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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > FFS Plan Profile: PBP Health Plan-High

General Information
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Plan Name: PBP Health Plan-High
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: 361
Enrollment Code-Self & Family: 362
Link to Plan Home Page: http://www.postmasters.org/pbp.asp
Telephone: 703/683-5585
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 $200 $400
Deductible Per Person-Prescription Drug $100 $150
Deductible Per Hospital Stay-Inpatient None $150
Copay Coinsurance Doctors & Outpatient Tests 10% 20%
Copay Coinsurance Hospital Inpatient R & B 10% 25%
Copay Coinsurance Hospital Inpatient Other 10% 25%
Copay Coinsurance Hospital Outpatient 10% 20%
Copay Coinsurance Prescription Drugs Home Delivery Generic $10 $10
Copay Coinsurance Prescription Drugs Home Delivery Brand Name $25 $25
Copay Coinsurance Prescription Drugs Generic $10 or 20% 20%+
Copay Coinsurance Prescription Drugs Brand Name $25 or 20% 20%+
Copay Coinsurance Prescription Drugs Nonformulary $40 or 20% 20%+
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Rates
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Non-Postal
Monthly Self: $354.08 Self: & Family: $737.36
Twice Biweekly Self: $326.84 Self: & Family: $680.64
Biweekly Self: $163.42 Self: & Family: $340.32
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Annuitants
Monthly Self: $354.08 Self: & Family: $737.36
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U.S. Postal Service Employees (Type A)
Biweekly Self: $145.76 Self: & Family: $299.98
Monthly Self: $315.82 Self: & Family: $649.96
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U.S. Postal Service Employees (Type B)
Biweekly Self: $152.05 Self: & Family: $328.59
Monthly Self: $329.44 Self: & Family: $711.95
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Worker's Compensation Recipients
Twice Biweekly Self: $326.84 Self: & Family: $680.64
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Certain Temporary Employees
Biweekly Self: $261.28 Self: & Family: $563.73
Monthly Self: $566.11 Self: & Family: $1221.42
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Former Spouse Enrollees
Biweekly Self: $261.28 Self: & Family: $563.73
Monthly Self: $566.11 Self: & Family: $1221.42
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Temporary Continuation of Coverage
Monthly Self: $577.43 Self: & Family: $1245.85
Biweekly Self: $266.51 Self: & Family: $575.00
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FDIC
Biweekly Self: $145.76 Self: & Family: $299.98
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Department of Defense Demo Project
Monthly Self: $382.35 Self: & Family: $798.43
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Department of Defense Demo Project Temporary Continuation of Coverage
Monthly Self: $606.27 Self: & Family: $1308.14
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