Secret Service

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General Information

Plan Name:	Secret Service
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:	Y71
Enrollment Code-Self & Family:	Y72
Link to Plan Home Page:	http://www.bcbsnca.com
Telephone:	800/424-7474
Summary results of the 2001 consumers assessment of health plans survey

Benefits

No PPO
Deductible Per Person Calendar Yearr	$200
Deductible Per Person-Prescription Drug	$200
Deductible Per Hospital Stay-Inpatient	$100
Copay Coinsurance Doctors & Outpatient Tests	20%
Copay Coinsurance Hospital Inpatient R & B	Nothing
Copay Coinsurance Hospital Inpatient Other	Nothing
Copay Coinsurance Hospital Outpatient	Nothing
Copay Coinsurance Prescription Drugs Home Delivery Generic	$20
Copay Coinsurance Prescription Drugs Home Delivery Brand Name	$40
Copay Coinsurance Prescription Drugs Generic
Copay Coinsurance Prescription Drugs Brand Name
Copay Coinsurance Prescription Drugs Nonformulary

Rates

Non-Postal
Monthly	Self: $66.81	Self: & Family: $158.34
Biweekly	Self: $30.83	Self: & Family: $73.08
Twice Biweekly	Self: $61.66	Self: & Family: $146.16
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Annuitants
Monthly	Self: $66.81	Self: & Family: $158.34
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U.S. Postal Service Employees (Type A)
Biweekly	Self: $13.88	Self: & Family: $32.89
Monthly	Self: $30.06	Self: & Family: $71.25
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U.S. Postal Service Employees (Type B)
Monthly	Self: $30.57	Self: & Family: $123.89
Biweekly	Self: $14.11	Self: & Family: $57.18
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Worker's Compensation Recipients
Twice Biweekly	Self: $61.66	Self: & Family: $146.16
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Certain Temporary Employees
Biweekly	Self: $123.34	Self: & Family: $292.32
Monthly	Self: $267.24	Self: & Family: $633.36
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Former Spouse Enrollees
Monthly	Self: $267.24	Self: & Family: $633.36
Biweekly	Self: $123.34	Self: & Family: $292.32
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Temporary Continuation of Coverage
Biweekly	Self: $125.81	Self: & Family: $298.17
Monthly	Self: $272.58	Self: & Family: $646.03
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FDIC
Biweekly	Self: $13.88	Self: & Family: $32.89
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