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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > FFS Plan Profile: Panama Canal Area

General Information
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Plan Name: Panama Canal Area
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: 431
Enrollment Code-Self & Family: 432
Link to Plan Home Page: http://www.healthnetworkamerica.com
Telephone: 732/222-2229
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Benefits
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No PPO
Deductible Per Person Calendar Yearr None
Deductible Per Person-Prescription Drug $400
Deductible Per Hospital Stay-Inpatient $125
Copay Coinsurance Doctors & Outpatient Tests 50%
Copay Coinsurance Hospital Inpatient R & B 50%
Copay Coinsurance Hospital Inpatient Other 50%
Copay Coinsurance Hospital Outpatient 50%
Copay Coinsurance Prescription Drugs Home Delivery Generic N/A
Copay Coinsurance Prescription Drugs Home Delivery Brand Name N/A
Copay Coinsurance Prescription Drugs Generic
Copay Coinsurance Prescription Drugs Brand Name
Copay Coinsurance Prescription Drugs Nonformulary
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Rates
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Non-Postal
Monthly Self: $81.49 Self: & Family: $159.13
Biweekly Self: $37.61 Self: & Family: $73.44
Twice Biweekly Self: $75.22 Self: & Family: $146.88
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Annuitants
Monthly Self: $81.49 Self: & Family: $159.13
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U.S. Postal Service Employees (Type A)
Monthly Self: $43.23 Self: & Family: $71.61
Biweekly Self: $19.95 Self: & Family: $33.05
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U.S. Postal Service Employees (Type B)
Biweekly Self: $26.24 Self: & Family: $58.64
Monthly Self: $56.85 Self: & Family: $127.05
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Worker's Compensation Recipients
Twice Biweekly Self: $75.22 Self: & Family: $146.88
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Certain Temporary Employees
Biweekly Self: $135.47 Self: & Family: $293.78
Monthly Self: $293.52 Self: & Family: $636.52
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Former Spouse Enrollees
Biweekly Self: $135.47 Self: & Family: $293.78
Monthly Self: $293.52 Self: & Family: $636.52
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Temporary Continuation of Coverage
Biweekly Self: $138.18 Self: & Family: $299.66
Monthly Self: $299.39 Self: & Family: $649.25
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FDIC
Biweekly Self: $19.95 Self: & Family: $33.05
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