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You are here: FEHB Home > 2002 Plan Comparison > Pennsylvania > Plan Profile: Aetna U. S. Healthcare, Inc.

General Information
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Plan Name: Aetna U. S. Healthcare, Inc.
Service Area: Southeastern PA
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: P31
Enrollment Code-Self & Family: P32
Link to Plan Home Page: http://www.aetnaushc.com/feds
Telephone: 800/537-9384
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Benefits
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Doctor Care/ Primary Office Visits: $15
Hospital Inpatient Room and Board Charges: $100-$300
RX/ Generic/ Retail: $10
RX/ Brand/ Retail: $20
RX/ Brand/ NonFormulary: 50%
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Rates
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Non-Postal
___Biweekly Self: $46.02 Self: & Family: $150.68
___Monthly Self: $99.71 Self: & Family: $326.47
___Twice Biweekly Self: $92.04 Self: & Family: $301.36
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Annuitants
___Monthly Self: $99.71 Self: & Family: $326.47
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $28.36 Self: & Family: $110.34
___Monthly Self: $61.45 Self: & Family: $239.07
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U.S. Postal Service Employees (Type B)
___Monthly Self: $75.07 Self: & Family: $301.06
___Biweekly Self: $34.65 Self: & Family: $138.95
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Worker's Compensation Recipients
___Twice Biweekly Self: $92.04 Self: & Family: $301.36
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Certain Temporary Employees
___Biweekly Self: $143.88 Self: & Family: $374.09
___Monthly Self: $311.74 Self: & Family: $810.53
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Former Spouse Enrollees
___Monthly Self: $311.74 Self: & Family: $810.53
___Biweekly Self: $143.88 Self: & Family: $374.09
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Temporary Continuation of Coverage
___Biweekly Self: $146.76 Self: & Family: $381.57
___Monthly Self: $317.97 Self: & Family: $826.74
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FDIC
___Biweekly Self: $28.36 Self: & Family: $110.34
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