PersonalCare's HMO - Central Illinois

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General Information

Plan Name:	PersonalCare's HMO
Service Area:	Central Illinois
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	GE1
Enrollment Code-Self & Family:	GE2
Link to Plan Home Page:	http://www.personalcarehmo.com
Telephone:	800/431-1211
Summary results of the 2001 consumers assessment of health plans survey

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:	$35

Rates

Non-Postal
___Biweekly	Self: $22.60	Self: & Family: $58.11
___Twice Biweekly	Self: $45.20	Self: & Family: $116.22
___Monthly	Self: $48.96	Self: & Family: $125.90
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Annuitants
___Monthly	Self: $48.96	Self: & Family: $125.90
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $10.17	Self: & Family: $26.15
___Monthly	Self: $22.03	Self: & Family: $56.65
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $10.17	Self: & Family: $26.15
___Monthly	Self: $22.03	Self: & Family: $56.65
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Worker's Compensation Recipients
___Twice Biweekly	Self: $45.20	Self: & Family: $116.22
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Certain Temporary Employees
___Monthly	Self: $195.85	Self: & Family: $503.60
___Biweekly	Self: $90.39	Self: & Family: $232.43
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Former Spouse Enrollees
___Biweekly	Self: $90.39	Self: & Family: $232.43
___Monthly	Self: $195.85	Self: & Family: $503.60
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Temporary Continuation of Coverage
___Monthly	Self: $199.77	Self: & Family: $513.67
___Biweekly	Self: $92.20	Self: & Family: $237.08
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FDIC
___Biweekly	Self: $10.17	Self: & Family: $26.15
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