PacifiCare of Colorado-Std - Denver/Colorado Springs/Ft.Collins

You are here: FEHB Home > 2002 Plan Comparison > Colorado > Plan Profile: PacifiCare of Colorado-Std

General Information

Plan Name:	PacifiCare of Colorado-Std
Service Area:	Denver/Colorado Springs/Ft.Collins
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	D64
Enrollment Code-Self & Family:	D65
Link to Plan Home Page:	http://www.phs.com
Telephone:	800/877-9777
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$15
Hospital Inpatient Room and Board Charges:	$300
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$30

Rates

Non-Postal
___Monthly	Self: $41.87	Self: & Family: $108.44
___Twice Biweekly	Self: $38.64	Self: & Family: $100.10
___Biweekly	Self: $19.32	Self: & Family: $50.05
_
Annuitants
___Monthly	Self: $41.87	Self: & Family: $108.44
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $8.70	Self: & Family: $22.52
___Monthly	Self: $18.84	Self: & Family: $48.80
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $8.70	Self: & Family: $22.52
___Monthly	Self: $18.84	Self: & Family: $48.80
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $38.64	Self: & Family: $100.10
_
Certain Temporary Employees
___Monthly	Self: $167.48	Self: & Family: $433.75
___Biweekly	Self: $77.30	Self: & Family: $200.19
_
Former Spouse Enrollees
___Biweekly	Self: $77.30	Self: & Family: $200.19
___Monthly	Self: $167.48	Self: & Family: $433.75
_
Temporary Continuation of Coverage
___Biweekly	Self: $78.85	Self: & Family: $204.19
___Monthly	Self: $170.83	Self: & Family: $442.43
_
FDIC
___Biweekly	Self: $8.70	Self: & Family: $22.52
_