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Plan Profile

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

General Information
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Plan Name: PBP Health Plan-Std
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: 364
Enrollment Code-Self & Family: 365
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 $250 $500
Deductible Per Person-Prescription Drug $100 $150
Deductible Per Hospital Stay-Inpatient None $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 $15 $15
Copay Coinsurance Prescription Drugs Home Delivery Brand Name $30 $30
Copay Coinsurance Prescription Drugs Generic $15 or 20% 30%+
Copay Coinsurance Prescription Drugs Brand Name $30 or 20% 30%+
Copay Coinsurance Prescription Drugs Nonformulary $40 or 20% 30%+
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Rates
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Non-Postal
Biweekly Self: $50.95 Self: & Family: $98.50
Monthly Self: $110.39 Self: & Family: $213.41
Twice Biweekly Self: $101.90 Self: & Family: $197.00
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Annuitants
Monthly Self: $110.39 Self: & Family: $213.41
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U.S. Postal Service Employees (Type A)
Biweekly Self: $33.29 Self: & Family: $58.16
Monthly Self: $72.13 Self: & Family: $126.01
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U.S. Postal Service Employees (Type B)
Monthly Self: $85.75 Self: & Family: $188.00
Biweekly Self: $39.58 Self: & Family: $86.77
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Worker's Compensation Recipients
Twice Biweekly Self: $101.90 Self: & Family: $197.00
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Certain Temporary Employees
Monthly Self: $322.42 Self: & Family: $697.47
Biweekly Self: $148.81 Self: & Family: $321.91
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Former Spouse Enrollees
Biweekly Self: $148.81 Self: & Family: $321.91
Monthly Self: $322.42 Self: & Family: $697.47
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Temporary Continuation of Coverage
Biweekly Self: $151.79 Self: & Family: $328.35
Monthly Self: $328.87 Self: & Family: $711.42
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FDIC
Biweekly Self: $33.29 Self: & Family: $58.16
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Department of Defense Demo Project
Monthly Self: $207.13 Self: & Family: $422.67
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Department of Defense Demo Project Temporary Continuation of Coverage
Monthly Self: $427.54 Self: & Family: $924.86
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