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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Michigan > Plan Profile: Grand Valley Health Plan

General Information
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Plan Name: Grand Valley Health Plan
Service Area: Grand Rapids area
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: RL1
Enrollment Code-Self & Family: RL2
Link to Plan Home Page: http://www.gvhpchoosewell.com/
Telephone: 616/949-2410
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: $5
RX/ Brand/ NonFormulary: $5
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Rates
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Non-Postal
___Twice Biweekly Self: $58.48 Self: & Family: $210.78
___Monthly Self: $63.35 Self: & Family: $228.34
___Biweekly Self: $29.24 Self: & Family: $105.39
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Annuitants
___Monthly Self: $63.35 Self: & Family: $228.34
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U.S. Postal Service Employees (Type A)
___Monthly Self: $28.51 Self: & Family: $140.94
___Biweekly Self: $13.16 Self: & Family: $65.05
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $13.16 Self: & Family: $93.66
___Monthly Self: $28.51 Self: & Family: $202.93
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Worker's Compensation Recipients
___Twice Biweekly Self: $58.48 Self: & Family: $210.78
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Certain Temporary Employees
___Biweekly Self: $116.96 Self: & Family: $328.80
___Monthly Self: $253.41 Self: & Family: $712.40
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Former Spouse Enrollees
___Monthly Self: $253.41 Self: & Family: $712.40
___Biweekly Self: $116.96 Self: & Family: $328.80
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Temporary Continuation of Coverage
___Monthly Self: $258.48 Self: & Family: $726.65
___Biweekly Self: $119.30 Self: & Family: $335.38
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FDIC
___Biweekly Self: $13.16 Self: & Family: $65.05
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