Healthcare Plan Information For North Carolina

2021 Plan Information for North Carolina

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Disclaimer: In some cases, the enrollee share of premiums for the Self Plus One enrollment type will be higher than the Self and Family enrollment type. Enrollees who wish to cover one eligible family member are free to elect either the Self and Family or Self Plus One enrollment type. Check premiums on our website at www.opm.gov/fehbpremiums.

Nationwide Fee-for-Service Open to All

Plan - Plan Code	Plan Brochure	Patient Safety	2021 Changes	2021 Rates	Directory	Plan Website
Blue Cross and Blue Shield Service Benefit Plan Standard Option - 10	[1.73 MB]	[1.73 MB]	[1.73 MB]	[1.73 MB]	Go (external link)	Go (external link)
Blue Cross and Blue Shield Service Benefit Plan Basic Option - 11	[1.73 MB]	[1.73 MB]	[1.73 MB]	[1.73 MB]	Go (external link)	Go (external link)
Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - 13	[1.65 MB]	[1.65 MB]	[1.65 MB]	[1.65 MB]	Go (external link)	Go (external link)
GEHA Indemnity Benefit Plan - 25	[1.57 MB]	[1.57 MB]	[1.57 MB]	[1.57 MB]	Go (external link)	Go (external link)
GEHA Benefit Plan - 31	[1.61 MB]	[1.61 MB]	[1.61 MB]	[1.61 MB]	Go (external link)	Go (external link)
NALC Health Benefit Plan - 32	[1.82 MB]	[1.82 MB]	[1.82 MB]	[1.82 MB]	Go (external link)	Go (external link)
GEHA HDHP - 34	[1.61 MB]	[1.61 MB]	[1.61 MB]	[1.61 MB]	Go (external link)	Go (external link)
MHBP Value Plan - 41	[2.06 MB]	[2.06 MB]	[2.06 MB]	[2.06 MB]	Go (external link)	Go (external link)
SAMBA Health Benefit Plan - 44	[1.73 MB]	[1.73 MB]	[1.73 MB]	[1.73 MB]	Go (external link)	Go (external link)
MHBP Standard Option - 45	[2.06 MB]	[2.06 MB]	[2.06 MB]	[2.06 MB]	Go (external link)	Go (external link)
APWU Health Plan - 47	[1.68 MB]	[1.68 MB]	[1.68 MB]	[1.68 MB]	Go (external link)	Go (external link)
MHBP Consumer Option - 48	[2.05 MB]	[2.05 MB]	[2.05 MB]	[2.05 MB]	Go (external link)	Go (external link)
NALC Health Benefit Plan - KM	[1.82 MB]	[1.82 MB]	[1.82 MB]	[1.82 MB]	Go (external link)	Go (external link)

Nationwide Fee-for-Service Plans Open Only to Specific Groups

Plan - Plan Code	Plan Brochure	Patient Safety	2021 Changes	2021 Rates	Directory	Plan Website
Rural Carrier Benefit Plan - 38	[1.55 MB]	[1.55 MB]	[1.55 MB]	[1.55 MB]	Go (external link)	Go (external link)
Foreign Service Benefit Plan - 40	[1.69 MB]	[1.69 MB]	[1.69 MB]	[1.69 MB]	Go (external link)	Go (external link)
Compass Rose Health Plan - 42	[1.59 MB]	[1.59 MB]	[1.59 MB]	[1.59 MB]	Go (external link)	Go (external link)
Panama Canal Area Benefit Plan - 43	[1.43 MB]	[1.43 MB]	[1.43 MB]	[1.43 MB]	Go (external link)	Go (external link)

State Specific HMO, HDHP and CDHP Plans

Plan - Plan Code	Plan Brochure	Patient Safety	2021 Changes	2021 Rates	Directory	Plan Website
Aetna HealthFund HDHP - 22	[1.86 MB]	[1.86 MB]	[1.86 MB]	[1.86 MB]	Go (external link)	Go (external link)
UnitedHealthcare Insurance Company, Inc. - Choice Plus Primary - AS	[1.47 MB]	[1.47 MB]	[1.47 MB]	[1.47 MB]	Go (external link)	Go (external link)
Aetna HealthFund CDHP and Aetna Value Plan - F5	[1.81 MB]	[1.81 MB]	[1.81 MB]	[1.81 MB]	Go (external link)	Go (external link)
UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO - KK	[1.47 MB]	[1.47 MB]	[1.47 MB]	[1.47 MB]	Go (external link)	Go (external link)
UnitedHealthcare Insurance Company, Inc. Choice HDHP - LS	[1.5 MB]	[1.5 MB]	[1.5 MB]	[1.5 MB]	Go (external link)	Go (external link)
Aetna Direct - N6	[1.86 MB]	[1.86 MB]	[1.86 MB]	[1.86 MB]	Go (external link)	Go (external link)
UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan - Y5	[1.43 MB]	[1.43 MB]	[1.43 MB]	[1.43 MB]	Go (external link)	Go (external link)
UnitedHealthcare Insurance Company, Inc. Choice Primary - Y8	[1.46 MB]	[1.46 MB]	[1.46 MB]	[1.46 MB]	Go (external link)	Go (external link)
Aetna Advantage - Z2	[1.6 MB]	[1.6 MB]	[1.6 MB]	[1.6 MB]	Go (external link)	Go (external link)