Group Health Coop - South Central Wisconsin

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General Information

Plan Name:	Group Health Coop
Service Area:	South Central Wisconsin
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	WJ1
Enrollment Code-Self & Family:	WJ2
Link to Plan Home Page:	http://www.ghc-hmo.com
Telephone:	608/251-3356
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:	$6
RX/ Brand/ Retail:	$12
RX/ Brand/ NonFormulary:	$12

Rates

Non-Postal
___Biweekly	Self: $29.04	Self: & Family: $88.38
___Monthly	Self: $62.92	Self: & Family: $191.49
___Twice Biweekly	Self: $58.08	Self: & Family: $176.76
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Annuitants
___Monthly	Self: $62.92	Self: & Family: $191.49
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $13.07	Self: & Family: $48.04
___Monthly	Self: $28.32	Self: & Family: $104.09
_
U.S. Postal Service Employees (Type B)
___Monthly	Self: $28.32	Self: & Family: $166.08
___Biweekly	Self: $13.07	Self: & Family: $76.65
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Worker's Compensation Recipients
___Twice Biweekly	Self: $58.08	Self: & Family: $176.76
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Certain Temporary Employees
___Biweekly	Self: $116.17	Self: & Family: $311.79
___Monthly	Self: $251.70	Self: & Family: $675.55
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Former Spouse Enrollees
___Monthly	Self: $251.70	Self: & Family: $675.55
___Biweekly	Self: $116.17	Self: & Family: $311.79
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Temporary Continuation of Coverage
___Biweekly	Self: $118.49	Self: & Family: $318.03
___Monthly	Self: $256.73	Self: & Family: $689.06
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FDIC
___Biweekly	Self: $13.07	Self: & Family: $48.04
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