Blue Choice - Rochester area

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General Information

Plan Name:	Blue Choice
Service Area:	Rochester area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	MK1
Enrollment Code-Self & Family:	MK2
Link to Plan Home Page:	http://www.bcbsroch.com
Telephone:	800/462-0108
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:	$15
RX/ Brand/ NonFormulary:	$30

Rates

Non-Postal
___Biweekly	Self: $34.05	Self: & Family: $107.12
___Twice Biweekly	Self: $68.10	Self: & Family: $214.24
___Monthly	Self: $73.78	Self: & Family: $232.09
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Annuitants
___Monthly	Self: $73.78	Self: & Family: $232.09
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $16.39	Self: & Family: $66.78
___Monthly	Self: $35.52	Self: & Family: $144.69
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $22.68	Self: & Family: $95.39
___Monthly	Self: $49.14	Self: & Family: $206.68
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Worker's Compensation Recipients
___Twice Biweekly	Self: $68.10	Self: & Family: $214.24
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Certain Temporary Employees
___Biweekly	Self: $131.91	Self: & Family: $330.53
___Monthly	Self: $285.81	Self: & Family: $716.15
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Former Spouse Enrollees
___Biweekly	Self: $131.91	Self: & Family: $330.53
___Monthly	Self: $285.81	Self: & Family: $716.15
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Temporary Continuation of Coverage
___Monthly	Self: $291.53	Self: & Family: $730.47
___Biweekly	Self: $134.55	Self: & Family: $337.14
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FDIC
___Biweekly	Self: $16.39	Self: & Family: $66.78
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