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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Massachusetts > Plan Profile: Fallon Community Health Plan

General Information
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Plan Name: Fallon Community Health Plan
Service Area: Central/Eastern Massachusetts
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: JV1
Enrollment Code-Self & Family: JV2
Link to Plan Home Page: http://www.fchp.org
Telephone: 800/868-5200
Summary results of the 2001 consumers assessment of health plans survey
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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: $10
RX/ Brand/ NonFormulary: $10
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Rates
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Non-Postal
___Monthly Self: $88.49 Self: & Family: $172.42
___Twice Biweekly Self: $81.68 Self: & Family: $159.16
___Biweekly Self: $40.84 Self: & Family: $79.58
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Annuitants
___Monthly Self: $88.49 Self: & Family: $172.42
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U.S. Postal Service Employees (Type A)
___Monthly Self: $50.23 Self: & Family: $85.02
___Biweekly Self: $23.18 Self: & Family: $39.24
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $29.47 Self: & Family: $67.85
___Monthly Self: $63.85 Self: & Family: $147.01
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Worker's Compensation Recipients
___Twice Biweekly Self: $81.68 Self: & Family: $159.16
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Certain Temporary Employees
___Biweekly Self: $138.70 Self: & Family: $302.99
___Monthly Self: $300.52 Self: & Family: $656.48
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Former Spouse Enrollees
___Monthly Self: $300.52 Self: & Family: $656.48
___Biweekly Self: $138.70 Self: & Family: $302.99
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Temporary Continuation of Coverage
___Monthly Self: $306.53 Self: & Family: $669.61
___Biweekly Self: $141.47 Self: & Family: $309.05
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FDIC
___Biweekly Self: $23.18 Self: & Family: $39.24
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