SummaCare Health Plan - Cleveland, Akron areas

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General Information

Plan Name:	SummaCare Health Plan
Service Area:	Cleveland, Akron areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	5W1
Enrollment Code-Self & Family:	5W2
Link to Plan Home Page:	http://www.summacare.com
Telephone:	330/996-8415
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:	$10
RX/ Brand/ NonFormulary:	$10

Rates

Non-Postal
___Biweekly	Self: $25.14	Self: & Family: $69.14
___Twice Biweekly	Self: $50.28	Self: & Family: $138.28
___Monthly	Self: $54.47	Self: & Family: $149.81
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Annuitants
___Monthly	Self: $54.47	Self: & Family: $149.81
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $11.31	Self: & Family: $31.11
___Monthly	Self: $24.51	Self: & Family: $67.41
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $11.31	Self: & Family: $41.43
___Monthly	Self: $24.51	Self: & Family: $89.77
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Worker's Compensation Recipients
___Twice Biweekly	Self: $50.28	Self: & Family: $138.28
_
Certain Temporary Employees
___Biweekly	Self: $100.57	Self: & Family: $276.57
___Monthly	Self: $217.90	Self: & Family: $599.24
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Former Spouse Enrollees
___Biweekly	Self: $100.57	Self: & Family: $276.57
___Monthly	Self: $217.90	Self: & Family: $599.24
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Temporary Continuation of Coverage
___Biweekly	Self: $102.58	Self: & Family: $282.10
___Monthly	Self: $222.26	Self: & Family: $611.22
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FDIC
___Biweekly	Self: $11.31	Self: & Family: $31.11
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