HMO and POS Plans (DOD Demo. Proj.)

October 18, 1999

Texas
Plan	Option	Code	1999 Total Monthly DoD/FEHB Premium	Gov't Pays	Enrollee Pays
Aetna U.S. Healthcare
	High Self	TS1	335.57	170.80	164.77
	High Family	TS2	671.13	381.27	289.86
APWU Health Plan
	High Self	471	300.45	170.80	129.65
	High Family	472	659.34	381.27	278.07
Humana Health Plan of Texas
	High Self	TW1	230.51	170.80	59.71
	High Family	TW2	561.34	381.27	180.07
NYLCare Health Plans SW
	High Self	V21	173.03	129.77	43.26
	High Family	V22	346.08	259.56	86.52
PacifiCare of Texas
	High Self	GF1	251.88	170.80	81.08
	High Family	GF2	654.85	381.27	273.58
Texas Health Choice, L. C.
	High Self	UK1	273.07	170.80	102.27
	High Family	UK2	546.13	381.27	164.86

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