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Premiums

 

Premiums

Full Sets of Rate Charts

Eligible tribal employees who enroll in the FEHB Program will be covered as long as the tribes or tribal organizations carrying out programs under the Indian Self-Determination and Education Assistance Act (ISDEAA) or the Tribally Controlled Schools Act of 1988 (25 U.S.C. 2501 et seq.) and urban Indian organizations carrying out programs under Title V of the Indian Health Care Improvement Act (IHCIA) are entitled to purchase FEHB coverage for their employees.

Tribal employers provide payroll deduction services for their tribal employees and ensure that the full amount of the premium is available to the paymaster when withdrawal is made from the bank account designated by the tribal employer.

Self Plus One Enrollee Premiums Greater Than Self and Family

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. The chart below identifies those plans.

Rate Charts

The 2025 monthly maximum tribal employer contribution (72% of the weighted average) is $645.84 for Self Only, $1,408.33 for Self Plus One and $1,547.50 for Self and Family.

For 2025, the monthly program-wide weighted average premiums for Self Only, Self Plus One, and Self and Family enrollments with a tribal employer contribution are $897.00, $1,956.02, and $2,149.31, respectively.

In the tables below, you can find the monthly premiums, the total premiums, and the minimum amount your tribal employer must pay for each health plan (this amount is the same amount that Federal agencies contribute for their employees). Be sure to check with your tribal employer as there are some tribal employers who may choose to pay a larger portion of your premiums (up to 100 percent).

Premiums Archive

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The content available is no longer being updated and as a result you may encounter hyperlinks which no longer function. You should also bear in mind that this content may contain text and references which are no longer applicable as a result of changes in law, regulation and/or administration.

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  • HMO (Regional Plans with Specific Service Areas) - HTML | PDF
  • FFS (Fee-for-Service/Nationwide Plans) - HTML | PDF

2019 Premiums

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