Benefits
Benefit Plan
The ACHIA Federal Pool (ACHIA-FED) offers a $1,500 deductible PPO benefit plan. The plan pays 80 % of the allowed charges once you have satisfied the annual deductible, as long as you receive treatment either from a preferred hospital or from a hospital that is not preferred when you do not have reasonable access to a preferred hospital. If you have reasonable access to a preferred hospital and choose to receive treatment from a hospital that is not preferred, ACHIA-FED will pay only 60 % of the usual and customary charges. Once your deductible and out of pocket maximum have been satisfied, ACHIA-FED will pay your claims at 100 %. The plan includes comprehensive coverage for preventive care, primary and specialty care, hospital care, and prescription drugs.
Click below to download or view the ACHIA-FED Brochure:
Click below to download or view a Schedule of Benefits:
Schedule of Benefits - $1,500 Deductible Plan
Click below to download or view the plan Policy:
20112010