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Plan Profile

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General Information
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Plan Name: M*Plan
Service Area: Indiana Metropolitan areas
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: IN1
Enrollment Code-Self & Family: IN2
Link to Plan Home Page: http://www.mplan.com
Telephone: 317/571-5320
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: None
RX/ Generic/ Retail: $5
RX/ Brand/ Retail: $10
RX/ Brand/ NonFormulary: $30
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Rates
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Non-Postal
___Twice Biweekly Self: $83.32 Self: & Family: $193.50
___Biweekly Self: $41.66 Self: & Family: $96.75
___Monthly Self: $90.26 Self: & Family: $209.62
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Annuitants
___Monthly Self: $90.26 Self: & Family: $209.62
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U.S. Postal Service Employees (Type A)
___Monthly Self: $52.00 Self: & Family: $122.22
___Biweekly Self: $24.00 Self: & Family: $56.41
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U.S. Postal Service Employees (Type B)
___Monthly Self: $65.62 Self: & Family: $184.21
___Biweekly Self: $30.29 Self: & Family: $85.02
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Worker's Compensation Recipients
___Twice Biweekly Self: $83.32 Self: & Family: $193.50
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Certain Temporary Employees
___Biweekly Self: $139.52 Self: & Family: $320.16
___Monthly Self: $302.29 Self: & Family: $693.68
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Former Spouse Enrollees
___Monthly Self: $302.29 Self: & Family: $693.68
___Biweekly Self: $139.52 Self: & Family: $320.16
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Temporary Continuation of Coverage
___Monthly Self: $308.34 Self: & Family: $707.55
___Biweekly Self: $142.31 Self: & Family: $326.56
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FDIC
___Biweekly Self: $24.00 Self: & Family: $56.41
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