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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Louisiana > Plan Profile: Amcare Health Plans

General Information
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Plan Name: Amcare Health Plans
Service Area: New Orleans area
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: ZH1
Enrollment Code-Self & Family: ZH2
Link to Plan Home Page: http://www.amcarehealthplans.com
Telephone: 800/772-2995
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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: $15
RX/ Brand/ NonFormulary: 50%
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Rates
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Non-Postal
___Biweekly Self: $22.76 Self: & Family: $59.60
___Monthly Self: $49.31 Self: & Family: $129.13
___Twice Biweekly Self: $45.52 Self: & Family: $119.20
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Annuitants
___Monthly Self: $49.31 Self: & Family: $129.13
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $10.24 Self: & Family: $26.82
___Monthly Self: $22.19 Self: & Family: $58.11
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $10.24 Self: & Family: $26.82
___Monthly Self: $22.19 Self: & Family: $58.11
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Worker's Compensation Recipients
___Twice Biweekly Self: $45.52 Self: & Family: $119.20
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Certain Temporary Employees
___Monthly Self: $197.23 Self: & Family: $516.51
___Biweekly Self: $91.03 Self: & Family: $238.39
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Former Spouse Enrollees
___Biweekly Self: $91.03 Self: & Family: $238.39
___Monthly Self: $197.23 Self: & Family: $516.51
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Temporary Continuation of Coverage
___Monthly Self: $201.17 Self: & Family: $526.84
___Biweekly Self: $92.85 Self: & Family: $243.16
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FDIC
___Biweekly Self: $10.24 Self: & Family: $26.82
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