U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

This is a general description of the plan changes. This page is not an official statement of benefits. For that, go to the Benefits descriptions in the Plan Brochure. Also, we edited and clarified language throughout the brochure; any language change not shown here is a clarification that does not change benefits.

• Your share of the non-Postal premium will increase by 6.5% for Self Only or decrease by 9.8% for Self and Family.

• We increased the copayment for primary care visits (non-preventive care visits) from $10 to $15.

• We increased the copayment for specialty care visits from $20 to $25.

• We increased the copayment for after hours visits from $25 to $50.

• We added a $100 copayment for MRI, CAT scan, PET scan and nuclear medicine outpatient special procedures.

• We decreased the copayment for preventive and maternity care visits from $10 to $5.

• We increased the copayment for inpatient hospital admissions from $100 to $250.

• We increased the copayment for outpatient surgeries from $50 to $100.

• We changed the ambulance copayment from $50 to 20% coinsurance up to $500 per trip.

• We increased the office visit copayments for Senior Advantage-FEHBP members from $5 to $10 for outpatient office visits, short term speech, occupational and physical rehabilitative therapy, outpatient mental health office visits, family planning services, infertility treatment and substance abuse treatment and from $25 to $30 for after hours/urgent care in a Plan urgent care center.