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 25.7% for Self Only or decrease by 13.7% for Self and Family.
- Your office visit copay has been changed from $10 to $15
- You will be responsible for a $100 copayment for each inpatient hospital admission
- You will be responsible for a $50 copayment for inpatient or outpatient surgical care performed by a physician.
- Your prescription drug copays for a 30 day supply will be:
- $10 copay per generic prescription or refill
- $25 copay per preferred brand name prescription or refill
- $40 copay per non-preferred brand name prescription or refill