Health Alliance HMO - Central/E.Central/N.West/South/West IL

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General Information

Plan Name:	Health Alliance HMO
Service Area:	Central/E.Central/N.West/South/West IL
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	FX1
Enrollment Code-Self & Family:	FX2
Link to Plan Home Page:	http://www.healthalliance.org
Telephone:	800/851-3379
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	$100
RX/ Generic/ Retail:	$7
RX/ Brand/ Retail:	$14
RX/ Brand/ NonFormulary:	$25

Rates

Non-Postal
___Biweekly	Self: $40.39	Self: & Family: $99.27
___Monthly	Self: $87.51	Self: & Family: $215.08
___Twice Biweekly	Self: $80.78	Self: & Family: $198.54
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Annuitants
___Monthly	Self: $87.51	Self: & Family: $215.08
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $22.73	Self: & Family: $58.93
___Monthly	Self: $49.25	Self: & Family: $127.68
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $62.87	Self: & Family: $189.67
___Biweekly	Self: $29.02	Self: & Family: $87.54
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Worker's Compensation Recipients
___Twice Biweekly	Self: $80.78	Self: & Family: $198.54
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Certain Temporary Employees
___Biweekly	Self: $138.25	Self: & Family: $322.68
___Monthly	Self: $299.54	Self: & Family: $699.14
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Former Spouse Enrollees
___Biweekly	Self: $138.25	Self: & Family: $322.68
___Monthly	Self: $299.54	Self: & Family: $699.14
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Temporary Continuation of Coverage
___Monthly	Self: $305.53	Self: & Family: $713.12
___Biweekly	Self: $141.02	Self: & Family: $329.13
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FDIC
___Biweekly	Self: $22.73	Self: & Family: $58.93
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