If you disagree with the plan’s decision on your claim, the Federal Employees Health Benefits (FEHB) Program provides for an appeal process. Check your plans FEHB brochure to see if the service is covered, limited, or excluded.
Review and follow the directions in the disputed claims section (Section 8) of the brochure. This section will tell you how to ask the plan to reconsider your claim. You must explain why (in terms of the applicable brochure coverage provisions) you feel the services should be covered.
If the plan again denies the claim, read the plan's decision letter carefully. Then, check your plan's brochure again. If you still disagree with the plan's decision, the disputed claims section of the brochure will tell you how to write to the U.S. Office of Personnel Management to ask us to review the claim.
Monday November 14, 2016 - Monday December 12, 2016.
Each year, Open Season runs from the Monday of the second full workweek in November through the Monday of the second full workweek in December.
The Self Plus One enrollment type will cover the enrollee and one eligible family member.
An eligible individual may choose one of the following enrollment options:
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