Aetna U. S. Healthcare, Inc. - Southern California area

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General Information

Plan Name:	Aetna U. S. Healthcare, Inc.
Service Area:	Southern California area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	2X1
Enrollment Code-Self & Family:	2X2
Link to Plan Home Page:	http://www.aetnaushc.com/feds
Telephone:	800/537-9384
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$15
Hospital Inpatient Room and Board Charges:	$100-$300
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Monthly	Self: $51.99	Self: & Family: $121.45
___Biweekly	Self: $24.00	Self: & Family: $56.05
___Twice Biweekly	Self: $48.00	Self: & Family: $112.10
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Annuitants
___Monthly	Self: $51.99	Self: & Family: $121.45
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $10.80	Self: & Family: $25.22
___Monthly	Self: $23.40	Self: & Family: $54.65
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $10.80	Self: & Family: $25.22
___Monthly	Self: $23.40	Self: & Family: $54.65
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $48.00	Self: & Family: $112.10
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Certain Temporary Employees
___Monthly	Self: $207.98	Self: & Family: $485.81
___Biweekly	Self: $95.99	Self: & Family: $224.22
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Former Spouse Enrollees
___Monthly	Self: $207.98	Self: & Family: $485.81
___Biweekly	Self: $95.99	Self: & Family: $224.22
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Temporary Continuation of Coverage
___Monthly	Self: $212.14	Self: & Family: $495.53
___Biweekly	Self: $97.91	Self: & Family: $228.70
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FDIC
___Biweekly	Self: $10.80	Self: & Family: $25.22
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Department of Defense Demo Project
___Monthly	Self: $69.71	Self: & Family: $139.41
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Department of Defense Demo Project Temporary Continuation of Coverage
___Monthly	Self: $284.41	Self: & Family: $568.79
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