Western Health Advantage - Northern California

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General Information

Plan Name:	Western Health Advantage
Service Area:	Northern California
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	5Z1
Enrollment Code-Self & Family:	5Z2
Link to Plan Home Page:	http://www.westernhealth.com
Telephone:	888/563-2250
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:	$5
RX/ Brand/ Retail:	$10
RX/ Brand/ NonFormulary:	$20

Rates

Non-Postal
___Monthly	Self: $58.98	Self: & Family: $141.54
___Biweekly	Self: $27.22	Self: & Family: $65.33
___Twice Biweekly	Self: $54.44	Self: & Family: $130.66
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Annuitants
___Monthly	Self: $58.98	Self: & Family: $141.54
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $26.54	Self: & Family: $63.69
___Biweekly	Self: $12.25	Self: & Family: $29.40
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $26.54	Self: & Family: $63.69
___Biweekly	Self: $12.25	Self: & Family: $29.40
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Worker's Compensation Recipients
___Twice Biweekly	Self: $54.44	Self: & Family: $130.66
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Certain Temporary Employees
___Biweekly	Self: $108.88	Self: & Family: $261.31
___Monthly	Self: $235.91	Self: & Family: $566.17
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Former Spouse Enrollees
___Biweekly	Self: $108.88	Self: & Family: $261.31
___Monthly	Self: $235.91	Self: & Family: $566.17
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Temporary Continuation of Coverage
___Monthly	Self: $240.63	Self: & Family: $577.49
___Biweekly	Self: $111.06	Self: & Family: $266.54
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FDIC
___Biweekly	Self: $12.25	Self: & Family: $29.40
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