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 22.8% for Self Only or 53.8% for Self and Family.

• The inpatient hospital admission copayment is now $100 per admission. Previously, you paid nothing.

• The outpatient hospital or ambulatory surgical center copayment is now $50 per facility use. Previously, you paid nothing.

• Retail prescription drug copayments are now $5 per generic, $15 per brand-name formulary and $30 per non-formulary drug. Previously, you paid $5 per generic, $10 per brand-name formulary and $25 per non-formulary.

• Mail Order prescription drug copayments are now $10 per generic, $30 per brand-name formulary and $60 per nonformulary drug. Previously, you paid $10 per generic, $20 per brand-name formulary and $50 per non-formulary.

• We dropped our stand-alone acupuncture benefit. Acupuncture is now included in the chiropractic benefit and will no longer require a primary care doctor’s referral.

• Allergy testing coinsurance is now 50% of covered charges instead of a $10 copayment per visit.

• Allergy injection copayment is now $5 per visit instead of $3 per visit.

• Physical, Speech and Occupational therapy copayment is now $15 per visit instead of $10 per visit.