Total Health Choice - Broward/Dade/Palm Beach Counties

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General Information

Plan Name:	Total Health Choice
Service Area:	Broward/Dade/Palm Beach Counties
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	4A1
Enrollment Code-Self & Family:	4A2
Link to Plan Home Page:	http://www.thc-online.com
Telephone:	305/408-5823

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	$100
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	$15

Rates

Non-Postal
___Monthly	Self: $51.05	Self: & Family: $127.11
___Biweekly	Self: $23.56	Self: & Family: $58.67
___Twice Biweekly	Self: $47.12	Self: & Family: $117.34
_
Annuitants
___Monthly	Self: $51.05	Self: & Family: $127.11
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $10.60	Self: & Family: $26.40
___Monthly	Self: $22.97	Self: & Family: $57.20
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $10.60	Self: & Family: $26.40
___Monthly	Self: $22.97	Self: & Family: $57.20
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $47.12	Self: & Family: $117.34
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Certain Temporary Employees
___Monthly	Self: $204.19	Self: & Family: $508.45
___Biweekly	Self: $94.24	Self: & Family: $234.67
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Former Spouse Enrollees
___Monthly	Self: $204.19	Self: & Family: $508.45
___Biweekly	Self: $94.24	Self: & Family: $234.67
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Temporary Continuation of Coverage
___Monthly	Self: $208.27	Self: & Family: $518.62
___Biweekly	Self: $96.12	Self: & Family: $239.36
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FDIC
___Biweekly	Self: $10.60	Self: & Family: $26.40
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