Univera Healthcare - CNY - Syracuse/Southern Tier areas

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General Information

Plan Name:	Univera Healthcare
Service Area:	CNY - Syracuse/Southern Tier areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	QE1
Enrollment Code-Self & Family:	QE2
Link to Plan Home Page:	http://www.univerahealthcare.org
Telephone:	315/638-2133
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:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	$35

Rates

Non-Postal
___Biweekly	Self: $32.58	Self: & Family: $122.10
___Monthly	Self: $70.59	Self: & Family: $264.55
___Twice Biweekly	Self: $65.16	Self: & Family: $244.20
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Annuitants
___Monthly	Self: $70.59	Self: & Family: $264.55
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $14.80	Self: & Family: $81.76
___Monthly	Self: $32.07	Self: & Family: $177.15
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $21.09	Self: & Family: $110.37
___Monthly	Self: $45.69	Self: & Family: $239.14
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Worker's Compensation Recipients
___Twice Biweekly	Self: $65.16	Self: & Family: $244.20
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Certain Temporary Employees
___Biweekly	Self: $130.32	Self: & Family: $345.51
___Monthly	Self: $282.36	Self: & Family: $748.61
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Former Spouse Enrollees
___Biweekly	Self: $130.32	Self: & Family: $345.51
___Monthly	Self: $282.36	Self: & Family: $748.61
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Temporary Continuation of Coverage
___Monthly	Self: $288.01	Self: & Family: $763.58
___Biweekly	Self: $132.93	Self: & Family: $352.42
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FDIC
___Biweekly	Self: $14.80	Self: & Family: $81.76
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