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Plan Profile

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General Information
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Plan Name: MVP Health Plan
Service Area: Mid-Hudson Region
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: MX1
Enrollment Code-Self & Family: MX2
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
___Biweekly Self: $32.41 Self: & Family: $111.47
___Monthly Self: $70.23 Self: & Family: $241.51
___Twice Biweekly Self: $64.82 Self: & Family: $222.94
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Annuitants
___Monthly Self: $70.23 Self: & Family: $241.51
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $14.59 Self: & Family: $71.13
___Monthly Self: $31.60 Self: & Family: $154.11
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $20.43 Self: & Family: $99.74
___Monthly Self: $44.26 Self: & Family: $216.10
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Worker's Compensation Recipients
___Twice Biweekly Self: $64.82 Self: & Family: $222.94
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Certain Temporary Employees
___Biweekly Self: $129.66 Self: & Family: $334.88
___Monthly Self: $280.93 Self: & Family: $725.57
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Former Spouse Enrollees
___Monthly Self: $280.93 Self: & Family: $725.57
___Biweekly Self: $129.66 Self: & Family: $334.88
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Temporary Continuation of Coverage
___Biweekly Self: $132.25 Self: & Family: $341.58
___Monthly Self: $286.55 Self: & Family: $740.08
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FDIC
___Biweekly Self: $14.59 Self: & Family: $71.13
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