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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Pennsylvania > Plan Profile: HealthAmerica Pennsylvania

General Information
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Plan Name: HealthAmerica Pennsylvania
Service Area: Central Pennsylvania
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: SW1
Enrollment Code-Self & Family: SW2
Link to Plan Home Page: http://www.healthamerica.cvty.com
Telephone: 800/788-8445
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: $8
RX/ Brand/ Retail: $14
RX/ Brand/ NonFormulary: $35
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Rates
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Non-Postal
___Monthly Self: $67.24 Self: & Family: $215.30
___Biweekly Self: $31.03 Self: & Family: $99.37
___Twice Biweekly Self: $62.06 Self: & Family: $198.74
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Annuitants
___Monthly Self: $67.24 Self: & Family: $215.30
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U.S. Postal Service Employees (Type A)
___Monthly Self: $30.26 Self: & Family: $127.90
___Biweekly Self: $13.97 Self: & Family: $59.03
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $14.91 Self: & Family: $87.64
___Monthly Self: $32.30 Self: & Family: $189.89
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Worker's Compensation Recipients
___Twice Biweekly Self: $62.06 Self: & Family: $198.74
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Certain Temporary Employees
___Biweekly Self: $124.14 Self: & Family: $322.78
___Monthly Self: $268.97 Self: & Family: $699.36
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Former Spouse Enrollees
___Biweekly Self: $124.14 Self: & Family: $322.78
___Monthly Self: $268.97 Self: & Family: $699.36
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Temporary Continuation of Coverage
___Biweekly Self: $126.62 Self: & Family: $329.24
___Monthly Self: $274.35 Self: & Family: $713.35
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FDIC
___Biweekly Self: $13.97 Self: & Family: $59.03
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