Unity Health Plans - Southern/Central Wisconsin

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General Information

Plan Name:	Unity Health Plans
Service Area:	Southern/Central Wisconsin
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	W41
Enrollment Code-Self & Family:	W42
Link to Plan Home Page:	http://www.unityhealth.com
Telephone:	800/362-3310
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:	$24

Rates

Non-Postal
___Twice Biweekly	Self: $78.94	Self: & Family: $281.06
___Biweekly	Self: $39.47	Self: & Family: $140.53
___Monthly	Self: $85.52	Self: & Family: $304.48
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Annuitants
___Monthly	Self: $85.52	Self: & Family: $304.48
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $47.26	Self: & Family: $217.08
___Biweekly	Self: $21.81	Self: & Family: $100.19
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $28.10	Self: & Family: $128.80
___Monthly	Self: $60.88	Self: & Family: $279.07
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Worker's Compensation Recipients
___Twice Biweekly	Self: $78.94	Self: & Family: $281.06
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Certain Temporary Employees
___Biweekly	Self: $137.33	Self: & Family: $363.94
___Monthly	Self: $297.55	Self: & Family: $788.54
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Former Spouse Enrollees
___Monthly	Self: $297.55	Self: & Family: $788.54
___Biweekly	Self: $137.33	Self: & Family: $363.94
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Temporary Continuation of Coverage
___Monthly	Self: $303.50	Self: & Family: $804.31
___Biweekly	Self: $140.08	Self: & Family: $371.22
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FDIC
___Biweekly	Self: $21.81	Self: & Family: $100.19
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