Physicians Health Services of New York, Inc. - NYC/LI/Dtchs/Orng/Putnm/Rklnd/Wschs

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General Information

Plan Name:	Physicians Health Services of New York, Inc.
Service Area:	NYC/LI/Dtchs/Orng/Putnm/Rklnd/Wschs
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	PD1
Enrollment Code-Self & Family:	PD2
Link to Plan Home Page:	http://www.phshmo.com
Telephone:	877/747-9585
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:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$35

Rates

Non-Postal
___Twice Biweekly	Self: $142.04	Self: & Family: $426.26
___Biweekly	Self: $71.02	Self: & Family: $213.13
___Monthly	Self: $153.88	Self: & Family: $461.78
_
Annuitants
___Monthly	Self: $153.88	Self: & Family: $461.78
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $53.36	Self: & Family: $172.79
___Monthly	Self: $115.62	Self: & Family: $374.38
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $59.65	Self: & Family: $201.40
___Monthly	Self: $129.24	Self: & Family: $436.37
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $142.04	Self: & Family: $426.26
_
Certain Temporary Employees
___Biweekly	Self: $168.88	Self: & Family: $436.54
___Monthly	Self: $365.91	Self: & Family: $945.84
_
Former Spouse Enrollees
___Biweekly	Self: $168.88	Self: & Family: $436.54
___Monthly	Self: $365.91	Self: & Family: $945.84
_
Temporary Continuation of Coverage
___Monthly	Self: $373.23	Self: & Family: $964.76
___Biweekly	Self: $172.26	Self: & Family: $445.27
_
FDIC
___Biweekly	Self: $53.36	Self: & Family: $172.79
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