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 for self-only by 9.7% and self and family by 6.8%.

• Prescription drugs will now be covered with the following copayments:
  
  Retail
  
  • $10 copayment for up to a 30 day supply of a generic drug;
  • $20 copayment for up to a 30 day supply of a brand name drug which is on the SummaCare list of preferred medications;
  • $40 copayment for up to a 30 day supply of a brand name drug which is not on the SummaCare list of preferred medications.
  
  Mail Order
  
  • $20 copayment for up to a 90 day supply of a generic drug;
  • $40 copayment for up to a 90 day supply of a brand name drug which is on the SummaCare list of preferred medications;
  • $80 copayment for up to 90 day supply of a brand name drug which is not on the SummaCare list of preferred medications.