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Plan Profile

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General Information
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Plan Name: NALC
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: 321
Enrollment Code-Self & Family: 322
Link to Plan Home Page: http://www.nalc.org/depart/hbp
Telephone: 888/636-6252
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 $250 $300
Deductible Per Person-Prescription Drug None $25 for Retail
Deductible Per Hospital Stay-Inpatient None $100
Copay Coinsurance Doctors & Outpatient Tests 15% 30%
Copay Coinsurance Hospital Inpatient R & B 10% 30%
Copay Coinsurance Hospital Inpatient Other 10% 30%
Copay Coinsurance Hospital Outpatient 15% 30%
Copay Coinsurance Prescription Drugs Home Delivery Generic $12 $12
Copay Coinsurance Prescription Drugs Home Delivery Brand Name $25 $25
Copay Coinsurance Prescription Drugs Generic 25% 40%+
Copay Coinsurance Prescription Drugs Brand Name 25% 40%+
Copay Coinsurance Prescription Drugs Nonformulary 25% 40%+
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Rates
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Non-Postal
Monthly Self: $99.39 Self: & Family: $181.39
Twice Biweekly Self: $91.74 Self: & Family: $167.44
Biweekly Self: $45.87 Self: & Family: $83.72
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Annuitants
Monthly Self: $99.39 Self: & Family: $181.39
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U.S. Postal Service Employees (Type A)
Monthly Self: $61.13 Self: & Family: $93.99
Biweekly Self: $28.21 Self: & Family: $43.38
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U.S. Postal Service Employees (Type B)
Monthly Self: $74.75 Self: & Family: $155.98
Biweekly Self: $34.50 Self: & Family: $71.99
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Worker's Compensation Recipients
Twice Biweekly Self: $91.74 Self: & Family: $167.44
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Certain Temporary Employees
Monthly Self: $311.42 Self: & Family: $665.45
Biweekly Self: $143.73 Self: & Family: $307.13
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Former Spouse Enrollees
Biweekly Self: $143.73 Self: & Family: $307.13
Monthly Self: $311.42 Self: & Family: $665.45
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Temporary Continuation of Coverage
Biweekly Self: $146.60 Self: & Family: $313.27
Monthly Self: $317.65 Self: & Family: $678.76
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FDIC
Biweekly Self: $28.21 Self: & Family: $43.38
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Department of Defense Demo Project
Monthly Self: $99.39 Self: & Family: $181.39
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Department of Defense Demo Project Temporary Continuation of Coverage
Monthly Self: $317.65 Self: & Family: $678.76
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