Aetna U. S. Healthcare, Inc. - Cleveland and Toledo areas

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General Information

Plan Name:	Aetna U. S. Healthcare, Inc.
Service Area:	Cleveland and Toledo areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	7D1
Enrollment Code-Self & Family:	7D2
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: $81.71	Self: & Family: $241.86
___Twice Biweekly	Self: $75.42	Self: & Family: $223.26
___Biweekly	Self: $37.71	Self: & Family: $111.63
_
Annuitants
___Monthly	Self: $81.71	Self: & Family: $241.86
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $43.45	Self: & Family: $154.46
___Biweekly	Self: $20.05	Self: & Family: $71.29
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $26.34	Self: & Family: $99.90
___Monthly	Self: $57.07	Self: & Family: $216.45
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $75.42	Self: & Family: $223.26
_
Certain Temporary Employees
___Biweekly	Self: $135.57	Self: & Family: $335.04
___Monthly	Self: $293.74	Self: & Family: $725.92
_
Former Spouse Enrollees
___Biweekly	Self: $135.57	Self: & Family: $335.04
___Monthly	Self: $293.74	Self: & Family: $725.92
_
Temporary Continuation of Coverage
___Biweekly	Self: $138.28	Self: & Family: $341.74
___Monthly	Self: $299.61	Self: & Family: $740.44
_
FDIC
___Biweekly	Self: $20.05	Self: & Family: $71.29
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