HSA Oregon: Health Savings Accounts in Oregon

HSA 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 : 1500
0-19	116.00	N/A	N/A	N/A
20-25	138.00	N/A	N/A	N/A
26-29	168.00	N/A	N/A	N/A
30-34	214.00	N/A	N/A	N/A
35-39	235.00	N/A	N/A	N/A
40-44	291.00	N/A	N/A	N/A
45-49	312.00	N/A	N/A	N/A
50-54	407.00	N/A	N/A	N/A
55-59	504.00	N/A	N/A	N/A
60-64	551.00	N/A	N/A	N/A
65+	551.00	N/A	N/A	N/A
Age	Deductible : 2600
0-19	108.00	N/A	N/A	N/A
20-25	129.00	N/A	N/A	N/A
26-29	157.00	N/A	N/A	N/A
30-34	199.00	N/A	N/A	N/A
35-39	218.00	N/A	N/A	N/A
40-44	271.00	N/A	N/A	N/A
45-49	291.00	N/A	N/A	N/A
50-54	379.00	N/A	N/A	N/A
55-59	469.00	N/A	N/A	N/A
60-64	513.00	N/A	N/A	N/A
65+	513.00	N/A	N/A	N/A
Age	Deductible : 3000
0-19	N/A	N/A	N/A	N/A
20-25	N/A	276.00	264.00	402.00
26-29	N/A	336.00	321.00	489.00
30-34	N/A	428.00	409.00	623.00
35-39	N/A	470.00	448.00	683.00
40-44	N/A	582.00	523.00	814.00
45-49	N/A	624.00	544.00	856.00
50-54	N/A	814.00	639.00	1046.00
55-59	N/A	1008.00	736.00	1240.00
60-64	N/A	1102.00	783.00	1334.00
65+	N/A	N/A	N/A	N/A
Age	Deductible : 5200
0-19	N/A	N/A	N/A	N/A
20-25	N/A	258.00	247.00	376.00
26-29	N/A	314.00	300.00	457.00
30-34	N/A	398.00	380.00	579.00
35-39	N/A	436.00	417.00	635.00
40-44	N/A	542.00	487.00	758.00
45-49	N/A	582.00	507.00	798.00
50-54	N/A	758.00	595.00	974.00
55-59	N/A	938.00	685.00	1154.00
60-64	N/A	1026.00	729.00	1242.00
65+	N/A	N/A	N/A	N/A