![]() |
Nationwide Health Plans Benefit Information |
|
|
|
|
|
Benefits Plan name |
|
You Pay | Plan Pays | ||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
||
| Plans open to all | |||||||||||||
|
Alliance |
Non-PPO | $300 | $250 | $3,000 | $3,000 | 70% | 70% | 70% | 70% | 70% | 70% | 70% | 100% |
| PPO | $100 | $150 | $2,000 | $2,000 | 90% | 90% | 90% | 90% | 90% | 90% | 90% | 100% | |
|
APWU |
Non-PPO | $250 | $200 | $3,500 | $3,500 | 75% | 75% | 75% | 75% | 75% | 75% | 75% | 100% |
| PPO | $250 | None | $2,000 | $2,000 | 90% | 90% | 90% | 90% | 90% | 90% | 90% | 100% | |
|
Blue Cross and Blue Shield Service Benefit Plan-High |
Non-PPO | $150 | $100 | $2,700 | $2,700 | 100% | 100% | 80% | 80% | 80% | * | 80% | 100% |
| PPO | $150 | None | $1,000 | $1,000 | 100% | 100% | 95% | 95% | 95% | * | 95% | 100% | |
|
Blue Cross and Blue Shield Service Benefit Plan-Std |
Non-PPO | $200 | $250 | $3,750 | $3,750 | 100% | 100% | 75% | 75% | 75% | * | 75% | 100% |
| PPO | $200 | None | $2,000 | $2,000 | 100% | 100% | 95% | 95% | 95% | * | 95% | 100% | |
|
GEHA |
Non-PPO | $175 | None | $2,500 | $3,000 | 100% | 80% | 80% | 80% | 80% | 80% | 80% | 100% |
| PPO | $175 | None | $2,500 | $3,000 | 100% | 95% | 90% | 90% | 90% | 95% | 90% | 100% | |
|
Mail Handlers-High |
Non-PPO | None | $250 | $3,000 | $3,000 | 100% | 100% | 70%* | 70% | 70%* | 70% | 70% | 100% |
| PPO | None | None | $2,000 | $2,000 | 100% | 100% | * | * | * | * | * | 100% | |
|
Mail Handlers-Std |
Non-PPO | $100 | $300 | $3,000 | $3,000 | 100% | 100% | 70%* | 70% | 70%* | 70% | 70% | 100% |
| PPO | None | $150 | $3,000 | $3,000 | 100% | 100% | 95%* | * | 95%* | * | * | 100% | |
|
NALC |
Non-PPO | $350 | $100 | $3,500 | $7,000 | 80% | 80% | 70% | 70% | 70% | 70% | 70% | 100% |
| PPO | $350 | None | $3,000 | $6,000 | 100% | 100% | 80% | 80% | 80% | 80% | 80% | 100% | |
|
Postmasters-High |
Non-PPO | $275 | $150 | $2,500 | $2,500 | 100% | 85% | 85% | 80% | 85% | 80% | 80% | 100% |
| PPO | $275 | None | $2,500 | $2,500 | 100% | 100% | 95% | 95% | 95% | 95% | 95% | 100% | |
|
Postmasters-Std |
Non-PPO | $500 | $600 | $6,700 | $6,700 | 70% | 70% | 70% | 70% | 70% | 70% | 70% | 100% |
| PPO | $300 | $350 | $3,000 | $3,000 | 100% | 95% | 95% | 95% | 95% | 95% | 95% | 100% | |
| Plans open only to specific groups | |||||||||||||
|
Association Benefit Plan |
Non-PPO | $250 | $100 | $2,000 | $2,000 | 80% | 80% | 80% | 80% | 80% | 80% | 80% | 100% |
| PPO | $250 | None | $2,000 | $2,000 | 100% | 100% | 90% | 90% | 90% | 90% | 90% | 100% | |
|
BACE |
Non-PPO | $250 | $250 | $3,000 | $3,000 | 90% | 90% | 70% | 70% | 70% | 70% | 70% | 100% |
| PPO | None | $150 | - | - | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
|
Foreign Service |
Non-PPO | $250 | $175 | $2,000 | $2,000 | 80% | 80% | 90% | 80% | 100% | 80% | 80% | 100% |
| PPO | $250 | None | $2,000 | $2,000 | 100% | 80% | 90% | 80% | 100% | 80% | 90% | 100% | |
|
Panama Canal Area |
Non-PPO | None | $125 | $1,000 | - | 100% | 80% | 100% | SA** | 100% | 75% | 75% | 100% |
|
Rural Carrier Benefit Plan |
Non-PPO | $250 | $200 | $2,500 | $3,000 | 100% | 80% | 85% | 75% | 85% | 75% | 75% | SA** |
|
SAMBA |
Non-PPO | $300 | $200 | $2,500 | $3,500 | 70% | 70% | 70% | 70% | 70% | 70% | 70% | 100% |
| PPO | $200 | $200 | $2,500 | $3,500 | 100% | 95% | 95% | 95% | 95% | 100% | 95% | 100% | |
|
Secret Service |
Non-PPO | $200 | $100 | $1,000 | $2,000 | 100% | 100% | 80% | 80% | 80% | 80% | 80% | 100% |
|
* Copayment applies. See brochure for details. ** Scheduled Allowance |
|
|
|
|
Updated Wednesday, October 29, 1997