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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Indiana > Plan Profile: Advantage Health Plan, Inc.

General Information
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Plan Name: Advantage Health Plan, Inc.
Service Area: Most of Indiana
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 6Y1
Enrollment Code-Self & Family: 6Y2
Link to Plan Home Page: http://www.advantageplan.com
Telephone: 800/553-8933
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Benefits
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Doctor Care/ Primary Office Visits: $10
Hospital Inpatient Room and Board Charges: $200
RX/ Generic/ Retail: $10
RX/ Brand/ Retail: $20
RX/ Brand/ NonFormulary: $45
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Rates
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Non-Postal
___Biweekly Self: $30.64 Self: & Family: $71.95
___Twice Biweekly Self: $61.28 Self: & Family: $143.90
___Monthly Self: $66.39 Self: & Family: $155.89
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Annuitants
___Monthly Self: $66.39 Self: & Family: $155.89
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U.S. Postal Service Employees (Type A)
___Monthly Self: $29.88 Self: & Family: $70.15
___Biweekly Self: $13.79 Self: & Family: $32.38
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $13.79 Self: & Family: $52.65
___Monthly Self: $29.88 Self: & Family: $114.08
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Worker's Compensation Recipients
___Twice Biweekly Self: $61.28 Self: & Family: $143.90
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Certain Temporary Employees
___Biweekly Self: $122.57 Self: & Family: $287.79
___Monthly Self: $265.57 Self: & Family: $623.55
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Former Spouse Enrollees
___Biweekly Self: $122.57 Self: & Family: $287.79
___Monthly Self: $265.57 Self: & Family: $623.55
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Temporary Continuation of Coverage
___Monthly Self: $270.88 Self: & Family: $636.02
___Biweekly Self: $125.02 Self: & Family: $293.55
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FDIC
___Biweekly Self: $13.79 Self: & Family: $32.38
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