Vytra Health Plans - Queens/Nassau/Suffolk Counties

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General Information

Plan Name:	Vytra Health Plans
Service Area:	Queens/Nassau/Suffolk Counties
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	J61
Enrollment Code-Self & Family:	J62
Link to Plan Home Page:	http://www.vytra.com
Telephone:	800/406-0806
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:	$5
RX/ Brand/ NonFormulary:	$5

Rates

Non-Postal
___Biweekly	Self: $50.50	Self: & Family: $165.32
___Twice Biweekly	Self: $101.00	Self: & Family: $330.64
___Monthly	Self: $109.42	Self: & Family: $358.19
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Annuitants
___Monthly	Self: $109.42	Self: & Family: $358.19
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $32.84	Self: & Family: $124.98
___Monthly	Self: $71.16	Self: & Family: $270.79
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $39.13	Self: & Family: $153.59
___Monthly	Self: $84.78	Self: & Family: $332.78
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Worker's Compensation Recipients
___Twice Biweekly	Self: $101.00	Self: & Family: $330.64
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Certain Temporary Employees
___Biweekly	Self: $148.36	Self: & Family: $388.73
___Monthly	Self: $321.45	Self: & Family: $842.25
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Former Spouse Enrollees
___Monthly	Self: $321.45	Self: & Family: $842.25
___Biweekly	Self: $148.36	Self: & Family: $388.73
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Temporary Continuation of Coverage
___Biweekly	Self: $151.33	Self: & Family: $396.50
___Monthly	Self: $327.88	Self: & Family: $859.10
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FDIC
___Biweekly	Self: $32.84	Self: & Family: $124.98
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