Amcare Health Plans - Houston/El Paso areas

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General Information

Plan Name:	Amcare Health Plans
Service Area:	Houston/El Paso areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	2V1
Enrollment Code-Self & Family:	2V2
Link to Plan Home Page:	http://www.amcarehealthplans.com
Telephone:	800/782-8373

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$15
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Biweekly	Self: $25.72	Self: & Family: $67.36
___Twice Biweekly	Self: $51.44	Self: & Family: $134.72
___Monthly	Self: $55.73	Self: & Family: $145.96
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Annuitants
___Monthly	Self: $55.73	Self: & Family: $145.96
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $25.08	Self: & Family: $65.68
___Biweekly	Self: $11.58	Self: & Family: $30.31
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $11.58	Self: & Family: $34.32
___Monthly	Self: $25.08	Self: & Family: $74.36
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Worker's Compensation Recipients
___Twice Biweekly	Self: $51.44	Self: & Family: $134.72
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Certain Temporary Employees
___Biweekly	Self: $102.89	Self: & Family: $269.46
___Monthly	Self: $222.93	Self: & Family: $583.83
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Former Spouse Enrollees
___Monthly	Self: $222.93	Self: & Family: $583.83
___Biweekly	Self: $102.89	Self: & Family: $269.46
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Temporary Continuation of Coverage
___Monthly	Self: $227.39	Self: & Family: $595.51
___Biweekly	Self: $104.95	Self: & Family: $274.85
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FDIC
___Biweekly	Self: $11.58	Self: & Family: $30.31
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