Amcare Health Plans - Oklahoma City/Tulsa areas

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General Information

Plan Name:	Amcare Health Plans
Service Area:	Oklahoma City/Tulsa areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	ZX1
Enrollment Code-Self & Family:	ZX2
Link to Plan Home Page:	http://www.amcarehealthplans.com/
Telephone:	800/772-2993

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Biweekly	Self: $25.79	Self: & Family: $67.54
___Twice Biweekly	Self: $51.58	Self: & Family: $135.08
___Monthly	Self: $55.88	Self: & Family: $146.33
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Annuitants
___Monthly	Self: $55.88	Self: & Family: $146.33
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $25.14	Self: & Family: $65.85
___Biweekly	Self: $11.61	Self: & Family: $30.39
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $25.14	Self: & Family: $75.86
___Biweekly	Self: $11.61	Self: & Family: $35.01
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Worker's Compensation Recipients
___Twice Biweekly	Self: $51.58	Self: & Family: $135.08
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Certain Temporary Employees
___Biweekly	Self: $103.16	Self: & Family: $270.15
___Monthly	Self: $223.51	Self: & Family: $585.33
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Former Spouse Enrollees
___Biweekly	Self: $103.16	Self: & Family: $270.15
___Monthly	Self: $223.51	Self: & Family: $585.33
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Temporary Continuation of Coverage
___Monthly	Self: $227.98	Self: & Family: $597.04
___Biweekly	Self: $105.22	Self: & Family: $275.55
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FDIC
___Biweekly	Self: $11.61	Self: & Family: $30.39
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