Beneficial Rx Rates

Beneficial Rx - $1,000 deductible
Age	Insured only	Insured & spouse	Insured & spouse & child(ren)	Insured & child(ren)
Monthly rates effective November 1, 2011 through October 31, 2012 Monthly family rates are based on the age of primary applicant
0 - 19	$151	$302	$419	$261
20 - 24	$215	$427	$600	$373
25 - 29	$234	$494	$704	$439
30 - 34	$272	$578	$804	$505
35 - 39	$296	$627	$836	$541
40 - 44	$367	$730	$981	$614
45 - 49	$436	$864	$1,067	$629
50 - 54	$515	$1,023	$1,231	$712
55 - 59	$609	$1,210	$1,420	$798
60 - 64	$711	$1,420	$1,525	$858
65+	$818	$1,637	$1,756	$990

Beneficial Rx - $2,500 deductible
Age	Insured only	Insured & spouse	Insured & spouse & child(ren)	Insured & child(ren)
Monthly rates effective November 1, 2011 through October 31, 2012 Monthly family rates are based on the age of primary applicant
0 - 19	$114	$225	$313	$194
20 - 24	$160	$317	$447	$279
25 - 29	$174	$368	$524	$328
30 - 34	$202	$431	$599	$377
35 - 39	$221	$468	$624	$404
40 - 44	$274	$544	$732	$458
45 - 49	$325	$643	$796	$469
50 - 54	$384	$762	$919	$530
55 - 59	$454	$903	$1,059	$595
60 - 64	$530	$1,058	$1,137	$639
65+	$609	$1,220	$1,310	$738

Beneficial Rx - $5,000 deductible
Age	Insured only	Insured & spouse	Insured & spouse & child(ren)	Insured & child(ren)
Monthly rates effective November 1, 2011 through October 31, 2012 Monthly family rates are based on the age of primary applicant
0 - 19	$94	$187	$261	$162
20 - 24	$132	$264	$372	$232
25 - 29	$145	$307	$437	$272
30 - 34	$168	$357	$499	$313
35 - 39	$184	$389	$518	$336
40 - 44	$227	$452	$609	$380
45 - 49	$269	$535	$662	$391
50 - 54	$318	$635	$762	$441
55 - 59	$377	$751	$881	$495
60 - 64	$441	$880	$946	$532
65+	$506	$1,015	$1,090	$614