Health Plan Upper OH Valley

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General Information

Plan Name:	Health Plan Upper OH Valley
Service Area:	Eastern Ohio
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	U41
Enrollment Code-Self & Family:	U42
Link to Plan Home Page:	http://www.healthplan.org
Telephone:	800/624-6961
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:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$35

Rates

Non-Postal
___Biweekly	Self: $29.33	Self: & Family: $99.25
___Twice Biweekly	Self: $58.66	Self: & Family: $198.50
___Monthly	Self: $63.55	Self: & Family: $215.04
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Annuitants
___Monthly	Self: $63.55	Self: & Family: $215.04
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $28.60	Self: & Family: $127.64
___Biweekly	Self: $13.20	Self: & Family: $58.91
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $28.60	Self: & Family: $189.63
___Biweekly	Self: $13.20	Self: & Family: $87.52
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Worker's Compensation Recipients
___Twice Biweekly	Self: $58.66	Self: & Family: $198.50
_
Certain Temporary Employees
___Biweekly	Self: $117.33	Self: & Family: $322.66
___Monthly	Self: $254.22	Self: & Family: $699.10
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Former Spouse Enrollees
___Monthly	Self: $254.22	Self: & Family: $699.10
___Biweekly	Self: $117.33	Self: & Family: $322.66
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Temporary Continuation of Coverage
___Monthly	Self: $259.30	Self: & Family: $713.08
___Biweekly	Self: $119.68	Self: & Family: $329.11
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FDIC
___Biweekly	Self: $13.20	Self: & Family: $58.91
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