Aetna U. S. Healthcare, Inc.

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:	Syracuse area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	TG1
Enrollment Code-Self & Family:	TG2
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: $54.52	Self: & Family: $137.52
___Biweekly	Self: $25.16	Self: & Family: $63.47
___Twice Biweekly	Self: $50.32	Self: & Family: $126.94
_
Annuitants
___Monthly	Self: $54.52	Self: & Family: $137.52
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $24.53	Self: & Family: $61.88
___Biweekly	Self: $11.32	Self: & Family: $28.56
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $24.53	Self: & Family: $61.88
___Biweekly	Self: $11.32	Self: & Family: $28.56
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $50.32	Self: & Family: $126.94
_
Certain Temporary Employees
___Biweekly	Self: $100.65	Self: & Family: $253.88
___Monthly	Self: $218.08	Self: & Family: $550.07
_
Former Spouse Enrollees
___Monthly	Self: $218.08	Self: & Family: $550.07
___Biweekly	Self: $100.65	Self: & Family: $253.88
_
Temporary Continuation of Coverage
___Biweekly	Self: $102.66	Self: & Family: $258.96
___Monthly	Self: $222.44	Self: & Family: $561.07
_
FDIC
___Biweekly	Self: $11.32	Self: & Family: $28.56
_