Amcare Health Plans - Austin/San Antonio/Dallas/Fort Worth Areas

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General Information

Plan Name:	Amcare Health Plans
Service Area:	Austin/San Antonio/Dallas/Fort Worth Areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	ZG1
Enrollment Code-Self & Family:	ZG2
Link to Plan Home Page:	http://www.amcarehealthplans.com/
Telephone:	800/782-8373

Benefits

Doctor Care/ Primary Office Visits:	$10.00
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5.00
RX/ Brand/ Retail:	$15.00
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Biweekly	Self: $25.44	Self: & Family: $66.63
___Twice Biweekly	Self: $50.88	Self: & Family: $133.26
___Monthly	Self: $55.12	Self: & Family: $144.36
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Annuitants
___Monthly	Self: $55.12	Self: & Family: $144.36
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $11.45	Self: & Family: $29.98
___Monthly	Self: $24.80	Self: & Family: $64.96
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $24.80	Self: & Family: $67.99
___Biweekly	Self: $11.45	Self: & Family: $31.38
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Worker's Compensation Recipients
___Twice Biweekly	Self: $50.88	Self: & Family: $133.26
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Certain Temporary Employees
___Biweekly	Self: $101.76	Self: & Family: $266.52
___Monthly	Self: $220.48	Self: & Family: $577.46
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Former Spouse Enrollees
___Monthly	Self: $220.48	Self: & Family: $577.46
___Biweekly	Self: $101.76	Self: & Family: $266.52
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Temporary Continuation of Coverage
___Monthly	Self: $224.89	Self: & Family: $589.01
___Biweekly	Self: $103.80	Self: & Family: $271.85
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FDIC
___Biweekly	Self: $11.45	Self: & Family: $29.98
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