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If your FEHB is retroactively reinstated for 6 additional months, FEHB will become the primary payer and TRICARE the secondary payer during the additional 6 month coverage period. Thus, any payments made by TRICARE during that 6-month period could be reconciled with the FEHB carrier and any benefit adjustments could cause a difference in the amounts that you owe. Factors such as covered vs. non-covered services, network vs. out-of-network providers, deductibles, copayments, coinsurance, Health Maintenance Organization (HMO) geographic considerations, and catastrophic coverage applications may alter your total out-of-pocket expenses. Some additional issues for you to consider are:
Your FEHB enrollment will continue unless you elect to have it terminate. You should also consider:
Note: If your enrollment continues and you participate in premium conversion, you may not cancel your enrollment at any time. If you think you might want to stop your FEHB at some time during your military service, you should consider waiving premium conversion at this time.
Yes, FEHB law (5 U.S.C. 8906(e)(3)) gives agencies the authority to pay your premiums if you meet certain conditions. You must:
Although the law gives your agency the authority to pay your premiums if you meet these conditions, your agency must decide to implement this authority. Ask your Human Resources Office about the policy for your agency.
FEHB law (5 U.S.C. 8905a) permits you to continue your FEHB enrollment for up to 24 months if you were called to active duty on or after September 14, 2001, and meet certain requirements. You must:
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