U.S. Office of Personnel Management www.opm.gov - Recruiting, Retaining and Honoring a World-Class Workforce to Serve the American People

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 8.9% for Self Only or 8.9% for Self and Family

• Your prescription drug benefit changes (Section 5 (f)):

  
  Retail Prescription Drugs

  • You pay a $10 copay per prescription unit or refill for generic drugs.
  • You pay a $20 copay per prescription unit or refill for a 30-day supply of preferred brand name drugs, if no generic substitute is available or your physician specifically requires the brand name drug.

  Mail Order

  • You pay a $25 copay per prescription unit or refill for a 90-day supply of generic drugs
  • You pay a $55 copay per prescription unit or refill for a 90-day supply of brand name drugs, if no generic substitute is available or your physician specifically requires the brand name drug.

  If you request a brand name drug and a generic substitute is available, you pay the generic drug copay plus the difference in cost between the generic and the brand name drug.