Univera Healthcare - WNY - Western New York

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General Information

Plan Name:	Univera Healthcare
Service Area:	WNY - Western New York
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	Q81
Enrollment Code-Self & Family:	Q82
Link to Plan Home Page:	http://www.univerahealthcare.org
Telephone:	716/847-0881
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:	$35

Rates

Non-Postal
___Twice Biweekly	Self: $51.36	Self: & Family: $145.64
___Monthly	Self: $55.63	Self: & Family: $157.78
___Biweekly	Self: $25.68	Self: & Family: $72.82
_
Annuitants
___Monthly	Self: $55.63	Self: & Family: $157.78
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $25.04	Self: & Family: $71.00
___Biweekly	Self: $11.55	Self: & Family: $32.77
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $11.55	Self: & Family: $56.14
___Monthly	Self: $25.04	Self: & Family: $121.64
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $51.36	Self: & Family: $145.64
_
Certain Temporary Employees
___Biweekly	Self: $102.71	Self: & Family: $291.28
___Monthly	Self: $222.54	Self: & Family: $631.11
_
Former Spouse Enrollees
___Monthly	Self: $222.54	Self: & Family: $631.11
___Biweekly	Self: $102.71	Self: & Family: $291.28
_
Temporary Continuation of Coverage
___Biweekly	Self: $104.76	Self: & Family: $297.11
___Monthly	Self: $226.99	Self: & Family: $643.73
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FDIC
___Biweekly	Self: $11.55	Self: & Family: $32.77
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