FEHB 2002 Logo

Plan Profile

Accessible site Printer Friendly Copy
You are here: FEHB Home > 2002 Plan Comparison > Ohio > Plan Profile: Health Maintenance Plan(HMP)

General Information
__ __
Plan Name: Health Maintenance Plan(HMP)
Service Area: Most of Ohio
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: No
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: R51
Enrollment Code-Self & Family: R52
Link to Plan Home Page: http://www.anthem.com
Telephone: 800/228-4375
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: $8
RX/ Brand/ Retail: $15
RX/ Brand/ NonFormulary: $25
__ __

Rates
__ __
Non-Postal
___Twice Biweekly Self: $72.94 Self: & Family: $186.22
___Monthly Self: $79.02 Self: & Family: $201.73
___Biweekly Self: $36.47 Self: & Family: $93.11
_
Annuitants
___Monthly Self: $79.02 Self: & Family: $201.73
_
U.S. Postal Service Employees (Type A)
___Biweekly Self: $18.81 Self: & Family: $52.77
___Monthly Self: $40.76 Self: & Family: $114.33
_
U.S. Postal Service Employees (Type B)
___Biweekly Self: $25.10 Self: & Family: $81.38
___Monthly Self: $54.38 Self: & Family: $176.32
_
Worker's Compensation Recipients
___Twice Biweekly Self: $72.94 Self: & Family: $186.22
_
Certain Temporary Employees
___Biweekly Self: $134.33 Self: & Family: $316.52
___Monthly Self: $291.05 Self: & Family: $685.79
_
Former Spouse Enrollees
___Biweekly Self: $134.33 Self: & Family: $316.52
___Monthly Self: $291.05 Self: & Family: $685.79
_
Temporary Continuation of Coverage
___Monthly Self: $296.87 Self: & Family: $699.51
___Biweekly Self: $137.02 Self: & Family: $322.85
_
FDIC
___Biweekly Self: $18.81 Self: & Family: $52.77
_
__ __