Aetna U. S. Healthcare, Inc. - Northern Kentucky area

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General Information

Plan Name:	Aetna U. S. Healthcare, Inc.
Service Area:	Northern Kentucky area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	RD1
Enrollment Code-Self & Family:	RD2
Link to Plan Home Page:	http://www.aetnaushc.com/feds
Telephone:	800/537-9384
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$20
Hospital Inpatient Room and Board Charges:	$200-$600
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Twice Biweekly	Self: $87.12	Self: & Family: $268.56
___Monthly	Self: $94.38	Self: & Family: $290.94
___Biweekly	Self: $43.56	Self: & Family: $134.28
_
Annuitants
___Monthly	Self: $94.38	Self: & Family: $290.94
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $56.12	Self: & Family: $203.54
___Biweekly	Self: $25.90	Self: & Family: $93.94
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $69.74	Self: & Family: $265.53
___Biweekly	Self: $32.19	Self: & Family: $122.55
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $87.12	Self: & Family: $268.56
_
Certain Temporary Employees
___Biweekly	Self: $141.42	Self: & Family: $357.69
___Monthly	Self: $306.41	Self: & Family: $775.00
_
Former Spouse Enrollees
___Monthly	Self: $306.41	Self: & Family: $775.00
___Biweekly	Self: $141.42	Self: & Family: $357.69
_
Temporary Continuation of Coverage
___Monthly	Self: $312.54	Self: & Family: $790.50
___Biweekly	Self: $144.25	Self: & Family: $364.84
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FDIC
___Biweekly	Self: $25.90	Self: & Family: $93.94
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