HSA (PPO) Rates
Rates are based on county of residence.
How to calculate your rate.Western Washington
Clallam, Clark, Cowlitz, Grays Harbor, Island, Jefferson, King, Kitsap, Lewis, Mason, Pacific, Pierce, San Juan, Skagit, Snohomish, Thurston, Wahkiakum, Whatcom
| $2,500 deductible | $5,000 deductible | ||||
|---|---|---|---|---|---|
| Add $0 for each dep. child | Add $91 for each dep. child | ||||
| Age | Non- tobacco user |
Tobacco user | Non- tobacco user |
Tobacco user | |
| 0 - 24 | $143 | $168 | $111 | $128 | |
| 25 - 29 | $160 | $188 | $123 | $143 | |
| 30 - 34 | $188 | $219 | $143 | $167 | |
| 35 - 39 | $226 | $260 | $169 | $199 | |
| 40 - 44 | $267 | $309 | $200 | $236 | |
| 45 - 49 | $332 | $386 | $252 | $292 | |
| 50 - 54 | $405 | $472 | $309 | $361 | |
| 55 - 59 | $476 | $550 | $361 | $419 | |
| 60 - 64 | $534 | $628 | $407 | $477 | |
Eastern Washington
Adams, Asotin, Benton, Chelan, Columbia, Douglas, Ferry, Franklin, Garfield, Grant, Kittitas, Klickitat, Lincoln, Okanogan, Pend Oreille, Skamania, Spokane, Stevens, Walla Walla, Whitman, Yakima
| $2,500 deductible | $5,000 deductible | ||||
|---|---|---|---|---|---|
| Add $0 for each dep. child | Add $94 for each dep. child | ||||
| Age | Non- tobacco user |
Tobacco user | Non- tobacco user |
Tobacco user | |
| 0 - 24 | $149 | $175 | $115 | $133 | |
| 25 - 29 | $167 | $195 | $128 | $148 | |
| 30 - 34 | $195 | $228 | $148 | $174 | |
| 35 - 39 | $235 | $270 | $176 | $207 | |
| 40 - 44 | $277 | $321 | $208 | $245 | |
| 45 - 49 | $345 | $401 | $262 | $304 | |
| 50 - 54 | $421 | $491 | $321 | $375 | |
| 55 - 59 | $494 | $571 | $375 | $436 | |
| 60 - 64 | $555 | $653 | $423 | $495 | |
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We have exciting news to share. ODS is changing its name to Moda Health.
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