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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Illinois > Plan Profile: Union Health Service

General Information
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Plan Name: Union Health Service
Service Area: Chicago area
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: No
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 761
Enrollment Code-Self & Family: 762
Link to Plan Home Page: http://www.unionhealth.org
Telephone: 312/829-4224
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Benefits
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Doctor Care/ Primary Office Visits: $10
Hospital Inpatient Room and Board Charges: None
RX/ Generic/ Retail: $10
RX/ Brand/ Retail: $10
RX/ Brand/ NonFormulary: $10
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Rates
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Non-Postal
___Twice Biweekly Self: $48.54 Self: & Family: $120.38
___Monthly Self: $52.58 Self: & Family: $130.42
___Biweekly Self: $24.27 Self: & Family: $60.19
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Annuitants
___Monthly Self: $52.58 Self: & Family: $130.42
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U.S. Postal Service Employees (Type A)
___Monthly Self: $23.66 Self: & Family: $58.69
___Biweekly Self: $10.92 Self: & Family: $27.09
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U.S. Postal Service Employees (Type B)
___Monthly Self: $23.66 Self: & Family: $58.69
___Biweekly Self: $10.92 Self: & Family: $27.09
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Worker's Compensation Recipients
___Twice Biweekly Self: $48.54 Self: & Family: $120.38
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Certain Temporary Employees
___Monthly Self: $210.34 Self: & Family: $521.69
___Biweekly Self: $97.08 Self: & Family: $240.78
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Former Spouse Enrollees
___Biweekly Self: $97.08 Self: & Family: $240.78
___Monthly Self: $210.34 Self: & Family: $521.69
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Temporary Continuation of Coverage
___Biweekly Self: $99.02 Self: & Family: $245.60
___Monthly Self: $214.55 Self: & Family: $532.12
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FDIC
___Biweekly Self: $10.92 Self: & Family: $27.09
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