Aetna U. S. Healthcare, Inc. - NYC area and Dutchess/Sullivan/Ulster

You are here: FEHB Home > 2002 Plan Comparison > New York > Plan Profile: Aetna U. S. Healthcare, Inc.

General Information

Plan Name:	Aetna U. S. Healthcare, Inc.
Service Area:	NYC area and Dutchess/Sullivan/Ulster
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	JC1
Enrollment Code-Self & Family:	JC2
Link to Plan Home Page:	http://www.aetnaushc.com/feds
Telephone:	800/537-9384
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$20
Hospital Inpatient Room and Board Charges:	$200-$600
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Monthly	Self: $60.71	Self: & Family: $152.68
___Twice Biweekly	Self: $56.04	Self: & Family: $140.94
___Biweekly	Self: $28.02	Self: & Family: $70.47
_
Annuitants
___Monthly	Self: $60.71	Self: & Family: $152.68
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $12.61	Self: & Family: $31.71
___Monthly	Self: $27.32	Self: & Family: $68.71
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $27.32	Self: & Family: $101.27
___Biweekly	Self: $12.61	Self: & Family: $46.74
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $56.04	Self: & Family: $140.94
_
Certain Temporary Employees
___Biweekly	Self: $112.09	Self: & Family: $281.88
___Monthly	Self: $242.86	Self: & Family: $610.74
_
Former Spouse Enrollees
___Monthly	Self: $242.86	Self: & Family: $610.74
___Biweekly	Self: $112.09	Self: & Family: $281.88
_
Temporary Continuation of Coverage
___Monthly	Self: $247.72	Self: & Family: $622.95
___Biweekly	Self: $114.33	Self: & Family: $287.52
_
FDIC
___Biweekly	Self: $12.61	Self: & Family: $31.71
_