Keystone Health Plan East - Philadelphia area

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General Information

Plan Name:	Keystone Health Plan East
Service Area:	Philadelphia area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	ED1
Enrollment Code-Self & Family:	ED2
Link to Plan Home Page:	http://www.ibx.com/fep
Telephone:	800/227-3115
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:	$5
RX/ Brand/ Retail:	$5
RX/ Brand/ NonFormulary:	$5

Rates

Non-Postal
___Twice Biweekly	Self: $64.30	Self: & Family: $230.98
___Biweekly	Self: $32.15	Self: & Family: $115.49
___Monthly	Self: $69.66	Self: & Family: $250.22
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Annuitants
___Monthly	Self: $69.66	Self: & Family: $250.22
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $31.35	Self: & Family: $162.82
___Biweekly	Self: $14.47	Self: & Family: $75.15
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $41.96	Self: & Family: $224.81
___Biweekly	Self: $19.37	Self: & Family: $103.76
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Worker's Compensation Recipients
___Twice Biweekly	Self: $64.30	Self: & Family: $230.98
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Certain Temporary Employees
___Biweekly	Self: $128.60	Self: & Family: $338.90
___Monthly	Self: $278.63	Self: & Family: $734.28
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Former Spouse Enrollees
___Biweekly	Self: $128.60	Self: & Family: $338.90
___Monthly	Self: $278.63	Self: & Family: $734.28
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Temporary Continuation of Coverage
___Monthly	Self: $284.20	Self: & Family: $748.97
___Biweekly	Self: $131.17	Self: & Family: $345.68
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FDIC
___Biweekly	Self: $14.47	Self: & Family: $75.15
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