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2004 Premiums  |    FAQ  |   Glossary
You are here: OPM Home > Insurance > FEHB > Choose a Plan and Enroll > Additional Plan Information > Blue Care Network Changes

Blue Care Network Changes for 2004


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:

  • 19.8 percent for Self Only or 38.5 percent for Self and Family for East Michigan (code K5).

  • 19.8 percent for Self Only or 21.8 percent for Self and Family for West Michigan (code KF).

  • 33.2 percent for Self Only or 33.0 percent for Self and Family for East Michigan (code KN).

  • 94.7 percent for Self Only or 62.7 percent for Self and Family for West Michigan (code KR).

  • 28.9 percent for Self Only or 27.6 percent for Self and Family for Mid-Michigan (code LN).

  • 16.4 percent for Self Only or 16.5 percent for Self and Family for Southeast Michigan (code LX).
Benefit changes:

  • The office visit copayment decreased from $15 to $10 per office visit.

  • The inpatient hospital copayment of $250 per admission was eliminated

  • The prescription drug copay decreased from "the lesser of $10/$20 (Generic/Brand Name) or 50 percent coinsurance" to "the lesser of $5/$20 (Generic/Brand Name) or 50 percent coinsurance."

  • The payment for drugs to treat sexual dysfunction changes from "$10 copay up to the dose limit" to "50 percent coinsurance up to the dose limit."

  • The vision benefit decreases from one pair of frames to one pair of frames every 24 months.
 
Page created October 9, 2003