UHP HEALTHCARE - LA/Orange/San Bernardino Counties

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General Information

Plan Name:	UHP HEALTHCARE
Service Area:	LA/Orange/San Bernardino Counties
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	Yes
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	C41
Enrollment Code-Self & Family:	C42
Link to Plan Home Page:	http://www.uhphealthcare.com
Telephone:	800/544-0088

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$5
RX/ Brand/ NonFormulary:	$5

Rates

Non-Postal
___Biweekly	Self: $19.93	Self: & Family: $42.47
___Twice Biweekly	Self: $39.86	Self: & Family: $84.94
___Monthly	Self: $43.19	Self: & Family: $92.03
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Annuitants
___Monthly	Self: $43.19	Self: & Family: $92.03
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $8.97	Self: & Family: $19.11
___Monthly	Self: $19.44	Self: & Family: $41.41
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $8.97	Self: & Family: $19.11
___Monthly	Self: $19.44	Self: & Family: $41.41
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Worker's Compensation Recipients
___Twice Biweekly	Self: $39.86	Self: & Family: $84.94
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Certain Temporary Employees
___Monthly	Self: $172.77	Self: & Family: $368.12
___Biweekly	Self: $79.74	Self: & Family: $169.90
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Former Spouse Enrollees
___Monthly	Self: $172.77	Self: & Family: $368.12
___Biweekly	Self: $79.74	Self: & Family: $169.90
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Temporary Continuation of Coverage
___Monthly	Self: $176.23	Self: & Family: $375.48
___Biweekly	Self: $81.33	Self: & Family: $173.30
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FDIC
___Biweekly	Self: $8.97	Self: & Family: $19.11
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