Regence BlueShield   LifeWise of WA Plans   Comprehensive Plans     WiseAdvantage   Catastrophic Plans     WiseEssentials Rx     WiseEssentials CoPay     WiseSimplicity   HSA Plan     WiseSavings   Plan Rates   Apply Now!   Prescription Drugs   Provider Directory   Waiting Period     & Exclusions   FAQ's   Group Health   HSA Plans   Individual Dental   Group Medical   Group Dental   Grp Life & Disability   About the Plan   Premiums   Application		(Available to Washington State Residents Only) Rates Effective 01/01/12 Rates Guaranteed for 12 months** To qualify for non-smoker rate, an individual must not have used any tobacco products during the past 12 months. Eligible family members include you, your spouse, and your children under age 26. Individuals under the age of 19 are only allowed to enroll in plans during the annual open enrollment period of Sept 15th - Oct 31st, or during a special enrollment period. To view more information about the requirements to enroll an individual under 19 click here. WiseEssentials Rx   $1,880 Deductible $2,500 Deductible $3,500 Deductible Age Range Non Smoker Smoker Non Smoker Smoker Non Smoker Smoker < 25 †  $137.00 $161.00 $118.00 $138.00 $105.00 $125.00 25 - 29  $156.00 $180.00 $133.00 $155.00 $120.00 $140.00 30 - 34  $179.00 $208.00 $153.00 $177.00 $138.00 $160.00 35 - 39  $214.00 $250.00 $184.00 $214.00 $165.00 $192.00 40 - 44  $251.00 $295.00 $215.00 $252.00 $193.00 $227.00 45 - 49  $316.00 $365.00 $271.00 $314.00 $244.00 $282.00 50 - 54  $387.00 $450.00 $332.00 $387.00 $298.00 $348.00 55 - 59  $450.00 $522.00 $387.00 $448.00 $348.00 $402.00 60 - 64  $513.00 $600.00 $440.00 $514.00 $393.00 $461.00 65 +  $513.00 $600.00 $440.00 $514.00 $393.00 $461.00 Per Child * †  $116.00 $98.00 $89.00 * Applies to dependent children applying on the same plan as a parent or legal guardian. † Individuals under the age of 19 are only allowed to enroll in plans during the annual open enrollment period of Sept 15th - Oct 31st, or during a special enrollment period. To view more information about the requirements to enroll an individual under 19 click here. Optional LifeWise Add-On Dental CoPay Plan You may only enroll for this dental plan if you also enroll in a LifeWise Medical Plan.     Age Band $50 Deductible $75 Deductible 0-2 $3.00 $2.50 3-18 $26.00 $22.00 19-25 $32.90 $27.80 26-34 $35.30 $29.80 35-44 $37.40 $31.50 45-49 $42.80 $36.10 50-54 $47.60 $40.20 55-59 $51.30 $43.30 60-64 $57.60 $48.60 65+ $64.00 $53.90 These rates are guaranteed for a period of 12 months, provided the contract remains continuously in effect within that year, with the following exceptions: Change in the number of enrolled dependents, A birthday moves a plan member to a new age range, If any federal, state or local authority mandates a change in benefits, or other provisions, or imposes a tax on our revenues; or, The basis on which we assumed risk changes. E-mail us for more information and a free quote or CALL TOLL FREE 1-800-875-4490 (in the U.S.) or 1-253-854-0199 (outside the U.S.) Fax: 1-253-896-9411 Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424 Serving all of Washington at 800-875-4490, Seattle at 206-682-1628, Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291. Copyright© 1998-2011, Maddock & Associates  |  Privacy Statement Problems viewing this page? Contact the webmaster.