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 23.6% for Self Only or 23.6% for Self and Family. See Back Cover.

• We changed the specialist office visit copay from $15 to $20. See page 14

• We changed the maternity office visit copay from $15 per visit to $20 for the initial visit only. See Page 16

• We changed the well-child care visit copay from $10 to no copay. See Page 15

• We changed the hospital inpatient admission copay from $100 per admission to $100 per day for the first 3 days per admission. See Page 25

• We changed the retail prescription drug copays from $7 generic, $14 brand and $34 non-formulary to $10 generic, $20 brand and $40 non-formulary. See Page 32

• We changed the mail-order prescription drug copays from $14 generic and $28 brand (no coverage for non-formulary) to $15 generic, $30 brand and $60 non-formulary. See Page 32

• We changed the 50% coinsurance for infertility services to the $20 specialist copay. See Page 16

• We removed the 12 visit limitation on chiropractic care. See Page 21

• We changed the limitation on the smoking cessation benefit from one program per member per lifetime to one program per member per calendar year. See Page 21

• We changed the 60-visit limit on physical, occupational and speech therapies from per condition to per calendar year for each therapy. See Page 18

• We added a 210-day lifetime maximum to the hospice care benefit. See Page 26