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Plan Profile

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General Information
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Plan Name: HealthAmerica Pennsylvania
Service Area: Greater Pittsburgh area
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 261
Enrollment Code-Self & Family: 262
Link to Plan Home Page: http://www.healthamerica.cvty.com
Telephone: 800/735-4404
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
___Biweekly Self: $28.84 Self: & Family: $76.55
___Twice Biweekly Self: $57.68 Self: & Family: $153.10
___Monthly Self: $62.50 Self: & Family: $165.85
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Annuitants
___Monthly Self: $62.50 Self: & Family: $165.85
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U.S. Postal Service Employees (Type A)
___Monthly Self: $28.12 Self: & Family: $78.45
___Biweekly Self: $12.98 Self: & Family: $36.21
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U.S. Postal Service Employees (Type B)
___Biweekly Self: $12.98 Self: & Family: $64.82
___Monthly Self: $28.12 Self: & Family: $140.44
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Worker's Compensation Recipients
___Twice Biweekly Self: $57.68 Self: & Family: $153.10
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Certain Temporary Employees
___Biweekly Self: $115.38 Self: & Family: $299.96
___Monthly Self: $249.99 Self: & Family: $649.91
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Former Spouse Enrollees
___Monthly Self: $249.99 Self: & Family: $649.91
___Biweekly Self: $115.38 Self: & Family: $299.96
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Temporary Continuation of Coverage
___Biweekly Self: $117.69 Self: & Family: $305.96
___Monthly Self: $254.99 Self: & Family: $662.91
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FDIC
___Biweekly Self: $12.98 Self: & Family: $36.21
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