Coventry Health Care of Kansas - Wichita/Salinas areas

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General Information

Plan Name:	Coventry Health Care of Kansas
Service Area:	Wichita/Salinas areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	7W1
Enrollment Code-Self & Family:	7W2
Link to Plan Home Page:	http://www.chcwichita.com
Telephone:	800/664-9251
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$10
RX/ Brand/ NonFormulary:	$20

Rates

Non-Postal
___Biweekly	Self: $30.30	Self: & Family: $85.68
___Twice Biweekly	Self: $60.60	Self: & Family: $171.36
___Monthly	Self: $65.65	Self: & Family: $185.64
_
Annuitants
___Monthly	Self: $65.65	Self: & Family: $185.64
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $29.54	Self: & Family: $98.24
___Biweekly	Self: $13.64	Self: & Family: $45.34
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $13.64	Self: & Family: $73.95
___Monthly	Self: $29.54	Self: & Family: $160.23
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $60.60	Self: & Family: $171.36
_
Certain Temporary Employees
___Biweekly	Self: $121.21	Self: & Family: $309.09
___Monthly	Self: $262.62	Self: & Family: $669.70
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Former Spouse Enrollees
___Biweekly	Self: $121.21	Self: & Family: $309.09
___Monthly	Self: $262.62	Self: & Family: $669.70
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Temporary Continuation of Coverage
___Monthly	Self: $267.87	Self: & Family: $683.09
___Biweekly	Self: $123.63	Self: & Family: $315.27
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FDIC
___Biweekly	Self: $13.64	Self: & Family: $45.34
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