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 decrease by 6.0% for Self Only or 6.0% for Self and Family.

• We added a benefit for Positron Emission Tomography (PET) scans with a $750 copayment.

• We added a benefit for genetic disease testing with a 50% of EME coinsurance.

• We added an exclusion for surrogate services and supplies under the maternity care and infertility services benefits.

• We added a 50% of EME coinsurance for surgical services provided by physicians and other health care professionals for gastric restrictive surgery.

• We added a benefit for emergency air ambulance with a 50% of EME coinsurance.

• We expanded the prescription drug benefit to include compounds with a $35 copayment and prior authorization requirement.

• We added a prior authorization requirement for certain brand-name and non-formulary drugs.

• We excluded prescription drug copayments from your "catastrophic out-of-pocket maximum."

• We expanded the "Preventive care, adult" benefit to include osteoporosis screening.

• We decreased the "infertility services" benefit by limiting artificial insemination to six cycles per member per lifetime.

• We expanded the "Organ/tissue transplants" benefit by adding lung and pancreas transplants.