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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Ohio > Plan Profile: Kaiser Permanente

General Information
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Plan Name: Kaiser Permanente
Service Area: Akron/Cleveland areas
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 641
Enrollment Code-Self & Family: 642
Link to Plan Home Page: http://www.kaiserpermanente.org
Telephone: 800/686-7100
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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Doctor Care/ Primary Office Visits: $10
Hospital Inpatient Room and Board Charges: None
RX/ Generic/ Retail: $5
RX/ Brand/ Retail: $15
RX/ Brand/ NonFormulary: $15
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Rates
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Non-Postal
___Biweekly Self: $29.44 Self: & Family: $72.25
___Monthly Self: $63.79 Self: & Family: $156.55
___Twice Biweekly Self: $58.88 Self: & Family: $144.50
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Annuitants
___Monthly Self: $63.79 Self: & Family: $156.55
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U.S. Postal Service Employees (Type A)
___Monthly Self: $28.71 Self: & Family: $70.45
___Biweekly Self: $13.25 Self: & Family: $32.51
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $13.25 Self: & Family: $53.87
___Monthly Self: $28.71 Self: & Family: $116.72
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Worker's Compensation Recipients
___Twice Biweekly Self: $58.88 Self: & Family: $144.50
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Certain Temporary Employees
___Biweekly Self: $117.77 Self: & Family: $289.01
___Monthly Self: $255.17 Self: & Family: $626.19
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Former Spouse Enrollees
___Monthly Self: $255.17 Self: & Family: $626.19
___Biweekly Self: $117.77 Self: & Family: $289.01
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Temporary Continuation of Coverage
___Monthly Self: $260.27 Self: & Family: $638.71
___Biweekly Self: $120.13 Self: & Family: $294.79
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FDIC
___Biweekly Self: $13.25 Self: & Family: $32.51
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