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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > California > Plan Profile: Blue Shield of CA Access+

General Information
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Plan Name: Blue Shield of CA Access+
Service Area: Most of California
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: SJ1
Enrollment Code-Self & Family: SJ2
Link to Plan Home Page: http://www.mylifepath.com
Telephone: 800/334-5847
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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Doctor Care/ Primary Office Visits: $10
Hospital Inpatient Room and Board Charges: None
RX/ Generic/ Retail: $5
RX/ Brand/ Retail: $10
RX/ Brand/ NonFormulary: $25
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Rates
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Non-Postal
___Monthly Self: $60.70 Self: & Family: $150.59
___Biweekly Self: $28.02 Self: & Family: $69.50
___Twice Biweekly Self: $56.04 Self: & Family: $139.00
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Annuitants
___Monthly Self: $60.70 Self: & Family: $150.59
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U.S. Postal Service Employees (Type A)
___Monthly Self: $27.32 Self: & Family: $67.77
___Biweekly Self: $12.61 Self: & Family: $31.28
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U.S. Postal Service Employees (Type B)
___Monthly Self: $27.32 Self: & Family: $92.89
___Biweekly Self: $12.61 Self: & Family: $42.87
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Worker's Compensation Recipients
___Twice Biweekly Self: $56.04 Self: & Family: $139.00
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Certain Temporary Employees
___Biweekly Self: $112.07 Self: & Family: $278.01
___Monthly Self: $242.82 Self: & Family: $602.36
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Former Spouse Enrollees
___Monthly Self: $242.82 Self: & Family: $602.36
___Biweekly Self: $112.07 Self: & Family: $278.01
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Temporary Continuation of Coverage
___Biweekly Self: $114.31 Self: & Family: $283.57
___Monthly Self: $247.68 Self: & Family: $614.41
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FDIC
___Biweekly Self: $12.61 Self: & Family: $31.28
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Department of Defense Demo Project
___Monthly Self: $85.26 Self: & Family: $159.01
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Department of Defense Demo Project Temporary Continuation of Coverage
___Monthly Self: $303.24 Self: & Family: $648.77
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