.00	389.00
Child	N/A	N/A	N/A	N/A
Age	Deductible : 7000
0-24	N/A	N/A	74.00	85.00
25-29	N/A	N/A	85.00	97.00
30-34	N/A	N/A	98.00	113.00
35-39	N/A	N/A	116.00	133.00
40-44	N/A	N/A	136.00	157.00
45-49	N/A	N/A	165.00	190.00
50-54	N/A	N/A	196.00	226.00
55-59	N/A	N/A	230.00	265.00
60+	N/A	N/A	270.00	310.00
Child	N/A	N/A	N/A	N/A

Home | Instant Quote

Asuris NW Health

KPS Health Plans

Regence BlueShield

Regence (Clark County)

General Information

Allowable Expenses

1st American HSA Info

1st American Application

Request Information

HealthInsuranceWa

Resource Downloads (pdf)

Std Health Questionaire

HSA Bank e-Application

MSA - HSA Rollover

Reuters HSA Article

Other Options

Dental / Prescription

Time Insurance STM

BBB

Contact:

+1.800.884.2343
+1.800.464.2916 (FAX)
info@hsaWashington.com

Copyright © 2003 - 2010 CDA Insurance LLC -