Rural Carrier Benefit Plan

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General Information

Plan Name:	Rural Carrier Benefit Plan
Service Area:	Specific Groups
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	n/a
JCAHO Accreditation:	n/a
URAC Accreditation:	n/a
Plan Type:	FFS
Enrollment Code-Self:	381
Enrollment Code-Self & Family:	382
Link to Plan Home Page:	http://www.nrlca.org
Telephone:	800/638-8432
Summary results of the 2001 consumers assessment of health plans survey

Benefits

	PPO	Non PPO
Deductible Per Person Calendar Year	$350	$350
Deductible Per Person-Prescription Drug	CY Applies	CY Applies
Deductible Per Hospital Stay-Inpatient	Nothing	$200
Copay Coinsurance Doctors & Outpatient Tests	10%	15%
Copay Coinsurance Hospital Inpatient R & B	Nothing	Nothing
Copay Coinsurance Hospital Inpatient Other	Nothing	20%
Copay Coinsurance Hospital Outpatient	Nothing	Nothing
Copay Coinsurance Prescription Drugs Home Delivery Generic	$13	$13
Copay Coinsurance Prescription Drugs Home Delivery Brand Name	$18	$18
Copay Coinsurance Prescription Drugs Generic	25%	25%
Copay Coinsurance Prescription Drugs Brand Name	25%	25%
Copay Coinsurance Prescription Drugs Nonformulary	25%	25%

Rates

Non-Postal
Monthly	Self: $130.35	Self: & Family: $213.30
Biweekly	Self: $60.16	Self: & Family: $98.45
Twice Biweekly	Self: $120.32	Self: & Family: $196.90
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Annuitants
Monthly	Self: $130.35	Self: & Family: $213.30
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U.S. Postal Service Employees (Type A)
Biweekly	Self: $42.50	Self: & Family: $58.11
Monthly	Self: $92.09	Self: & Family: $125.90
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U.S. Postal Service Employees (Type B)
Monthly	Self: $105.71	Self: & Family: $187.89
Biweekly	Self: $48.79	Self: & Family: $86.72
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Worker's Compensation Recipients
Twice Biweekly	Self: $120.32	Self: & Family: $196.90
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Certain Temporary Employees
Biweekly	Self: $158.02	Self: & Family: $321.86
Monthly	Self: $342.38	Self: & Family: $697.36
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Former Spouse Enrollees
Biweekly	Self: $158.02	Self: & Family: $321.86
Monthly	Self: $342.38	Self: & Family: $697.36
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Temporary Continuation of Coverage
Biweekly	Self: $161.18	Self: & Family: $328.30
Monthly	Self: $349.23	Self: & Family: $711.31
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FDIC
Biweekly	Self: $42.50	Self: & Family: $58.11
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