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Plan Profile

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General Information
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Plan Name: Alliance Health Plan
Service Area: Nationwide
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: n/a
JCAHO Accreditation: n/a
URAC Accreditation: n/a
Plan Type: FFS
Enrollment Code-Self: 1R1
Enrollment Code-Self & Family: 1R2
Link to Plan Home Page: http://www.ahbp.com
Telephone: 202/939-6325
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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PPO
Non PPO
Deductible Per Person Calendar Year $100 $300
Deductible Per Person-Prescription Drug $200 $200
Deductible Per Hospital Stay-Inpatient $150 $250
Copay Coinsurance Doctors & Outpatient Tests 10% 30%
Copay Coinsurance Hospital Inpatient R & B 10% 30%
Copay Coinsurance Hospital Inpatient Other 10% 30%
Copay Coinsurance Hospital Outpatient 10% 30%
Copay Coinsurance Prescription Drugs Home Delivery Generic 20% 20%
Copay Coinsurance Prescription Drugs Home Delivery Brand Name 20% 20%
Copay Coinsurance Prescription Drugs Generic 10%/50% 10%/50% +
Copay Coinsurance Prescription Drugs Brand Name 10%/50% 10%/50% +
Copay Coinsurance Prescription Drugs Nonformulary 10%/50% 10%/50% +
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Rates
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Non-Postal
Biweekly Self: $60.22 Self: & Family: $111.72
Twice Biweekly Self: $120.44 Self: & Family: $223.44
Monthly Self: $130.48 Self: & Family: $242.06
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Annuitants
Monthly Self: $130.48 Self: & Family: $242.06
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U.S. Postal Service Employees (Type A)
Monthly Self: $92.22 Self: & Family: $154.66
Biweekly Self: $42.56 Self: & Family: $71.38
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U.S. Postal Service Employees (Type B)
Monthly Self: $105.84 Self: & Family: $216.65
Biweekly Self: $48.85 Self: & Family: $99.99
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Worker's Compensation Recipients
Twice Biweekly Self: $120.44 Self: & Family: $223.44
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Certain Temporary Employees
Biweekly Self: $158.08 Self: & Family: $335.13
Monthly Self: $342.51 Self: & Family: $726.12
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Former Spouse Enrollees
Biweekly Self: $158.08 Self: & Family: $335.13
Monthly Self: $342.51 Self: & Family: $726.12
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Temporary Continuation of Coverage
Monthly Self: $349.36 Self: & Family: $740.64
Biweekly Self: $161.24 Self: & Family: $341.83
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FDIC
Biweekly Self: $42.56 Self: & Family: $71.38
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Department of Defense Demo Project
Monthly Self: $233.16 Self: & Family: $459.87
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Department of Defense Demo Project Temporary Continuation of Coverage
Monthly Self: $454.09 Self: & Family: $962.81
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