ConnectiCare - All of Connecticut

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General Information

Plan Name:	ConnectiCare
Service Area:	All of Connecticut
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	TE1
Enrollment Code-Self & Family:	TE2
Link to Plan Home Page:	http://www.connecticare.com
Telephone:	800/251-7722
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:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$35

Rates

Non-Postal
___Biweekly	Self: $28.03	Self: & Family: $73.42
___Monthly	Self: $60.74	Self: & Family: $159.09
___Twice Biweekly	Self: $56.06	Self: & Family: $146.84
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Annuitants
___Monthly	Self: $60.74	Self: & Family: $159.09
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $27.33	Self: & Family: $71.59
___Biweekly	Self: $12.62	Self: & Family: $33.04
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $27.33	Self: & Family: $126.88
___Biweekly	Self: $12.62	Self: & Family: $58.56
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Worker's Compensation Recipients
___Twice Biweekly	Self: $56.06	Self: & Family: $146.84
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Certain Temporary Employees
___Biweekly	Self: $112.14	Self: & Family: $293.70
___Monthly	Self: $242.97	Self: & Family: $636.35
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Former Spouse Enrollees
___Monthly	Self: $242.97	Self: & Family: $636.35
___Biweekly	Self: $112.14	Self: & Family: $293.70
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Temporary Continuation of Coverage
___Monthly	Self: $247.83	Self: & Family: $649.08
___Biweekly	Self: $114.38	Self: & Family: $299.57
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FDIC
___Biweekly	Self: $12.62	Self: & Family: $33.04
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