FIRSTCARE - West Texas

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General Information

Plan Name:	FIRSTCARE
Service Area:	West Texas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	CK1
Enrollment Code-Self & Family:	CK2
Link to Plan Home Page:	http://www.firstcare.com
Telephone:	800/884-4901
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$30

Rates

Non-Postal
___Twice Biweekly	Self: $106.62	Self: & Family: $202.62
___Biweekly	Self: $53.31	Self: & Family: $101.31
___Monthly	Self: $115.51	Self: & Family: $219.50
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Annuitants
___Monthly	Self: $115.51	Self: & Family: $219.50
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U.S. Postal Service Employees (Type A)
___Biweekly	Self: $35.65	Self: & Family: $60.97
___Monthly	Self: $77.25	Self: & Family: $132.10
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $90.87	Self: & Family: $194.09
___Biweekly	Self: $41.94	Self: & Family: $89.58
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Worker's Compensation Recipients
___Twice Biweekly	Self: $106.62	Self: & Family: $202.62
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Certain Temporary Employees
___Biweekly	Self: $151.17	Self: & Family: $324.72
___Monthly	Self: $327.54	Self: & Family: $703.56
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Former Spouse Enrollees
___Monthly	Self: $327.54	Self: & Family: $703.56
___Biweekly	Self: $151.17	Self: & Family: $324.72
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Temporary Continuation of Coverage
___Biweekly	Self: $154.19	Self: & Family: $331.21
___Monthly	Self: $334.09	Self: & Family: $717.63
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FDIC
___Biweekly	Self: $35.65	Self: & Family: $60.97
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