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Plan Profile

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General Information
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Plan Name: SuperMed HMO
Service Area: Northeast Ohio
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 5M1
Enrollment Code-Self & Family: 5M2
Link to Plan Home Page: http://www.mmoh.com
Telephone: 800/522-2066
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: $10
RX/ Brand/ Retail: $20
RX/ Brand/ NonFormulary: $20
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Rates
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Non-Postal
___Monthly Self: $101.99 Self: & Family: $319.17
___Biweekly Self: $47.07 Self: & Family: $147.31
___Twice Biweekly Self: $94.14 Self: & Family: $294.62
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Annuitants
___Monthly Self: $101.99 Self: & Family: $319.17
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U.S. Postal Service Employees (Type A)
___Monthly Self: $63.73 Self: & Family: $231.77
___Biweekly Self: $29.41 Self: & Family: $106.97
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U.S. Postal Service Employees (Type B)
___Monthly Self: $77.35 Self: & Family: $293.76
___Biweekly Self: $35.70 Self: & Family: $135.58
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Worker's Compensation Recipients
___Twice Biweekly Self: $94.14 Self: & Family: $294.62
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Certain Temporary Employees
___Biweekly Self: $144.93 Self: & Family: $370.72
___Monthly Self: $314.02 Self: & Family: $803.23
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Former Spouse Enrollees
___Monthly Self: $314.02 Self: & Family: $803.23
___Biweekly Self: $144.93 Self: & Family: $370.72
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Temporary Continuation of Coverage
___Biweekly Self: $147.83 Self: & Family: $378.13
___Monthly Self: $320.30 Self: & Family: $819.29
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FDIC
___Biweekly Self: $29.41 Self: & Family: $106.97
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