Health Net of Pennsylvania - Phila. and 7 adjacent PA and NJ counties

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General Information

Plan Name:	Health Net of Pennsylvania
Service Area:	Phila. and 7 adjacent PA and NJ counties
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	271
Enrollment Code-Self & Family:	272
Link to Plan Home Page:	http://www.health.net
Telephone:	800/998-2840
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:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$35

Rates

Non-Postal
___Biweekly	Self: $52.91	Self: & Family: $130.94
___Twice Biweekly	Self: $105.82	Self: & Family: $261.88
___Monthly	Self: $114.64	Self: & Family: $283.70
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Annuitants
___Monthly	Self: $114.64	Self: & Family: $283.70
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $76.38	Self: & Family: $196.30
___Biweekly	Self: $35.25	Self: & Family: $90.60
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $41.54	Self: & Family: $119.21
___Monthly	Self: $90.00	Self: & Family: $258.29
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Worker's Compensation Recipients
___Twice Biweekly	Self: $105.82	Self: & Family: $261.88
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Certain Temporary Employees
___Biweekly	Self: $150.77	Self: & Family: $354.35
___Monthly	Self: $326.67	Self: & Family: $767.76
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Former Spouse Enrollees
___Monthly	Self: $326.67	Self: & Family: $767.76
___Biweekly	Self: $150.77	Self: & Family: $354.35
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Temporary Continuation of Coverage
___Monthly	Self: $333.20	Self: & Family: $783.12
___Biweekly	Self: $153.79	Self: & Family: $361.44
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FDIC
___Biweekly	Self: $35.25	Self: & Family: $90.60
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