WINhealth Partners

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General Information

Plan Name:	WINhealth Partners
Service Area:	Wyoming
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	No
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	PV1
Enrollment Code-Self & Family:	PV2
Link to Plan Home Page:	http://www.WINhealthPartners.org
Telephone:	307/638-7700

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$10
RX/ Brand/ Retail:	15
RX/ Brand/ NonFormulary:	$40

Rates

Non-Postal
___Twice Biweekly	Self: $57.58	Self: & Family: $176.90
___Biweekly	Self: $28.79	Self: & Family: $88.45
___Monthly	Self: $62.39	Self: & Family: $191.64
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Annuitants
___Monthly	Self: $62.39	Self: & Family: $191.64
_
U.S. Postal Service Employees (Type A)
___Biweekly	Self: $12.96	Self: & Family: $48.11
___Monthly	Self: $28.08	Self: & Family: $104.24
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U.S. Postal Service Employees (Type B)
___Biweekly	Self: $12.96	Self: & Family: $76.72
___Monthly	Self: $28.08	Self: & Family: $166.23
_
Worker's Compensation Recipients
___Twice Biweekly	Self: $57.58	Self: & Family: $176.90
_
Certain Temporary Employees
___Biweekly	Self: $115.18	Self: & Family: $311.86
___Monthly	Self: $249.56	Self: & Family: $675.70
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Former Spouse Enrollees
___Biweekly	Self: $115.18	Self: & Family: $311.86
___Monthly	Self: $249.56	Self: & Family: $675.70
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Temporary Continuation of Coverage
___Monthly	Self: $254.55	Self: & Family: $689.21
___Biweekly	Self: $117.48	Self: & Family: $318.10
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FDIC
___Biweekly	Self: $12.96	Self: & Family: $48.11
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