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Non-Postal Premium Rates for the Federal Employees Health Benefits Program
FFS (Fee-for-Service/Nationwide Plans)
Nationwide APWU Health Plan - CDHP Self
474
275.85
275.85
206.89
68.96
0.00
597.68
597.68
448.26
149.42
0.00
Nationwide APWU Health Plan - CDHP Self & Family
475
654.04
654.04
490.53
163.51
0.00
1417.09
1417.09
1062.82
354.27
0.00
Nationwide APWU Health Plan - CDHP Self Plus One
476
599.54
599.54
449.66
149.88
0.00
1299.00
1299.00
974.25
324.75
0.00
Nationwide APWU Health Plan - High Self
471
335.18
335.18
235.77
99.41
-5.59
726.22
726.22
510.84
215.38
-12.12
Nationwide APWU Health Plan - High Self & Family
472
804.42
804.42
546.47
257.95
-21.15
1742.91
1742.91
1184.02
558.89
-45.83
Nationwide APWU Health Plan - High Self Plus One
473
703.86
703.86
504.12
199.74
-11.85
1525.03
1525.03
1092.26
432.77
-25.67
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self
111
294.90
303.78
227.84
75.94
2.22
638.95
658.19
493.64
164.55
4.81
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self & Family
112
702.56
737.69
546.47
191.22
13.98
1522.21
1598.33
1184.02
414.31
30.29
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self Plus One
113
662.84
682.73
504.12
178.61
8.04
1436.15
1479.25
1092.26
386.99
17.43
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self
131
212.58
212.58
159.44
53.14
0.00
460.59
460.59
345.44
115.15
0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self & Family
132
502.70
502.70
377.03
125.67
0.00
1089.18
1089.18
816.89
272.29
0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self Plus One
133
457.02
457.02
342.77
114.25
0.00
990.21
990.21
742.66
247.55
0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self
104
342.41
352.68
235.77
116.91
4.68
741.89
764.14
510.84
253.30
10.13
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self & Family
105
793.53
833.21
546.47
286.74
18.53
1719.32
1805.29
1184.02
621.27
40.14
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self Plus One
106
748.81
771.27
504.12
267.15
10.61
1622.42
1671.09
1092.26
578.83
23.00
Nationwide Compass Rose Health Plan - High Self
421
321.36
337.43
235.77
101.66
10.48
696.28
731.10
510.84
220.26
22.70
Nationwide Compass Rose Health Plan - High Self & Family
422
771.27
809.84
546.47
263.37
17.42
1671.09
1754.65
1184.02
570.63
37.73
Nationwide Compass Rose Health Plan - High Self Plus One
423
707.00
742.35
504.12
238.23
23.50
1531.83
1608.43
1092.26
516.17
50.93
Nationwide Foreign Service Benefit Plan - High Self
401
268.18
275.95
206.96
68.99
1.95
581.06
597.89
448.42
149.47
4.21
Nationwide Foreign Service Benefit Plan - High Self & Family
402
663.46
682.70
512.03
170.67
4.81
1437.50
1479.18
1109.39
369.79
10.42
Nationwide Foreign Service Benefit Plan - High Self Plus One
403
656.86
675.91
504.12
171.79
7.20
1423.20
1464.47
1092.26
372.21
15.60
Nationwide GEHA Benefit Plan - High Self
311
336.15
341.19
235.77
105.42
-0.55
728.33
739.25
510.84
228.41
-1.20
Nationwide GEHA Benefit Plan - High Self & Family
312
838.27
850.86
546.47
304.39
-8.56
1816.25
1843.53
1184.02
659.51
-18.55
Nationwide GEHA Benefit Plan - High Self Plus One
313
739.53
750.63
504.12
246.51
-0.75
1602.32
1626.37
1092.26
534.11
-1.62
Nationwide GEHA Benefit Plan - Standard Self
314
235.13
242.18
181.64
60.54
1.76
509.45
524.72
393.54
131.18
3.82
Nationwide GEHA Benefit Plan - Standard Self & Family
315
592.46
622.08
466.56
155.52
7.41
1283.66
1347.84
1010.88
336.96
16.05
Nationwide GEHA Benefit Plan - Standard Self Plus One
316
505.54
520.71
390.53
130.18
3.80
1095.34
1128.21
846.16
282.05
8.22
Nationwide GEHA HDHP - HDHP Self
341
234.82
237.16
177.87
59.29
0.59
508.78
513.85
385.39
128.46
1.27
Nationwide GEHA HDHP - HDHP Self & Family
342
582.69
600.16
450.12
150.04
4.37
1262.50
1300.35
975.26
325.09
9.47
Nationwide GEHA HDHP - HDHP Self Plus One
343
504.86
509.91
382.43
127.48
1.27
1093.86
1104.81
828.61
276.20
2.74
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self
251
New Plan
290.69
218.02
72.67
New Plan
New Plan
629.83
472.37
157.46
New Plan
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self & Family
252
New Plan
720.91
540.68
180.23
New Plan
New Plan
1561.97
1171.48
390.49
New Plan
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self Plus One
253
New Plan
674.39
504.12
170.27
New Plan
New Plan
1461.18
1092.26
368.92
New Plan
Nationwide GEHA Indemnity Benefit Plan - Elevate Self
254
New Plan
189.29
141.97
47.32
New Plan
New Plan
410.13
307.60
102.53
New Plan
Nationwide GEHA Indemnity Benefit Plan - Elevate Self & Family
255
New Plan
530.03
397.52
132.51
New Plan
New Plan
1148.40
861.30
287.10
New Plan
Nationwide GEHA Indemnity Benefit Plan - Elevate Self Plus One
256
New Plan
435.38
326.54
108.84
New Plan
New Plan
943.32
707.49
235.83
New Plan
Nationwide MHBP Consumer Option - HDHP Self
481
259.40
264.59
198.44
66.15
1.30
562.03
573.28
429.96
143.32
2.81
Nationwide MHBP Consumer Option - HDHP Self & Family
482
602.74
614.80
461.10
153.70
3.02
1305.94
1332.07
999.05
333.02
6.54
Nationwide MHBP Consumer Option - HDHP Self Plus One
483
574.05
585.53
439.15
146.38
2.87
1243.78
1268.65
951.49
317.16
6.22
Nationwide MHBP Standard Option - Standard Self
454
266.14
263.47
197.60
65.87
-0.66
576.64
570.85
428.14
142.71
-1.45
Nationwide MHBP Standard Option - Standard Self & Family
455
618.48
612.30
459.23
153.07
-1.55
1340.04
1326.65
994.99
331.66
-3.35
Nationwide MHBP Standard Option - Standard Self Plus One
456
612.59
606.47
454.85
151.62
-1.53
1327.28
1314.02
985.52
328.50
-3.32
Nationwide MHBP Value Plan - Value Self
414
220.23
209.22
156.92
52.30
-2.76
477.17
453.31
339.98
113.33
-5.96
Nationwide MHBP Value Plan - Value Self & Family
415
532.24
505.63
379.22
126.41
-6.65
1153.19
1095.53
821.65
273.88
-14.42
Nationwide MHBP Value Plan - Value Self Plus One
416
521.82
495.73
371.80
123.93
-6.52
1130.61
1074.08
805.56
268.52
-14.13
Nationwide NALC Health Benefit Plan - CDHP Self
324
218.55
218.55
163.91
54.64
0.00
473.53
473.53
355.15
118.38
0.00
Nationwide NALC Health Benefit Plan - CDHP Self & Family
325
492.77
502.63
376.97
125.66
2.47
1067.67
1089.03
816.77
272.26
5.34
Nationwide NALC Health Benefit Plan - CDHP Self Plus One
326
477.39
482.16
361.62
120.54
1.19
1034.35
1044.68
783.51
261.17
2.58
Nationwide NALC Health Benefit Plan - High Self
321
314.81
326.61
235.77
90.84
6.21
682.09
707.66
510.84
196.82
13.45
Nationwide NALC Health Benefit Plan - High Self & Family
322
706.93
735.21
546.47
188.74
7.13
1531.68
1592.96
1184.02
408.94
15.45
Nationwide NALC Health Benefit Plan - High Self Plus One
323
692.97
722.43
504.12
218.31
17.61
1501.44
1565.27
1092.26
473.01
38.16
Nationwide NALC Health Benefit Plan - Value Self
KM1
179.37
179.37
134.53
44.84
0.00
388.64
388.64
291.48
97.16
0.00
Nationwide NALC Health Benefit Plan - Value Self & Family
KM2
404.60
412.69
309.52
103.17
2.02
876.63
894.16
670.62
223.54
4.38
Nationwide NALC Health Benefit Plan - Value Self Plus One
KM3
391.78
395.70
296.78
98.92
0.98
848.86
857.35
643.01
214.34
2.13
Nationwide Panama Canal Area Benefit Plan - High Self
431
277.60
290.09
217.57
72.52
3.12
601.47
628.53
471.40
157.13
6.76
Nationwide Panama Canal Area Benefit Plan - High Self & Family
432
579.47
605.54
454.16
151.38
6.51
1255.52
1312.00
984.00
328.00
14.12
Nationwide Panama Canal Area Benefit Plan - High Self Plus One
433
554.06
578.99
434.24
144.75
6.24
1200.46
1254.48
940.86
313.62
13.51
Nationwide Rural Carrier Benefit Plan - High Self
381
316.47
358.00
235.77
122.23
35.94
685.69
775.67
510.84
264.83
77.86
Nationwide Rural Carrier Benefit Plan - High Self & Family
382
625.08
734.00
546.47
187.53
31.26
1354.34
1590.33
1184.02
406.31
67.73
Nationwide Rural Carrier Benefit Plan - High Self Plus One
383
612.83
709.00
504.12
204.88
51.67
1327.80
1536.17
1092.26
443.91
111.96
Nationwide SAMBA Health Benefit Plan - High Self
441
421.24
416.19
235.77
180.42
-10.64
912.69
901.75
510.84
390.91
-23.06
Nationwide SAMBA Health Benefit Plan - High Self & Family
442
1010.97
998.84
546.47
452.37
-33.28
2190.44
2164.15
1184.02
980.13
-72.12
Nationwide SAMBA Health Benefit Plan - High Self Plus One
443
926.72
915.61
504.12
411.49
-22.96
2007.89
1983.82
1092.26
891.56
-49.74
Nationwide SAMBA Health Benefit Plan - Standard Self
444
317.03
314.08
235.56
78.52
-8.33
686.90
680.51
510.38
170.13
-18.05
Nationwide SAMBA Health Benefit Plan - Standard Self & Family
445
729.20
716.56
537.42
179.14
-24.74
1579.93
1552.55
1164.41
388.14
-53.60
Nationwide SAMBA Health Benefit Plan - Standard Self Plus One
446
697.49
676.00
504.12
171.88
-33.34
1511.23
1464.67
1092.26
372.41
-72.23
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service