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.

• We are offering a new Standard Option Plan, AU4 and AU5 (High Option is now AU1 and AU2).

• Your share of the non-Postal premium for High Option will increase by 59.6% for Self Only or 61% for Self and Family.

• Your specialist office visit copayment increases from $20 copay to $30 copay per visit. (Section 5(a))

• Your inpatient hospital copayment increases from $100 copay per admission to $100 copay per day up to $500 per admission. (Section 5 (c)).

• Your ambulance services copayment is $50. The copayment is waived if you are admitted. (Section 5 (c)).

• Your prescription drugs copayment increase from:
  

  $10 to $15 for Generic Drugs
  $20 to $30 for formulary Band Name Drugs
  $35 to $50 for non-formulary Brand Name Drugs
  (See Section 5(f)).
  

• Your copayment for diabetic supplies increased from $10 to $15 (See Section 5(f)).

• Your home health service copayment is $20 per visit. (Section 5(a)).

• Your Out of Pocket Maximum will increase from $1,500 to $4,000 for Self Only and from $3,000 to $4,000 for Self and Family. (Section 4).

• Your maternity care benefit includes 2 routine sonograms per pregnancy to determine fetal age, size or sex. (Section 5(a)).