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

WINhealth Partners 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 61.4% for Self Only or 113.2% for Self and Family.

  • Diagnostic testing, including X-ray, Lab, MRI,CT,PET scans, Cardiac scans and Sleep studies will now be covered with a $100 member copayment per procedure. Previously, they were covered in full. See page 14.

  • Outpatient surgery will now be covered with a $50 member copayment per procedure. Previously, it was covered in full. See page 32.

  • Emergency care as an outpatient or inpatient at a hospital, including doctors' services will now be covered with a $50 member copayment per visit. Previously, it was covered with a $35 member copayment. See page 34.

  • Injectable medications (excluding insulin, epinephrine and chemotherapy) will now be covered with a 20% member coinsurance. Previously, it was covered in full. See page 38.

  • Allergy injections will now be covered with a $10 member copayment per visit for allergy injection. Previously, it was covered in full. See page 18.

  • Out of Area Services will now be covered with a $20 member copayment. Previously, they were covered with a $10 member copayment. See page 7.

  • Service areas now include Niobrara and Uinta counties. See page 7.
 
Page created October 31, 2003