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 14.3% for Self Only and 13.7% for Self and Family.
- The specialist office visit co-payment will increase from $20 to $25.
- The inpatient hospital co-pay will change from $100 per admission to $100 per day for days 1 through 5 (maximum of $500 per
admission).
- The outpatient services co-pay will increase from $50 to $100.
- The emergency room co-pay will increase from $50 to $75.
- The inpatient mental health co-pay will change from $100 per admission to $100 per day, for days 1 through 5 (maximum of $500
per admission.
- The outpatient mental health co-pay will increase from $20 to $25.
- The prescription drug co-payments for preferred brand name drugs will increase from $20 to $25 and for non-preferred brand
name drugs from $30 to $50.
- The mail order prescription drug co-payments for preferred brand name drugs will increase from $40 to $50 and non-preferred
brand name drugs from $60 to $90.