Aetna U. S. Healthcare, Inc. - Western/Southeast Washington

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General Information

Plan Name:	Aetna U. S. Healthcare, Inc.
Service Area:	Western/Southeast Washington
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	8J1
Enrollment Code-Self & Family:	8J2
Link to Plan Home Page:	http://www.aetnaushc.com/feds
Telephone:	800/537-9384
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$15
Hospital Inpatient Room and Board Charges:	$100-$300
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	50%

Rates

Non-Postal
___Monthly	Self: $59.98	Self: & Family: $155.95
___Biweekly	Self: $27.68	Self: & Family: $71.98
___Twice Biweekly	Self: $55.36	Self: & Family: $143.96
_
Annuitants
___Monthly	Self: $59.98	Self: & Family: $155.95
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $12.46	Self: & Family: $32.39
___Monthly	Self: $26.99	Self: & Family: $70.18
_
U.S. Postal Service Employees (Type B)
___Biweekly	Self: $12.46	Self: & Family: $52.77
___Monthly	Self: $26.99	Self: & Family: $114.34
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $55.36	Self: & Family: $143.96
_
Certain Temporary Employees
___Biweekly	Self: $110.73	Self: & Family: $287.91
___Monthly	Self: $239.92	Self: & Family: $623.81
_
Former Spouse Enrollees
___Monthly	Self: $239.92	Self: & Family: $623.81
___Biweekly	Self: $110.73	Self: & Family: $287.91
_
Temporary Continuation of Coverage
___Biweekly	Self: $112.94	Self: & Family: $293.67
___Monthly	Self: $244.72	Self: & Family: $636.29
_
FDIC
___Biweekly	Self: $12.46	Self: & Family: $32.39
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