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 11.6% for Self Only or 11.6% for Self and Family.
- We increased your out-of-pocket maximum for copayments from $2,000 per person or $5,000 per family to $2,000 per person or $6,000 per family.
- We increased your office visit copayment for outpatient care from $10 to $15 per visit.
- We increased your Plan after-hours care center copayment from $20 to $30 per visit.
- We decreased the charge for our smoking cessation program from $20 to no charge.
- We increased your copayment for outpatient surgery and surgical procedures from no charge to $50.
- We increased your inpatient hospital services copayment from no charge to $250 per admission.
- We increased your copayment for emergency services in our service area from $50 to $75 per visit.
- We increased your copayment for emergency services outside our service area from $50 to $75 per visit.
- We increased your copayment for ambulance service from $50 to $75 per trip.
- We increased your copayment for mental health and substance abuse group therapy visits from $5 to $7 per visit.
- We increased your copayment for extraction of teeth for radiation treatment from $10 to $50 per visit.
- We changed your copayment for implanted time-release contraceptive drugs from $180 to $10 times the number of months the drug is expected to be effective, not to exceed $200.
- We increased the copayments of Senior Advantage-FEHBP members on certain enhanced benefits.