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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Illinois > Plan Profile: OSF HealthPlans

General Information
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Plan Name: OSF HealthPlans
Service Area: Central/Central-Northwestern Illinois
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 9F1
Enrollment Code-Self & Family: 9F2
Link to Plan Home Page: http://www.osfhealthplans.com
Telephone: 800/673-5222
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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Doctor Care/ Primary Office Visits: $10
Hospital Inpatient Room and Board Charges: $100-$300
RX/ Generic/ Retail: $7
RX/ Brand/ Retail: $15
RX/ Brand/ NonFormulary: $25
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Rates
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Non-Postal
___Monthly Self: $61.54 Self: & Family: $163.34
___Twice Biweekly Self: $56.80 Self: & Family: $150.78
___Biweekly Self: $28.40 Self: & Family: $75.39
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Annuitants
___Monthly Self: $61.54 Self: & Family: $163.34
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U.S. Postal Service Employees (Type A)
___Monthly Self: $27.70 Self: & Family: $75.94
___Biweekly Self: $12.78 Self: & Family: $35.05
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U.S. Postal Service Employees (Type B)
___Monthly Self: $27.70 Self: & Family: $137.93
___Biweekly Self: $12.78 Self: & Family: $63.66
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Worker's Compensation Recipients
___Twice Biweekly Self: $56.80 Self: & Family: $150.78
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Certain Temporary Employees
___Biweekly Self: $113.62 Self: & Family: $298.80
___Monthly Self: $246.18 Self: & Family: $647.40
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Former Spouse Enrollees
___Monthly Self: $246.18 Self: & Family: $647.40
___Biweekly Self: $113.62 Self: & Family: $298.80
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Temporary Continuation of Coverage
___Monthly Self: $251.10 Self: & Family: $660.35
___Biweekly Self: $115.89 Self: & Family: $304.78
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FDIC
___Biweekly Self: $12.78 Self: & Family: $35.05
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