UNICARE HMO - Chicagoland area

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General Information

Plan Name:	UNICARE HMO
Service Area:	Chicagoland area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	171
Enrollment Code-Self & Family:	172
Link to Plan Home Page:	http://www.unicare.com
Telephone:	312/234-8855
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$15
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	$25

Rates

Non-Postal
___Twice Biweekly	Self: $42.02	Self: & Family: $131.04
___Biweekly	Self: $21.01	Self: & Family: $65.52
___Monthly	Self: $45.53	Self: & Family: $141.95
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Annuitants
___Monthly	Self: $45.53	Self: & Family: $141.95
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $9.46	Self: & Family: $29.48
___Monthly	Self: $20.49	Self: & Family: $63.88
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $9.46	Self: & Family: $29.48
___Monthly	Self: $20.49	Self: & Family: $63.88
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Worker's Compensation Recipients
___Twice Biweekly	Self: $42.02	Self: & Family: $131.04
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Certain Temporary Employees
___Monthly	Self: $182.11	Self: & Family: $567.82
___Biweekly	Self: $84.05	Self: & Family: $262.07
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Former Spouse Enrollees
___Biweekly	Self: $84.05	Self: & Family: $262.07
___Monthly	Self: $182.11	Self: & Family: $567.82
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Temporary Continuation of Coverage
___Biweekly	Self: $85.73	Self: & Family: $267.31
___Monthly	Self: $185.75	Self: & Family: $579.18
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FDIC
___Biweekly	Self: $9.46	Self: & Family: $29.48
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