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 62.1% for Self Only or 38.4% for Self and Family.

• We have eliminated the two-tier chiropractic benefit. Your copayment for each covered visit with a chiropractor is $10.

• You have a $100 copayment for each inpatient admission to a hospital or other facility.

• Your copayments for covered prescriptions obtained at a Plan pharmacy have increased. You will pay $20 for up to a 30-day supply of a Tier-2 medication, and $40 for up to a 30-day supply of a Tier-3 medication

• When you refill your prescription through our mail-order program you will pay $10 for up to a 90-day supply of a Tier-1 medication, $40 for up to a 90-day supply of a Tier-2 medication, and $120 for up to a 90-day supply of a Tier-3 medication.

• Your copayments for minor restorative dental care (such as metal or composite fillings) have increased. Copayments vary from $16 to $49. See Section 5 (h) Dental benefits.

• The Plan covers injectable contraceptive drugs, such as Depo Provera, under the prescription drug benefit. We also cover certain other contraceptives, such as the contraceptive patch, under the prescription drug benefit.

• If you decide that you may be discharged sooner than 48 hours following a vaginal delivery or 96 hours following a Caesarean section delivery, you are entitled to one home visit by a registered nurse, physician or certified nurse midwife.

• Students attending school outside the service area have coverage for as many visits as are medically necessary to treat the abuse of or addiction to alcohol or drugs. See Section 5(g) Special features.

• Students attending school outside the service area have coverage for up to 60 consecutive days or 20 nonconsecutive visits for short-term physical or occupational therapy (whichever is greater) per illness or injury in each calendar year (combined with any in-area visits). See Section 5(g) Special features.