GHI HMO Select - Bronx/Brklyn/Manhattan/Queens/Westchster

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General Information

Plan Name:	GHI HMO Select
Service Area:	Bronx/Brklyn/Manhattan/Queens/Westchster
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	6V1
Enrollment Code-Self & Family:	6V2
Link to Plan Home Page:	http://www.ghi.com
Telephone:	877/244-4466
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$30

Rates

Non-Postal
___Monthly	Self: $69.44	Self: & Family: $214.30
___Twice Biweekly	Self: $64.10	Self: & Family: $197.82
___Biweekly	Self: $32.05	Self: & Family: $98.91
_
Annuitants
___Monthly	Self: $69.44	Self: & Family: $214.30
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $31.25	Self: & Family: $126.90
___Biweekly	Self: $14.42	Self: & Family: $58.57
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $41.08	Self: & Family: $188.89
___Biweekly	Self: $18.96	Self: & Family: $87.18
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $64.10	Self: & Family: $197.82
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Certain Temporary Employees
___Biweekly	Self: $128.19	Self: & Family: $322.32
___Monthly	Self: $277.75	Self: & Family: $698.36
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Former Spouse Enrollees
___Biweekly	Self: $128.19	Self: & Family: $322.32
___Monthly	Self: $277.75	Self: & Family: $698.36
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Temporary Continuation of Coverage
___Monthly	Self: $283.31	Self: & Family: $712.33
___Biweekly	Self: $130.75	Self: & Family: $328.77
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FDIC
___Biweekly	Self: $14.42	Self: & Family: $58.57
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