Aetna U. S. Healthcare, Inc.

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General Information

Plan Name:	Aetna U. S. Healthcare, Inc.
Service Area:	Memphis area
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	UB1
Enrollment Code-Self & Family:	UB2
Link to Plan Home Page:	http://www.aetnaushc.com/pruhealthcare
Telephone:	800/537-9384
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$20
Hospital Inpatient Room and Board Charges:	$200-$600
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Biweekly	Self: $25.89	Self: & Family: $92.13
___Twice Biweekly	Self: $51.78	Self: & Family: $184.26
___Monthly	Self: $56.09	Self: & Family: $199.61
_
Annuitants
___Monthly	Self: $56.09	Self: & Family: $199.61
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $11.65	Self: & Family: $51.79
___Monthly	Self: $25.24	Self: & Family: $112.21
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $11.65	Self: & Family: $80.40
___Monthly	Self: $25.24	Self: & Family: $174.20
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $51.78	Self: & Family: $184.26
_
Certain Temporary Employees
___Biweekly	Self: $103.56	Self: & Family: $315.54
___Monthly	Self: $224.38	Self: & Family: $683.67
_
Former Spouse Enrollees
___Monthly	Self: $224.38	Self: & Family: $683.67
___Biweekly	Self: $103.56	Self: & Family: $315.54
_
Temporary Continuation of Coverage
___Monthly	Self: $228.87	Self: & Family: $697.34
___Biweekly	Self: $105.63	Self: & Family: $321.85
_
FDIC
___Biweekly	Self: $11.65	Self: & Family: $51.79
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