Age Banded Rates
Insurance Carrier:
Anthem Medical Insurance
Medical Plan:
2023 Anthem Platinum Pathway CT PPO 20/2500 - 75DX
Age
Rate
Age
Rate
0 - 14
$439.39
40 - 40
$734.03
15 - 15
$478.44
41 - 41
$747.82
16 - 16
$493.38
42 - 42
$761.03
17 - 17
$508.31
43 - 43
$779.41
18 - 18
$524.39
44 - 44
$802.38
19 - 19
$540.47
45 - 45
$829.38
20 - 20
$557.13
46 - 46
$861.54
21 - 21
$574.36
47 - 47
$897.72
22 - 22
$574.36
48 - 48
$939.08
23 - 23
$574.36
49 - 49
$979.86
24 - 24
$574.36
50 - 50
$1,025.81
25 - 25
$576.66
51 - 51
$1,071.18
26 - 26
$588.14
52 - 52
$1,121.15
27 - 27
$601.93
53 - 53
$1,171.69
28 - 28
$624.33
54 - 54
$1,226.26
29 - 29
$642.71
55 - 55
$1,280.82
30 - 30
$651.90
56 - 56
$1,339.98
31 - 31
$665.68
57 - 57
$1,399.72
32 - 32
$679.47
58 - 58
$1,463.47
33 - 33
$688.08
59 - 59
$1,495.06
34 - 34
$697.27
60 - 60
$1,558.81
35 - 35
$701.87
61 - 61
$1,613.95
36 - 36
$706.46
62 - 62
$1,650.14
37 - 37
$711.06
63 - 63
$1,695.51
38 - 38
$715.65
64 - 130
$1,723.08
39 - 39
$724.84
21 USRN PARTNERS 2023 BENEFITS GUIDE
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