Independent Health Assoc - Western New York

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General Information

Plan Name:	Independent Health Assoc
Service Area:	Western New York
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	QA1
Enrollment Code-Self & Family:	QA2
Link to Plan Home Page:	http://www.independenthealth.com
Telephone:	800/453-1910
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: $23.49	Self: & Family: $65.48
___Twice Biweekly	Self: $46.98	Self: & Family: $130.96
___Monthly	Self: $50.89	Self: & Family: $141.88
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Annuitants
___Monthly	Self: $50.89	Self: & Family: $141.88
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $10.57	Self: & Family: $29.47
___Monthly	Self: $22.90	Self: & Family: $63.85
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $10.57	Self: & Family: $29.47
___Monthly	Self: $22.90	Self: & Family: $63.85
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Worker's Compensation Recipients
___Twice Biweekly	Self: $46.98	Self: & Family: $130.96
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Certain Temporary Employees
___Monthly	Self: $203.58	Self: & Family: $567.54
___Biweekly	Self: $93.96	Self: & Family: $261.94
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Former Spouse Enrollees
___Monthly	Self: $203.58	Self: & Family: $567.54
___Biweekly	Self: $93.96	Self: & Family: $261.94
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Temporary Continuation of Coverage
___Biweekly	Self: $95.84	Self: & Family: $267.18
___Monthly	Self: $207.65	Self: & Family: $578.89
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FDIC
___Biweekly	Self: $10.57	Self: & Family: $29.47
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