Physicians HP of N. Indiana - Northeast Indiana

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General Information

Plan Name:	Physicians HP of N. Indiana
Service Area:	Northeast Indiana
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	DQ1
Enrollment Code-Self & Family:	DQ2
Link to Plan Home Page:	http://www.phpni.com
Telephone:	219/432-6690
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	20%of$2500
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	$40

Rates

Non-Postal
___Monthly	Self: $66.27	Self: & Family: $148.91
___Biweekly	Self: $30.58	Self: & Family: $68.73
___Twice Biweekly	Self: $61.16	Self: & Family: $137.46
_
Annuitants
___Monthly	Self: $66.27	Self: & Family: $148.91
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $29.82	Self: & Family: $67.01
___Biweekly	Self: $13.76	Self: & Family: $30.93
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $13.76	Self: & Family: $39.77
___Monthly	Self: $29.82	Self: & Family: $86.17
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $61.16	Self: & Family: $137.46
_
Certain Temporary Employees
___Biweekly	Self: $122.34	Self: & Family: $274.91
___Monthly	Self: $265.07	Self: & Family: $595.64
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Former Spouse Enrollees
___Monthly	Self: $265.07	Self: & Family: $595.64
___Biweekly	Self: $122.34	Self: & Family: $274.91
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Temporary Continuation of Coverage
___Monthly	Self: $270.37	Self: & Family: $607.55
___Biweekly	Self: $124.79	Self: & Family: $280.41
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FDIC
___Biweekly	Self: $13.76	Self: & Family: $30.93
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