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Area 2 Rates, Georgia
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Area 2 Rates
Third Quarter 2008 New Business Rates: Effective 7/1/08 - 9/15/08

1) Select the plan and corresponding premium based on each applicant’s county (zip code), age and gender.
2) For applicants who have used tobacco in the previous 12 months, add 20% additional premium.
3) Add each applicant’s premium rate together to determine the total family rate for families with fewer than four members.
4) For a family with four or more members applying, multiply the total family rate by .90 for a 10% discount.
$20 Copayment Point-of-Service Plans
  Coventry 3rd Quarter 2008 Rates     Coventry Plan 2000 Summary

$20/500
$20/1,000
$20/2,000
Most Popluar Plan
$20/3,000
$20/4,000
$20/5,000
$20/10,000
 
Age
Male
Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
Female
0-1
377.30
377.30
289.30
289.30
216.70
216.70
169.40
169.40
158.40
158.40
149.60
149.60
101.20
101.20
1-19
171.60
171.60
132.00
132.00
99.00
99.00
77.00
77.00
72.60
72.60
68.20
68.20
47.30
47.30
20-24
171.60
246.40
132.00
188.10
99.00
141.90
77.00
110.00
72.60
103.40
68.20
97.90
47.30
66.00
25-29
187.00
314.60
145.20
243.10
107.80
180.40
83.60
141.90
78.10
133.10
75.90
125.40
50.60
84.70
30-34
231.00
342.10
177.10
264.00
130.90
196.90
102.30
152.90
95.70
143.00
91.30
136.40
61.60
92.40
35-39
268.40
366.30
205.70
280.50
152.90
210.10
118.80
163.90
111.10
154.00
106.70
145.20
72.60
99.00
40-44
309.10
427.90
237.60
328.90
177.10
245.30
137.50
192.50
128.70
180.40
123.20
170.50
82.50
115.50
45-49
427.90
513.70
328.90
396.00
245.30
294.80
192.50
231.00
180.40
216.70
170.50
204.60
115.50
138.60
50-54
583.00
617.10
448.80
476.30
333.30
354.20
260.70
276.10
244.20
258.50
232.10
245.30
157.30
167.20
55-59
754.60
691.90
580.80
532.40
431.20
397.10
337.70
310.20
316.80
290.40
300.30
275.00
204.60
185.90
60-64
1027.40
805.20
789.80
619.30
589.60
460.90
459.80
359.70
431.20
336.60
408.10
320.10
277.20
217.80
An optional Mental Health Rider is available with POS Plans shown above. The monthly premium is $24.88 per member. If this Rider is purchased, it must be taken by all family members applying for coverage on the same application. CoventryOne® monthly rates shown are for effective dates of July 1, 2008, through September 15, 2008. Rates are issued for illustrative purposes . All applicants are subject to medical underwriting and approval by Coventry Health Care of Georgia, Inc. Refer to plan documents for a complete list of coverage, limitations and exclusions.

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QHD Point-of-Service, High Deductible HSA Plans
$1,250/$2,500
$3,000/$5,500
$5,000/$10,000
 
Age
Male
Female
Male
Female
Male
Female
0-1
272.80
272.80
184.80
184.80
144.10
144.10
1-19
124.30
124.30
83.60
83.60
64.90
64.90
20-24
124.30
178.20
83.60
123.20
64.90
95.70
25-29
136.40
227.70
92.40
155.10
71.50
119.90
30-34
167.20
247.50
112.20
169.40
88.00
130.90
35-39
193.60
265.10
130.90
180.40
102.30
139.70
40-44
222.20
309.10
151.80
210.10
117.70
162.80
45-49
309.10
371.80
210.10
251.90
162.80
196.90
50-54
421.30
446.60
287.10
303.60
221.10
236.50
55-59
543.40
500.50
371.80
339.90
288.20
265.10
60-64
742.50
581.90
507.10
396.00
392.70
306.90
CoventryOne® monthly rates shown are for effective dates of January 1, 2008, through March 15, 2008. Rates are issued for illustrative purposes . All applicants are subject to medical underwriting and approval by Coventry Health Care of Georgia, Inc. Refer to plan documents for a complete list of coverage, limitations and exclusions.

Area 2 Counties:    Aiken, Atkinson, Baldwin, Bibb, Bleckley, Brantley, Burke, Chattooga, Columbia, Crawford, Dooly, Floyd, Forsyth (30506 zip code only), Gilmer, Habersham, Hall, Houston, Jones, Lamar, Lincoln, Lumpkin, Macon, McDuffie, Monroe, Peach, Pickens, Pierce, Polk, Richmond, Taylor, Twiggs, Union, Upson, Ware, White, and Wilkinson
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