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 11.8% for Self Only or 12% for Self and Family.

• We have changed the way we calculate our payment when we coordinate benefits as the secondary payer to a primary payer (not Medicare). This change specifically applies when the primary carrier (not Medicare) applies the claim to your deductible. We will consider the claim according to your Plan benefits and pay as primary. You are responsible for the applicable copay or coinsurance. See Section 9.

• We have changed and clarified our medical and prescription drug Prior Authorization Lists. See Sections 3 and 5(f).

• We have clarified that injectable drugs, including certain intravenous (IV) and chemotherapy drugs, require prior authorization. To obtain a list of these drugs that require prior authorization, please call our Customer Service Department at 801-323-6200 or 1-800-377-4161, or visit our Web site at www.altiushealthplans.com. See Section 3, Section 5(a) Treatment therapies, and Section 5(f).

• We have clarified that the Adult Preventive Care benefit covers routine osteoporosis screenings for women age 65 and over, and for women age 60 through 64 who are at increased risk for osteoporosis. See Section 5(a).

• We have clarified that we do not cover replacement of durable medical equipment unless it is needed because the existing equipment has become inoperable through normal wear and tear and cannot be repaired, or because of a change in your condition. See Section 5(a).

• We have clarified that we cover biofeedback therapy as an alternative treatment for certain conditions that we pre-authorize. See Section 5(a).

• We have clarified that we do not cover massage therapy as an alternative treatment. See Section 5(a).

• We have clarified that the Organ/Tissue Transplants benefit covers autologous tandem transplants for treatment of testicular or other germ cell tumors. See Section 5(b).