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You are here: OPM Home > Insurance > FEHB > Choose a Plan and Enroll > Additional Plan Information > Mercy/Premier Health Plans Changes

Mercy Health Plans / Premier Health Plans 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 11.1% for Self Only and decrease by 9.4% for Self and Family for the (7M) Missouri Regions.

  • Your share of the non-Postal premium will decrease by 18.7% for Self Only or 14.8% for Self and Family for the (HM) Texas Regions.

  • The name of the Eastern Missouri Region's PCP Select product has changed to the Option product. Please see Section 3 for details.

  • Infertility treatment services no longer have an annual maximum $5,000 benefit. See Section 5(a) for details. Also, Infertility services require prior authorization. Please see Section 3 for details.

  • The following radiology services will require prior authorization:
    • PET scans
    • TMJ Arthrography
    • computerized axial tomography bone density study
    • radiographic absorptiometry (e.g. photodensitometry)
    • greater than two ultrasounds per pregnancy
    • ultrasound bone density measurement

This page can be found on the web at the following url: http://www.opm.gov/insure/archive/04/changes/7M.asp

 
Page created October 6, 2003