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 22.5% for Self Only or 22.5% for Self and Family.

• We have added routine Glucose screening and Osteoporosis screening to adult preventive care services (Section 5a).

• We have added routine Lipid Screening - once every five years, as an alternative to Total Blood Cholesterol once every three years (Section 5a).

• There is no copay requirement for In Network adult preventive services (Section 5a) including:
  • Colorectal Cancer Screening
  • Prostate Specific Antigen Test
  • Routine Pap Test
  • Routine Glucose Screening
  • Routine Osteoporosis Screening
  • Total Blood Cholesterol or Routine Lipid Screening
  • Routine Immunizations

• The list of services requiring prior approval has been shortened (Section 3). Only the following services require prior approval:
  • Inpatient Hospital Admissions
  • Inpatient Alcoholism and Chemical Dependency Treatment
  • Inpatient Mental Health Services
  • Organ Transplants
  • Consideration of In Network Benefits for Out of Network Care (except emergency and urgent care).

• Service area expanded for 2004 to include:
  • South Dakota: Day County
  • Minnesota: Lincoln County

• Note: Roberts County, South Dakota is not a part of the AHP service area.