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 16.3% for Self Only or 22.8% for Self and Family.

• The copayment for vision testing, treatment and supplies required due to accidental injury or surgery has changed from 20% to 30%.

• The copayment for orthopedic and prosthetic devices has changed from 20% to 30%.

• The copayment for Durable Medical Equipment has changed from 20% to 30%.

• The copayment for Prescription Drugs has changed as follows:

  Retail RX:

  • Generic - from $5 to $7
  • Brand (Formulary) - from $15 to $17
  • Non-Formulary - from $35 to $34
  • Per 30-day supply or 100 units, whichever is less

  Mail Order:

  • Generic - from $10 to $14
  • Brand (Formulary) - from $30 to $34
  • Non-Formulary - from $70 to $68
  • Per 90-day supply or 300 units, whichever is less

• The copayment for products such as Recombinant DNA and Purified Biological Products has increased from 10% to 15% up to a maximum of $250 per prescription/injection.