HMO Blue Texas - Dallas/Ft. Worth/East & West Texas

You are here: FEHB Home > 2002 Plan Comparison > Texas > Plan Profile: HMO Blue Texas

General Information

Plan Name:	HMO Blue Texas
Service Area:	Dallas/Ft. Worth/East & West Texas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	YX1
Enrollment Code-Self & Family:	YX2
Link to Plan Home Page:	http://www.hmobluetexas.com
Telephone:	800/486-3040
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	$100
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$10
RX/ Brand/ NonFormulary:	$25

Rates

Non-Postal
___Monthly	Self: $77.18	Self: & Family: $217.36
___Biweekly	Self: $35.62	Self: & Family: $100.32
___Twice Biweekly	Self: $71.24	Self: & Family: $200.64
_
Annuitants
___Monthly	Self: $77.18	Self: & Family: $217.36
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $17.96	Self: & Family: $59.98
___Monthly	Self: $38.92	Self: & Family: $129.96
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $52.54	Self: & Family: $191.95
___Biweekly	Self: $24.25	Self: & Family: $88.59
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $71.24	Self: & Family: $200.64
_
Certain Temporary Employees
___Biweekly	Self: $133.48	Self: & Family: $323.73
___Monthly	Self: $289.21	Self: & Family: $701.42
_
Former Spouse Enrollees
___Monthly	Self: $289.21	Self: & Family: $701.42
___Biweekly	Self: $133.48	Self: & Family: $323.73
_
Temporary Continuation of Coverage
___Monthly	Self: $294.99	Self: & Family: $715.45
___Biweekly	Self: $136.15	Self: & Family: $330.20
_
FDIC
___Biweekly	Self: $17.96	Self: & Family: $59.98
_
Department of Defense Demo Project
___Monthly	Self: $142.46	Self: & Family: $224.96
_
Department of Defense Demo Project Temporary Continuation of Coverage
___Monthly	Self: $361.58	Self: & Family: $723.20
_