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Plan Profile

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General Information
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Plan Name: MVP Health Plan
Service Area: Central Region
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: M91
Enrollment Code-Self & Family: M92
Link to Plan Home Page: http://www.mvphealthplan.com
Telephone: 888/687-6277
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: $20
RX/ Brand/ NonFormulary: $20
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Rates
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Non-Postal
___Twice Biweekly Self: $59.20 Self: & Family: $164.64
___Monthly Self: $64.13 Self: & Family: $178.36
___Biweekly Self: $29.60 Self: & Family: $82.32
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Annuitants
___Monthly Self: $64.13 Self: & Family: $178.36
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $13.32 Self: & Family: $41.98
___Monthly Self: $28.86 Self: & Family: $90.96
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U.S. Postal Service Employees (Type B)
___Monthly Self: $28.86 Self: & Family: $152.95
___Biweekly Self: $13.32 Self: & Family: $70.59
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Worker's Compensation Recipients
___Twice Biweekly Self: $59.20 Self: & Family: $164.64
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Certain Temporary Employees
___Biweekly Self: $118.39 Self: & Family: $305.73
___Monthly Self: $256.51 Self: & Family: $662.42
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Former Spouse Enrollees
___Biweekly Self: $118.39 Self: & Family: $305.73
___Monthly Self: $256.51 Self: & Family: $662.42
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Temporary Continuation of Coverage
___Biweekly Self: $120.76 Self: & Family: $311.84
___Monthly Self: $261.64 Self: & Family: $675.67
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FDIC
___Biweekly Self: $13.32 Self: & Family: $41.98
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