Keystone Health Plan Central - Harrisburg/Northern Region/Lehigh Valley

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General Information

Plan Name:	Keystone Health Plan Central
Service Area:	Harrisburg/Northern Region/Lehigh Valley
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	S41
Enrollment Code-Self & Family:	S42
Link to Plan Home Page:	http://www.khpc.com
Telephone:	800/622-2843
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:	$10
RX/ Brand/ Retail:	$10
RX/ Brand/ NonFormulary:	$10

Rates

Non-Postal
___Biweekly	Self: $47.33	Self: & Family: $127.89
___Twice Biweekly	Self: $94.66	Self: & Family: $255.78
___Monthly	Self: $102.55	Self: & Family: $277.09
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Annuitants
___Monthly	Self: $102.55	Self: & Family: $277.09
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $64.29	Self: & Family: $189.69
___Biweekly	Self: $29.67	Self: & Family: $87.55
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $35.96	Self: & Family: $116.16
___Monthly	Self: $77.91	Self: & Family: $251.68
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Worker's Compensation Recipients
___Twice Biweekly	Self: $94.66	Self: & Family: $255.78
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Certain Temporary Employees
___Biweekly	Self: $145.19	Self: & Family: $351.30
___Monthly	Self: $314.58	Self: & Family: $761.15
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Former Spouse Enrollees
___Monthly	Self: $314.58	Self: & Family: $761.15
___Biweekly	Self: $145.19	Self: & Family: $351.30
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Temporary Continuation of Coverage
___Monthly	Self: $320.87	Self: & Family: $776.37
___Biweekly	Self: $148.09	Self: & Family: $358.33
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FDIC
___Biweekly	Self: $29.67	Self: & Family: $87.55
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