OPM Makes Two Interactive Internet Tools Available to Retirees Shopping
for FEHB Health Plan |
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Kay Coles James, Director of the U.S. Office of Personnel Management, has
approved contracts with the Center for the Study of Services and JB Cubed to
provide educational tools that support retirees as they weigh a variety of
personal and medical factors in making their health-care choices. “Fundamentally, well-informed health-care consumers are wise enough to
select the health plan that best serves their needs and the needs of their
families,” said James. “But by the very nature of being retired, our former
colleagues no longer benefit from the informal, yet often informative, office
chatter with their colleagues about which plans offer which services and at what
cost. Therefore, it is important that we give them the tools they can use to
educate themselves about plans in the FEHB Program and to select a plan that
will get them the most bang for their health-care dollars.” The Center for the Study of Services offers the Guide
to Health Plans; JB Cubed, offers PlanSmartChoice. Retirees can access either online tool beginning The Guide to Health Plans asks retirees to submit personal and medical information into the system for evaluation and comparison against plan
offerings. A list of national plans and local Health Maintenance Organizations
(HMOs) matching the retiree’s profile is returned. Retirees can get additional detailed
information about each plan through the site. Each plan presented to the retiree through the Guide
to Health Plans is based on evaluations of summary ratings, cost
comparisons, coverages and co-pays,
special features, (routine dental care,
acupuncture, diabetic supplies, etc) plan
flexibility (special visits covered
without referral, open formulary, etc) and quality ratings. PlanSmartChoice asks retirees a
series of questions to elicit personal and medical preferences to determine plan
suitability. For example, one question asks retirees for the relative importance
between a plan with an annual deductible of $-0- versus an annual deductible of
$300; another asks for the relative importance of a plan that requires no
advanced referral to a specialist versus a plan that requires advanced referral.
Each retiree’s preferences to more than a dozen questions are compared against
available plan offerings, and PlanSmartChoice
rates available plans according to those preferences. The Federal Employees Health Benefits Program provides benefits to nearly nine million federal employees, retirees and their dependents. Approximately 2 million federal retirees are insured under the FEHB Program.
OPM oversees the federal work force and provides the American public with up-to-date employment information. OPM also supports U.S. agencies with personnel services and policy leadership including staffing tools, guidance on labor-management relations and programs to improve work force performance. |
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United States Office of Personnel Management Theodore Roosevelt Building Phone: (202) 606-2402 |
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