HealthKeepers - Eastern,Central,F'burg,Western,SW areas

You are here: FEHB Home > 2002 Plan Comparison > Virginia > Plan Profile: HealthKeepers

General Information

Plan Name:	HealthKeepers
Service Area:	Eastern,Central,F'burg,Western,SW areas
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	X81
Enrollment Code-Self & Family:	X82
Link to Plan Home Page:	http://www.trigon.com/federal
Telephone:	800/421-1880
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
___Biweekly	Self: $28.28	Self: & Family: $71.81
___Monthly	Self: $61.27	Self: & Family: $155.60
___Twice Biweekly	Self: $56.56	Self: & Family: $143.62
_
Annuitants
___Monthly	Self: $61.27	Self: & Family: $155.60
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $12.73	Self: & Family: $32.32
___Monthly	Self: $27.57	Self: & Family: $70.02
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $12.73	Self: & Family: $52.12
___Monthly	Self: $27.57	Self: & Family: $112.93
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $56.56	Self: & Family: $143.62
_
Certain Temporary Employees
___Biweekly	Self: $113.12	Self: & Family: $287.26
___Monthly	Self: $245.09	Self: & Family: $622.40
_
Former Spouse Enrollees
___Biweekly	Self: $113.12	Self: & Family: $287.26
___Monthly	Self: $245.09	Self: & Family: $622.40
_
Temporary Continuation of Coverage
___Monthly	Self: $249.99	Self: & Family: $634.85
___Biweekly	Self: $115.38	Self: & Family: $293.01
_
FDIC
___Biweekly	Self: $12.73	Self: & Family: $32.32
_