HMO Blue Texas - Austin/C.Christi/S.Antonio/Victoria/Houston

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General Information

Plan Name:	HMO Blue Texas
Service Area:	Austin/C.Christi/S.Antonio/Victoria/Houston
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	YM1
Enrollment Code-Self & Family:	YM2
Link to Plan Home Page:	http://www.hmobluetexas.com
Telephone:	800/833-5318
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10.00
Hospital Inpatient Room and Board Charges:	$100.00
RX/ Generic/ Retail:	$5.00
RX/ Brand/ Retail:	$10.00
RX/ Brand/ NonFormulary:	$25.00

Rates

Non-Postal
___Monthly	Self: $64.78	Self: & Family: $158.57
___Twice Biweekly	Self: $59.80	Self: & Family: $146.36
___Biweekly	Self: $29.90	Self: & Family: $73.18
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Annuitants
___Monthly	Self: $64.78	Self: & Family: $158.57
_
U.S. Postal Service Employees (Type A)
___Monthly	Self: $29.15	Self: & Family: $71.36
___Biweekly	Self: $13.45	Self: & Family: $32.93
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $29.15	Self: & Family: $124.80
___Biweekly	Self: $13.45	Self: & Family: $57.60
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Worker's Compensation Recipients
___Twice Biweekly	Self: $59.80	Self: & Family: $146.36
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Certain Temporary Employees
___Biweekly	Self: $119.59	Self: & Family: $292.74
___Monthly	Self: $259.11	Self: & Family: $634.27
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Former Spouse Enrollees
___Biweekly	Self: $119.59	Self: & Family: $292.74
___Monthly	Self: $259.11	Self: & Family: $634.27
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Temporary Continuation of Coverage
___Biweekly	Self: $121.98	Self: & Family: $298.59
___Monthly	Self: $264.29	Self: & Family: $646.96
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FDIC
___Biweekly	Self: $13.45	Self: & Family: $32.93
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