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Plan Profile

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General Information
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Plan Name: MVP Health Plan
Service Area: Eastern Region
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: GA1
Enrollment Code-Self & Family: GA2
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: $57.36 Self: & Family: $148.14
___Monthly Self: $62.13 Self: & Family: $160.48
___Biweekly Self: $28.68 Self: & Family: $74.07
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Annuitants
___Monthly Self: $62.13 Self: & Family: $160.48
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U.S. Postal Service Employees (Type A)
___Monthly Self: $27.96 Self: & Family: $72.22
___Biweekly Self: $12.90 Self: & Family: $33.33
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $12.90 Self: & Family: $61.14
___Monthly Self: $27.96 Self: & Family: $132.47
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Worker's Compensation Recipients
___Twice Biweekly Self: $57.36 Self: & Family: $148.14
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Certain Temporary Employees
___Biweekly Self: $114.71 Self: & Family: $296.28
___Monthly Self: $248.54 Self: & Family: $641.94
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Former Spouse Enrollees
___Biweekly Self: $114.71 Self: & Family: $296.28
___Monthly Self: $248.54 Self: & Family: $641.94
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Temporary Continuation of Coverage
___Biweekly Self: $117.00 Self: & Family: $302.21
___Monthly Self: $253.51 Self: & Family: $654.78
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FDIC
___Biweekly Self: $12.90 Self: & Family: $33.33
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