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Originally Processed With FOIA(s): FOIA Number: S FOIA MARKER This is not a textual record. This is used as an administrative marker by the George Bush Presidential Library Staff. Record Group/Collection: George H.W. Bush Presidential Records Collection/Office of Origin: Speechwriting, White House Office of Series: Snow, Tony, Files Subseries: Subject File, 1988-1993 OA/ID Number: 13894 Folder ID Number: 13894-013 Folder Title: [Federal Employees Health Benefit Program, 6/90] Stack: Row: Section: Shelf: Position: G 18 29 2 2 IMPORTANT: This booklet contains significant new information for you if you are or will be covered by the health insurance program. Please read it carefully. FEHB 1992 Enrollment Federal Employees Health Benefits Program Information Guide and Plan Comparison Chart (1991 Open Season) For Federal Civilian Employees This booklet contains information about enrollment in the Federal Employees Health Benefits Program during the Open Season that begins on November 12 and continues through December 9, 1991. It will help you select the health care protection best suited to your needs. However, before you make a final choice, you should review carefully the official brochures for those plans that interest you. While this booklet provides a general overview of the health benefits offered by each plan, the official brochures provide the contractual description of coverage that determines how claims for payment or for service are paid or provided. ATTENTION ALL SPECIAL NOTICE ENROLLEES All fee-for-service plans in the FEHB Important information on how plans pay for or Program require precertification of each provide services is on pages 4, 5, 6 and 8. hospital admission and reduce benefits by $500 if you fail to obtain it. See page 2 for details. Published and Distributed by the United States Office of Personnel Management Retirement and Insurance Group 1900 E Street, NW. RI 70-1 Washington, DC 20415 Rev. November 1991 Table of Contents You Can Help 2 Introduction 3 How To Be a Good Health Benefits Consumer 3 About Open Season 3 Your Health Insurance Premium 4 Who Is Covered Under Your Enrollment 4 Using Your Health Plan Comparison Chart and Picking a Health Plan 4 How Fee-for-Service Plans Determine Their Claims Payments 5 General Information About Enrollment and Coverage 6 Definitions 7 Plan Comparison Chart 10 You Can Help You know that health care costs are increasing each year because those increases are reflected in your premiums. The Federal Employees Health Benefits (FEHB) Program, like the majority of employer provided health insurance programs throughout the country, asks members to make special efforts to be responsible consumers of health care services. All FEHB plans have cost containment measures in place. All fee-for-service plans include two specific provisions in their benefits packages, preadmission certification and large case management. Preadmission certification ensures that a proposed hospitalization is medically necessary and that you are admitted only for the number of hospital days required to treat your condition. Large case management gives your plan the flexibility to determine, in consultation with you and your physician, the most cost effective way to provide services. The preadmission certification provision makes you responsible for ensuring that the requirement is met. You must check, or confirm that your doctor has checked, with your plan before being admitted to the hospital. If that doesn't happen, your plan will reduce benefits by $500. Be a responsible consumer. Be aware of your plan's cost containment provisions. Avoid penalties and help keep premiums under control by following the procedures specified in your plan's brochure. This requirement does not apply if Medicare is the primary payer for the hospital confinement or if you are confined in a hospital in certain overseas locations (see the Plan's FEHB brochure). If you believe that a provider of medical services has filed a fraudulent claim, please call OPM at (703) 908-8662. An example would be when services have been billed but not rendered. 2 Introduction providers of service. Remember that in most instances you must pay any amounts charged by a provider that your plan does not pay. For instance, you are responsible for deduct- The Federal Employees Health Benefits Program offers you a ibles, coinsurance and copayments, as well as the amount a practical way to help meet the costs of health care. The provider may charge above the reasonable and customary Program provides: charge or scheduled allowance for a particular service (see "Definitions" in this booklet for an explanation of these terms). a choice of plans and options; (Sometimes provider charges are limited by law; if you are a Government contribution up to 75% toward the cost enrolled in a fee-for-service plan, see your brochure for of your premium; details.) Also, keep in mind that approximately one-third of the payments for your share of the premium through payroll claim disputes in the FEHB Program concern the amount paid deductions; by the plans. You can avoid this type of claim dispute by (1) immediate coverage from the date of enrollment without checking with the provider of service to be sure the plan was a medical examination or restrictions because of your billed correctly, e.g., that the proper procedure code(s) was age or physical condition; used, complications were correctly indicated on the billing or operative report, etc.; and (2) being mindful that the plan under certain circumstances, the opportunity for determines the reasonable and customary charges based on temporary continuation of group coverage or conver- available information. sion to nongroup coverage if your enrollment ends or a covered family member loses eligibility for coverage; Another very Important thing you can do to assure quality and care at the right price for you and your family is to observe if certain conditions are met, continued protection for the cost containment provisions your plan has estab- you and eligible family members after your retirement lished. These provisions are explained in the plan brochure and for eligible family members after your death. and two of them preadmission certification and large case management -- are highlighted in this booklet (see "You Can Help" on page 2). Be sure to note that if you fail to obtain How To Be a Good preadmission certification your benefits will be reduced by Health Benefits Consumer $500. With the introduction of utilization control features in all of the There are some things you can do to help assure that you and your family receive the right kind and quality of care at the right fee-for-service plans and the continued implementation of price. controls in the prepaid plans, we expect positive results in our cooperative effort with you to control premium increases. The first thing you can do is to choose the health benefits plan that best meets your needs. The Federal Employees About Open Season Health Benefits Program includes a variety of health benefits November 12 - December 9, 1991 plans that take very different approaches to health care coverage. You may choose one of the fee-for-service health Each year, the Office of Personnel Management reviews the benefits plans. In these plans, you are free to go to virtually any benefits and premiums of the plans in the Federal Employees doctor or hospital of your choice and the provider will either bill Health Benefits Program and negotiates adjustments in the plan directly or give you the bill to forward to the plan for benefits and premiums to be effective the following January. payment of covered services. Or you may choose one of the Also, some new plans are accepted for participation in the prepaid plans that operate through affiliated doctors and Program and some plans cease to participate. hospitals in designated locations. In these plans, most of your covered services are prepaid by your premium and are Open Season is your annual opportunity to join the Federal available only from the affiliated providers. Employees Health Benefits Program if you are not already enrolled. If you are enrolled, it is your opportunity to change In deciding which type of plan to choose, you should consider your health plan coverage to become effective the following the following: January. the coverage offered by each type of plan; If you are already enrolled and do not wish to make a change, the cost of each plan, i.e., your premium and out-of- your current enrollment will continue without any additional pocket costs for services covered only in part or not at action on your part. However, you should check the all; and Comparison Chart beginning on page 10 to be sure that the accessibility of health care services. your current plan (and option) will be participating in the Federal Employees Health Benefits Program in 1992. Before you make a final decision, be sure to review the official brochures for those plans that interest you. If you want to enroll in the Federal Employees Health Benefits Program or change your current health plan enrollment during The next thing you can do is to see that you and your Open Season, you must file a Health Benefits Registration covered family members use health care services wisely. Form (Standard Form [SF] 2809) in time for it to be received by Always include the subject of costs in any discussion with the your employing office by December 9, 1991. Your employing 3 office can give you the specific day in January 1992 on which benefits, premiums, and other factors that may influence your your enrollment or enrollment change will take effect. Your decision about which plan to select for the coming year. For certified copy of the SF 2809 may be used as proof of example, you can determine each plan's relative cost by coverage until your new plan sends you an identification card. comparing your premium and your out-of-pocket expenses as reflected by deductibles, copayments, coinsurance, and Your Health Insurance Premium catastrophic limits. You and the Government share the cost of your premium. For You should not rely on the Chart alone. Detailed informa- 1992, the maximum biweekly Government contribution is tion about plan benefits and the contractual features appear $60.50 for a self only enrollment and $130.58 for a family only in the individual plan brochures. All benefits are subject to enrollment. The maximum monthly Government contribution is the definitions, limitations and exclusions set forth there. You $131.08 for self only and $282.92 for family. The exact amount should review carefully the official brochure for each plan that of the Government contribution for your plan is shown on the interests you before you pick your health plan. plan's brochure cover. Picking your health plan. To assist you in making the best You pay the remainder of premium costs. The premium costs possible choice of health plans we expanded and clarified the on the Comparison Chart in this booklet show your share only description of plans available to you under the FEHB Program. -- the amount you must pay, that will be withheld from your We hope this information will help you this Open Season. salary. (If you are not a full-time employee, your share of the premium may be different. Your employing office can tell you There are two basic types of health benefits plans available to the specific amount.) you under the FEHB Program, prepaid plans and fee-for- service (FFS) plans. Many people decide on the type of plan they want before selecting the specific plan and option that Who Is Covered Under best suits their medical needs and their budget. Your Enrollment In prepaid plans, your covered health services are prefunded Self only enrollment -- A self only enrollment provides by your premium and the Government's contribution toward the benefits just for you the enrolled employee. cost of your health insurance. Prepaid plans, also called Comprehensive Medical Plans or Health Maintenance Self and family enrollment A self and family enrollment Organizations (CMPs or HMOs), meet your health care needs provides benefits for you, your spouse, and your unmarried through specified plan physicians, hospitals and other dependent children under 22 years old. In some cases, a providers at designated locations. Prepaid plans pay providers disabled child who is 22 years old or older is eligible for for most of your health care services through salaries or other coverage if you have adequate medical certification of a arrangements. Your premiums cover most of the cost of mental or physical handicap that existed before his or her services. Every prepaid plan has some form of cost sharing 22nd birthday. In such cases, you should ask your through copayments for certain services, such as doctors' employing office about the documentation required. office visits, hospital admissions and prescription drugs. You can read about these details in each brochure. Because Children covered by your enrollment include your legally prepaid plans provide services through specified providers you adopted children and recognized children born out of must live within that plan's service/enrollment area to join. The wedlock; and stepchildren or foster children, if they live with first thing you should do when you are interested in a prepaid you in a regular parent-child relationship and you meet plan is to make sure you live within the service/enrollment certain other requirements. Ask your employing office for area. Prepaid plans provide many routine medical services details about these requirements. Children whose marriage that are not always provided by FFS plans; but the prepaid ends before they reach age 22 again become eligible for plans differ as to the exact services provided and the providers coverage from the date the marriage ends until they reach you can use. Therefore, you should consult both the plan age 22. brochure and plan provider directory before selecting a prepaid plan. Other relatives for example, your grandchildren (unless the foster parent-child relationship described above exists) Your decision may also be affected by the way the prepaid or your parents are not eligible for coverage even though plan operates. Group practice plans provide care through a they live with you and are dependent upon you. group of doctors who practice at medical centers operated by or under contract to the plans. Individual practice plans To provide coverage for a new eligible family member, you provide care through participating doctors who practice in their must have, elect or change to a self and family enrollment. own offices. Mixed model plans include doctors who practice in their own offices as well as doctors in medical groups. Using Your Health Plan Prepaid plans arrange hospital and other care not available in Comparison Chart and Picking plan centers and offices when necessary. a Health Plan This year some prepaid plans are offering "opt-out" benefits which allow you to obtain certain non-emergency benefits The Plan Comparison Chart beginning on page 10 provides outside the prepaid plan provider system on a fee-for-service general information about many of the major features of each basis. plan in the FEHB Program. It can help you to compare 4 Fee-for-service (FFS) plans reimburse you or your provider and customary reimbursements you can compare directly for covered services rather than provide or arrange for services what your out-of-pocket expenses will be. When you take as prepaid plans do. FFS plans allow you to choose your own advantage of a plan's preferred provider arrangement you physicians, hospitals, and other health care providers. can effectively limit your out-of-pocket expenses for covered However, the amount of reimbursement paid by each FFS plan services to deductibles and coinsurance. If you do not take varies, as do their deductibles, methods for applying deduct- advantage of a preferred provider arrangement (or if one is ibles to families and the amount of coinsurance you are not offered in your area), your plan's reimbursement required to pay for any given covered service. The type and probably will not cover all of your provider's bill. In those extent of covered services also vary. cases you will be responsible for any amount applied toward a deductible, your coinsurance, and any charges due above Many FFS plans use "preferred provider organization" (PPO) your plan's reasonable and customary limit. arrangements to improve your fee-for-service benefits. These arrangements with health care providers allow FFS plans to One FFS plan, the Mail Handlers Benefit Plan, reimburses provide enhanced benefits or to limit the out-of-pocket- its members for covered services in two ways. Payments expenses usually associated with fee-for-service reimburse- for outpatient diagnostic services are made under a ment arrangements. Each brochure specifies how the plan's reasonable and customary charge system. All other arrangements with providers work. If you choose a FFS plan provider services are reimbursed on a fee schedule basis which includes a PPO, it will be to your advantage to learn where the plan pays a fixed amount for each service. about and use the plan's provider arrangements to limit your These payments probably will not cover your medical bills expenses and to maximize your benefits. and you are responsible for the balance of your provider's charges. There are several types of FFS plans: As noted above, if you choose a FFS plan it will be to your The Government-wide Service Benefit Plan is administered advantage to use affiliated providers whenever possible. This by the Blue Cross and Blue Shield Association through 69 is especially true if your plan makes a preferred provider local plans and is open to all Federal employees. The organization available to you. The Service Benefit Plan and Service Benefit Plan provides reimbursement for covered most of the employee organization plans have made arrange- services in two ways. First, benefits may be paid to ments with certain providers to reduce your out-of-pocket physicians who participate with the local plans and generally expenses and in some cases to provide enhanced benefits. By agree to accept the local plan's determination of reasonable using preferred providers or participating providers you will be and customary charges, less any coinsurance or deduct- sure that the plan's determination of reasonable and customary ibles you are responsible for, as payment in full. Similarly, charges will be accepted as the basis for your out-of-pocket local plans have member hospital agreements which require expenses. Therefore, you should consider the availability of the hospitals to accept as payment in full the Service Benefit affiliated providers when choosing a FFS plan. Plan's payment, less the deductible that you are responsible for. In most areas of the country, local plans have preferred providers. In most cases, by using participating or preferred How Fee-for-Service Plans physicians and member or preferred hospitals you can limit your costs for covered expenses to your deductibles and Determine Their Claims Payments coinsurance. Second, if you do not use a participating physician the local plan will limit its reimbursement to a set As noted above, the basis for many plans' claim payments, percentage of the locally determined reasonable and subject to deductibles and coinsurance, begins with determin- customary calculation. Generally, the plan's reimbursement ing the reasonable and customary charge appropriate for the to the nonparticipating physician will not limit your out-of- procedure covered by your claim. Claims data is gathered for pocket expenses to the brochure deductible and coin- a given period by the plan and/or an independent organization surance and you will be responsible for any portion of the and updated periodically. By analyzing the claims data, your bill above the plan's allowance. If you use a nonmember plan knows how much other providers in your area charge for hospital your reimbursement will be significantly less than the procedure. Some charges may be higher than your the hospital charge. Therefore, if you enroll in the Service provider's and some may be lower. The plan then sets a Benefit Plan it will be to your advantage to receive your care benchmark or "percentile" at the highest dollar amount it from preferred providers or participating physicians and considers reasonable and customary for the procedure. A 90th from member hospitals. percentile factor means that 90 percent of the claims that your plan analyzed were at or below the benchmark charge. (For The remaining FFS plans are sponsored by unions and example, if there were 20 charges for the procedure, when the 20 are listed in numeric order the dollar amount of the 18th other employee organizations. Some plans open their membership to all Federal employees and may charge a charge becomes the benchmark -- 20 X 90 percent equals 18.) membership fee or annual dues while some plans limit their membership to certain groups of Federal employees. Once the plan establishes its benchmark or percentile, it applies its coinsurance percentage to that amount or an Most of these FFS plans base their payments for covered amount adjusted for unusual circumstances, such as the services on reasonable and customary charges as deter- complexity of a surgical procedure. For example, if the plan mined by the plans. There are several methods these plans pays 80 percent of reasonable and customary charges, it will use to determine their reasonable and customary charges; pay the lower of 80 percent of your claim or 80 percent of the the details are discussed in the next section. In cases benchmark amount. If your physician or other health care where plans use the same basis to determine, reasonable provider charges more than the reasonable and customary 5 amount, you will be responsible for paying any balance due in Check the comparison chart on page 10 and the brochures for addition to the coinsurance. more information about how plans pay claims. Some other systems, such as fee schedules, are sometimes used to determine what your claim payment will be. The fee General Information About schedule approach sets a specific dollar allowance for any given procedure and pays your claim up to that amount. Enrollment and Coverage All fee-for-service plans pay at least some types of claims Dual Enrollment according to a reasonable and customary allowance. Many of Normally, you may not enroll or be enrolled as an employee if them use health care charge data collected by commercial you are covered as a family member under someone else's industry sources. Among these are HIAA (Health Insurance enrollment in the Federal Employees Health Benefits Program. Association of America), MDR (Medical Data Research) and However, such dual enrollments may be permitted under the Prudential Insurance Company. HIAA and MDR charge certain circumstances in order to: data are updated twice a year and Prudential charge data are Protect the interests of employees' children who updated annually. Other plans use claims information otherwise would lose coverage as family members, or compiled locally. In either case, the charge data allows a plan to establish a reasonable and customary charge for a given Enable an employee who is under age 22 and covered procedure or service by geographic area. Regardless of the under a parent's enrollment and becomes the parent source of the charge data, the plan is solely responsible for its of a child to enroll for self and family coverage. interpretation and use. It is also responsible for determining specific allowances where sufficient data is not available or in No person (employee or family member) is entitled to receive unusual circumstances. benefits under more than one enrollment in the Program. Alliance, BACE, NAPUS, NTEU and Secret Service Plans are Continuation of Enrollment After Retirement underwritten by Blue Cross and Blue Shield of the National To continue your enrollment after you retire, you must retire: Capital Area which has established its reasonable and customary allowances in the Washington, DC, area on its data Under a retirement system specifically for Federal base, updated annually, of all physician claims paid in the prior civilian employees, and year. Outside the Washington Metropolitan area the allow- ances are adjusted upward or downward based on local On an immediate annuity. conditions. The allowances also vary by procedure but generally exceed the 90th percentile. In addition, you must be currently enrolled in a plan under the Federal Employees Health Benefits Program and must have APWU, Foreign Service, GEHA and Rural Carriers have been enrolled (or covered as a family member) in a plan under established their reasonable and customary allowances at the the Program for: 90th percentile-ar use charge data collected by HIAA. The five years of service Immediately before retire- The Blue Cross and Blue Shield Service Benefit Plan bases its ment, or reasonable and customary allowances on claims information compiled locally and usually updated annually. The local plan If fewer than five years, all service since your first allowances are generally based on the 80th percentile. opportunity to enroll. (Generally, your first opportunity to enroll is within 31 days after your first appointment [in Mail Handlers has established its allowances for outpatient your Federal career] to a position under which you are diagnostic services at the 90th percentile and uses charge data eligible to enroll under conditions that permit a collected by HIAA. The plan uses nationwide scheduled Government contribution toward the enrollment.) allowances for all other claims. Temporary Continuation of Coverage NALC has established its allowances for surgical care at the If you are an employee whose enrollment is terminated 90th percentile and uses charge data collected by HIAA. The because you separate from service, you may be eligible for plan uses MDR charge data at the 90th percentile for other temporary continuation of your health benefits coverage under claims. the Federal Employees Health Benefits Program after separation. Ask your employing office for RI 70-5, Enrollment Postmasters uses MDR charge data at the 90th percentile for Information Guide and Plan Comparison Chart for individuals surgical care and other charges at actual costs unless the plan eligible for Temporary Continuation of Coverage (TCC). TCC determines that the charge is unreasonable and limits the is available to you whether your separation is voluntary or charge to the 90th percentile. involuntary (unless it is for gross misconduct), and you would not otherwise be eligible for continued coverage under the SAMBA uses the 80th percentile of the Prudential Insurance Program. (An example is separation for retirement when you Company charge data base for surgical procedures and do not meet the five-year enrollment requirement for continua- anesthesia and actual charges for all other care. tion of enrollment into retirement described above). Panama Canal in the U.S. bases allowances on charge data Your TCC begins after your coverage as an employee collected by HIAA at the 85th percentile for surgical care; a fee (including any extension of coverage for conversion period) schedule for other inpatient doctor services; and actual ends and continues for up to 18 months after your separation charges for other charges. from service. You must pay the total premium (both the 6 Government and employee shares) plus a charge for ad- you will not be eligible to continue your enrollment after you ministrative expenses of 2 percent of the total premium. When retire unless you reenroll before you retire and meet all the your TCC ends (except by cancellation or nonpayment of requirements for continuation of enrollment after retirement, premiums), you are entitled to a 31-day extension of coverage including the five-year enrollment requirement (see page 6). for conversion to nongroup coverage. Your employing office can give you details about the above In certain cases, a child who loses eligibility for coverage (such enrollment and coverage information. as when the child reaches age 22 or marries) and a former spouse who loses eligibility for coverage (and who is not eligible to enroll or continue enrollment in the FEHB Program Definitions under the Spouse Equity law or similar statutes) also may qualify for TCC. They also must pay the total premium plus the Insurance is a fairly complex subject and the technical terms 2 percent administrative charge. TCC in these cases generally and details about benefits may be difficult to understand. The continues for up to 36 months after the qualifying event occurs, following terms, which have special meaning in the health. care e.g., the date a child reaches age 22 or the date of the divorce. field, have been defined, as much as possible, in everyday When their TCC ends (except by cancellation or nonpayment English to help you understand the benefits coverage and of premiums), child and former spouse enrollees are entitled to limitations of the various plans in the Federal Employees a 31-day extension of coverage for conversion to nongroup Health Benefits Program: coverage. Brochure the booklet showing the complete details of a Notification and Election Requirements under TCC: plan's benefits, limitations (or limited benefits), exclusions, and definitions. The brochure is a plan's contractual statement of benefits. Separating Employees -- Within 61 days after an employ- ee's enrollment terminates because of separation from service, Case Management (or Large Case Management) the his or her employing office will notify the employee of his or her monitoring of a patient with a major illness to assure that the opportunity to elect TCC. The employee has 60 days after type of services provided is appropriate and cost effective. separation (or after receiving the notice from the employing office, if later) to elect TCC. Catastrophic Limit -- a benefit feature to limit the amount you have to pay in a calendar year if you or your family incur large Children and Former Spouses -- When a child or former and unusual medical bills. The catastrophic limit is the spouse becomes eligible for TCC, the employing office or maximum amount of covered expenses you have to pay out of retirement system must be notified. For a child, the employing your own pocket during the year for yourself and your family. office must be notified within 60 days after the qualifying event Generally, there are separate catastrophic limits for medical- occurs. For a former spouse, the employee or annuitant or surgical expenses and mental conditions expenses. The limits former spouse must notify the employing office within 60 days apply to your coinsurance payments. Depending on the plan, these limits may also include any copayments and the calendar after the former spouse's change in status, e.g., former spouse year, inpatient and mental health deductibles you pay. Please remarries before reaching age 55. The employing office or refer to the brochures for the plans that Interest you. retirement system then notifies the child or the former spouse of his or her rights under TCC. If a child wants continued Coinsurance -- the stated percentage of covered charges you coverage, he or she must elect it within 60 days after the date must pay after you have met any applicable deductible. For of the qualifying event (or after receiving the notice, if later). If a example, if a plan pays 80 percent of covered charges (after former spouse wants TCC, he or she must make the election applying any deductible), you would be responsible for the within 60 days after any of the following events, whichever is deductible and the 20 percent balance. later: Copayment -- a fixed dollar amount you must pay for a service The date of the qualifying event; or benefit provided by a plan. The date he or she loses coverage as an enrolled former Covered Charges -- those amounts of your expenses for medical care that are covered by a plan. An expense that is spouse because of remarriage or loss of qualifying court not a covered charge cannot be used to satisfy the plan's order; or deductible or catastrophic limit. Often a plan includes as covered charges only an amount specified in a scheduled The date he or she receives the notice. allowance or based on a reasonable and customary profile. See the plan brochures to find out how covered charges are Important: If the employing office or retirement system is not determined. Covered charges do not include expenses for notified of a child or former spouse's eligibility for TCC within nonmedical items related to an illness or injury or for specific the 60-day time limit, the opportunity to elect TCC ends. The items excluded by the plan. time limit is 60 days after the qualifying event, in the case of a child; and 60 days after the change in status, in the case of a Deductible -- the amount of covered charges you must pay former spouse. before the plan pays benefits, e.g., calendar year deductible and inpatient hospital deductible. Generally, no more than two Cancellation of Enrollment or three family members must meet the calendar year You may voluntarily cancel your enrollment at any time. deductible. However, some plans have a family calendar year deductible which can be met by any or all of those covered. However, once your cancellation takes effect, you may not enroll again until an event occurs that permits enrollment, e.g., Dental Care -- any type of dental care beyond accidental change in marital status or the next Open Season. In addition, dental injury benefits. The level of benefits may range from 7 diagnostic and preventive care for children to include for all Opt-out -- benefits offered for non-emergency care provided family members restorative, endodontic and periodontal outside a prepaid plan's (CMP/HMO) regular health care services. delivery system, generally at a higher out-of-pocket expense to you than for care inside the plan's delivery system. If your plan Enrollment Area -- the geographic area within which a prepaid has the Opt-out feature, it will be described in the plan plan (CMP/HMO) enrolls members. To be eligible to enroll in a brochure. prepaid plan, you must live within this area. The plant brochure identifies the enrollment area. Outpatient Services -- the care provided to you in the outpatient department of a hospital, in a clinic or other medical Exclusions -- charges, services, or supplies that are not facility, or in a doctor's office. covered. A plan does not provide or pay benefits for excluded items, and charges for them do not count towards deductibles Preadmission Certification -- a procedure whereby (1) you or or catastrophic limits. your doctor is required to contact your plan before your admission to a hospital and (2) your plan determines the Extended Care Facility -- an institution that furnishes, in lieu appropriateness of the admission and the length of stay. of hospitalization, room and board and medically prescribed skilled nursing care 24 hours a day by an organized medical Preferred Provider Organization (PPO) Arrangement -- staff; and is not, other than incidentally, a place for rest, the agreements between a fee-for-service plan and physicians, aged, drug addicts, alcoholics or domiciliary care. hospitals, health care institutions, or other providers to provide services to you at a reduced cost. Home Health Care -- medically supervised care and treatment in the home of a patient whose physician certifies that without Premium -- the biweekly or monthly fee you must pay for your such care confinement in a hospital or extended care facility enrollment in an FEHB plan, as shown on the Comparison would be required. Typically, care and treatment are provided Chart beginning on page 10 of this booklet. in accordance with an approved home health care plan and must begin within a specified period of time after discharge Prescription Drugs -- outpatient drugs and medicines that, by from a hospital. United States law, cannot be obtained without a doctor's prescription. Home Nursing Care -- skilled care in the home provided by a registered nurse (R.N.), licensed practical nurse (L.P.N.), or Reasonable and Customary Charge -- one of two benefit licensed vocational nurse (L.V.N.). The care generally must be maximums plans use as the amount of your medical or dental ordered by a physician; is usually limited to a specified number care expenses they will cover for a particular service. (The of hours per day and visits per year; and does not include other is the Scheduled Allowance.) A Reasonable and homemaking services of any kind. Customary Charge is the amount a plan considers appropriate for the service or procedure in the geographic area. Health Hospice Care -- a coordinated program of home and/or insurance industry-accepted methods are used by the plans to inpatient palliative and supportive care for a terminally ill establish and periodically update reasonable and customary patient and the patient's family provided by a medically charges. The actual amount a provider charges for a particular supervised specialized team under the direction of a licensed service may be more than the reasonable and customary or certified hospice care facility or agency. charge set by the plan for that service. You must pay any amount charged above the reasonable and customary charge Inpatient Services the care provided to you while you are a unless the provider accepts a lesser amount because of bedpatient in a covered facility. plan-provider agreements or statutory limitations. See page 5 for more information. Limitations (or Limited Benefits) -- statements in the brochure showing services or supplies that are not fully Scheduled Allowance or Fee Schedule -- one of two benefit covered; only partially paid for by a plan; or covered only if the maximums plans use as the amount of your medical or dental service or supply provided meets certain specified criteria, e.g., care expenses they will cover for a particular service. (The preadmission testing within 72 hours of surgery. other is the Reasonable and Customary Charge.) A, Scheduled Allowance is the fixed dollar amount that has been assigned to Maternity Care -- prenatal and postnatal care and delivery by a covered medical or dental service. You must pay any a covered hospital, physician, or other covered practitioner, amount the provider charges above it. (Because a plan's including nurse midwives. Plans generally pay for maternity Scheduled Allowance for a particular service applies nation- care the same as for other covered inpatient and outpatient wide and the amount providers charge for that service varies services. geographically, the Scheduled Allowance is likely to defray more of the provider's charge in some areas than in others.) Mental Conditions/Substance Abuse -- conditions and See page 5 for more information. diseases listed in the most recent edition of International Classification of Diseases (ICD) as-psychoses, neurotic Service Area -- the geographic area where prepaid plan disorders and personality disorders; other non-psychotic providers and facilities are available to you. This area is the mental disorders listed in the ICD, to be determined by the same as, or within, the plan's enrollment area. Plan; also disorders listed in the ICD requiring treatment for abuse of or dependence upon substances, such as alcohol, narcotics, or hallucinogens. 8 1992 Plan Comparison Chart (1991 Open Season) 9 FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Fee-for-Service Plans The calendar year deductible shown is the per person amount. These plans require you to share costs for covered charges. In The calendar year deductible may not apply to every covered addition to the calendar year and inpatient hospital deductibles, charge. other cost-sharing amounts you pay may include coinsurance and/or copayments. The inpatient hospital deductible shown is a per person amount. It typically is a per admission or per confinement deductible. The amounts of covered charges that plans pay for medical- However, for certain plans, it is a deductible that applies just to surgical primary care shown on the next page are maximum the first admission in a calendar year or a separate calendar amounts. Payments may be affected, however, by certain limi- year deductible that applies only to inpatient hospital expenses. tations and conditions, which are described in the plan bro- chures. The provider's total charge may not be paid because it exceeds the maximums used by the plan. See "Using Your Health Plan Comparison Chart and Picking a Health Plan" on page 4. Enrollment 1992 1992 Medical-Surgical Code Monthly Premium Biweekly Premium Primary Care Fee-for-Service Plan Plan Your Share Your Share You Pay Name and Option Telephone Catastrophic Plan Self Self & Number Self Self & Self Self & Calendar Inpatient Limit (max. Code Only Family Only Family Year Only Family Hospital covered Deductible Deductible out of pocket) person/family Government-wide Plan Blue Cross and Blue Shield High 10 1 2 See Local 176.48 366.37 81.45 169.09 $200 $50 $2,000/$2,000 Service Benefit Plan Stnd 10 4 5 Phone Book 41.06 86.28 18.95 39.82 $250 $100 $3,000/$3,000 Open Plans Alliance YA 1 2 (202) 939-6325 46.52 145.54 21.47 67.17 $300 $150 $2,500/$2,500 APWU 47 1 2 (800) 222-2798 43.73 92.56 20.18 42.72 $175 None $2,000/$2,000 GEHA 31 1 2 1-800-821-6136 51.22 100.84 23.64 46.54 $250 None $2,500/$3,000 High 45 1 2 1-800-468-2958 34.94 77.87 Mail Handlers 16.12 35.94 NA $125 $2,500/$3,500 Stnd 45 4 5 1-800-468-2958 26.67 57.89 12.31 26.72 NA $250 $2,500/$3,500 NALC 32 1 2 (703) 729-4677 57.85 113.26 26.70 52.27 $200 $100 $1,750/$3,500 NTEU YY 1 2 (202) 783-4444 92.48 222.13 42.68 102.52 $275 $225 $2,250/$2,250 High 36 1 2 (703) 683-5585 188.03 405.56 Postmasters 86.78 187.18 $250 $150 $2,000/$2,500 Stnd 36 4 5 (703) 683-5585 43.42 93.88 20.04 43.33 $300 $200 $2,500/$2,500 Restricted Plans (open ONLY to specific groups) BACE Y2 1 2 (301) 881-0510 38.50 91.12 17.77 42.05 $150 $150 $1,500/$1,500 Foreign Service 40 1 2 (202) 833-4910 47.09 150.28 21.73 69.36 $200 $175 $2,000/$2,000 NAPUS YP 1 2 (800) 451-4479 63.90 128.38 29.49 59.25 $200 None $700/$1,400 Panama Canal Area 43 1 2 (504) 566-1300 34.46 74.73 15.90 34.49 NA $125 $1,000+ Rural Carriers 38 1 2 (800) 638-8432 48.19 88.43 22.24 40.81 $250 $200 $1,500/$3,000 SAMBA 44 1 2 (301) 984-1440 41.95 144.11 19.36 66.51 $200 None $1,000/$2,000 Secret Service Y7 1 2 (800) 424-7474 41.87 125.43 19.32 57.89 $200 $100 $1,000/$2,000 # Per person ABBREVIATIONS: ECF - Extended Care Facility PPO Preferred Provider HHC - Home Health Care Organization Arrangement NA - Not Applicable R & C- Reasonable & Customary SA - Scheduled Allowance 10 Do Not Rely on This Chart Alone - See Plan Brochures for Details Most plans require that accidental injury care must be received While not shown on the Chart and you should see plan within a specified number of hours of the injury for the amounts brochures for details, all or virtually all plans provide: shown to apply. -Prescription drug benefits, which may include a mail order program and you share costs. The mental conditions inpatient catastrophic limit is the maxi- -Mental conditions outpatient care benefits, which usually have mum amount of covered out-of-pocket expenses you pay per dollar and/or visit limits, and you share costs to these limits. person per year until the plan pays up to the lifetime maximum; -Inpatient and outpatient care benefits for alcoholism and drug you pay any expenses that exceed it. The lifetime maximum is abuse, which usually have dollar, day and/or visit limits, and the amount up to which plans pay per person for covered mental you share costs to these limits. conditions inpatient services. -Inpatient and outpatient hospice care benefits, which have a dollar maximum that varies by plan. A PPO may be available in your area. Please see plan brochures for details. Medical - Surgical Primary Care Mental Conditions Plan Pays Other Benefit Features Brochure Inpatient Care Outpatient Care Inpatient Care Number RI Hospital Charges Physician Charges Physician Charges Diagnostic Accidental You Pay Plan Pays ECF Dental Tests Other Injury Care Catastrophic and/or PPO Room & Surgeons Other Drs Surgeons Other Drs Lifetime Care Board Hosp. Exp. (R & C) (R & C) (R & C) (R & C) (R & C) (R & C) Limit # Maximum # HHC Government-wide Plan 100% 100% 80% 80% 80% 80% 80% 100% $4,000 $75,000 HHC No Yes 71-5 71-5 100% 100% 75% 75% 75% 75% 75% 100% $8,000 $50,000 No Yes Yes Open Plans 100% 100% 75% 75% 90% 75% 75% 100% $8,000 $50,000 Both Yes No 71-3 80% 85% 85% 100% 85% 85% 85% $8,000 $50,000 HHC Yes Yes 71-4 100% 100% 80% 80% 80% 80% 80% 80% 100% $8,000 $50,000 HHC Yes Yes 71-6 100% 100% SA SA SA SA 75% 75% $5,000 $50,000 No Yes Yes 71-7 SA SA SA SA 70% 75% $5,000 $50,000 No No Yes 71-7 100% 100% 100% 80% 85% 75% 85% 75% 75% SA $8,000 $50,000 HHC Yes Yes 71-9 100% 100% 75% 75% 100% 75% 75% 100% None None Both Yes No 71-11 80% 100% 80% 80% 80% $8,000 $50,000 Both Yes Yes 71-13 100% 85% 85% 100% 80% 75% 75% 75% 75% 75% 75% $8,000 $50,000 Both Yes Yes 71-13 Restricted Plans (open ONLY to specific groups) 100% 100% 80% 80% 100% 80% 80% 100% $8,000 $50,000 Both Yes Yes 72-8 100% 80% 90% 80% 100% 80% 80% 100% $8,000 $75,000 Both Yes No 72-1 100% 100% 75% 75% 100% 75% 75% 100% $4,200 $50,000 Both Yes No 72-3 100% 80% 100% SA 100% SA SA 100% None None No Yes Yes 72-4 100% 80% 90% 75% 90% 75% 75% SA $8,000 None Both Yes No 72-5 100% 90% 100% 80% 100% 80% 80% 100% $6,500 $50,000 Both No Yes 72-6 100% 100% 80% 80% 80% 80% 80% 100% $4,000 $50,000 Both Yes No 72-11 The above benefits may be subject to dollar, day and/or visit limits; as well as preadmission approval, precertification, second opinion and/or other requirements. Read the plan brochures carefully. 11 FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- Many Prepaid plans provide chiropractic care benefits and most provide hospice care tient and outpatient services. However, benefits are limited to short-term care, benefits. generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). Enrollment 1992 1992 Code Monthly Premium Biweekly Premium Other Benefit Prepaid Plan Name and Option General Location Plan Telephone Plan Your Share Your Share Features Brochure Plan Number Self & Type Number Self Self Self & Self Self & ECF Dental RI Code Only Family Only Family Only and/or Family HHC Care Alabama Complete Health of Alabama NJ 1 2 Anniston, Huntsville & Montgomery areas (800) 654-5507 MMP 60.82 183.98 28.07 84.91 Both Yes 73-532 Complete Health of Alabama NL 1 2 Mobile, Ozark & Other areas (800) 654-5507 MMP 67.45 185.73 31.13 85.72 Both Yes 73-532 Complete Health of Alabama NY 1 2 Birmingham area (800) 654-5507 MMP 66.35 183.13 30.62 84.52 Both Yes 73-532 Humana Alabama NS 1 2 Huntsville area (205) 532-2050 IPP 50.57 177.54 23.34 81.94 Both No 73-529 Humana Alabama PY 1 2 Montgomery area (205) 270-5544 IPP 41.70 184.13 19.24 84.98 Both No 73-529 PARTNERS Health Plan of Alabama DF 1 2 Birmingham area (205) 942-5787 IPP 42.14 148.62 19.45 68.59 Both No 73-349 Prime Health AA 1 2 Mobile area (205) 342-0022 GPP 81.10 132.21 37.43 61.02 Both Yes 73-280 Principal Health Care of Florida C2 1 2 Southwestern Alabama (904) 484-4080 MMP 39.13 139.69 18.06 64.47 Both No 73-355 Arizona CIGNA Phoenix 16 1 2 Phoenix area (602) 371-2300 GPP 34.31 108.27 15.84 49.97 Both Yes 73-28 CIGNA Tucson B1 1 2 Tucson area (602) 571-6596 MMP 36.88 109.51 17.02 50.54 Both No 73-95 FHP/Arizona A3 1 2 Phoenix and Tucson areas (602) 966-6773 MMP 36.50 125.30 16.85 57.83 Both Yes 73-18 Humana Phoenix DY 1 2 Maricopa County (602) 381-4300 IPP 39.35 167.01 18.16 77.08 Both No 73-401 Intergroup of Arizona, Inc. A7 1 2 Cochise/Phoenix/Santa Cruz/Tucson areas (602) 326-4357 MMP 32.68 96.46 15.08 44.52 Both No 73-283 PARTNERS Health Plan of Arizona A1 1 2 Graham/Greenlee/SE Pinal/Yuma Cos. (602) 750-8151 IPP 41.20 165.67 19.01 76.46 Both No 73-556 PARTNERS Health Plan of Arizona TD 1 2 Cochise/Pima/Santa Cruz Cos. (602) 750-8151 IPP 34.04 92.67 15.71 42.77 Both No 73-556 Arkansas American HMO - Arkansas RB 1 2 Little Rock and Ft. Smith areas 1-800-333-3534 MMP 36.23 122.79 16.72 56.67 Both No 73-565 California AETNA Health Plan of San Diego, Inc. NI 1 2 San Diego County (619) 497-0244 MMP 39.86 145.58 18.40 67.19 Both No 73-569 AETNA Health Plans of So. CA RG 1 2 Southern California 1-800-347-4343 IPP 37.86 121.40 17.47 56.03 Both No 73-538 Bay Pacific Health Plan BU 1 2 Greater San Francisco Bay area (415) 952-2005 IPP 41.31 106.78 19.07 49.28 Both No 73-111 Blue Cross CaliforniaCare M5 1 2 Most of California (800) 825-1030 MMP 37.46 99.24 17.29 45.80 Both No 73-517 Blue Shield of California HMO SJ 1 2 Most of California 1-800-541-6652 IPP 40.60 154.92 18.74 71.50 Both No 73-574 Bridgeway Plan for Health CC 1 2 San Francisco Bay area (800) 554-3110 MMP 38.90 106.08 17.95 48.96 Both No 73-115 CareAmerica-Southem CA BG 1 2 Los Angeles area 1-800-827-2273 IPP 35.67 109.79 16.46 50.67 Both No 73-290 CIGNA Healthplan of San Diego SK 1 2 San Diego County 1-800-368-2471 IPP 65.50 200.64 30.23 92.60 Both No 73-402 CIGNA Medical Group Healthplan 61 1 2 Los Angeles/Orange Counties (800) 344-0557 GPP 51.22 165.73 23.64 76.49 Both No 73-14. FHP/California 66 1 2 Southern California (213) 809-5399 MMP 39.09 176.15 18.04 81.30 Both Yes 73-18 Foundation Health of CA C6 1 2 Northern/Central California (800) 621-PLAN IPP 49.86 159.82 23.01 73.76 Both No 73-74 1992 1992 Enrollment Other Benefit Monthly Premium Biweekly Premium Code Features Plan Telephone Plan Your Share Your Share Brochure Prepaid Plan General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family Care HHC California (cont.) Health Net. LB 1 2 Most of California 1-800-640-2004 MMP 38.64 110.96 17.83 51.21 Both No 73-159 (800) 427-2669 IPP 36.41 103.03 16.80 47.55 Both No 73-220 Health Plan of America BH 1 2 Most of California Health Plan of the Redwoods CW 1 2 Sonoma/Marin/Part of Mendocino/Lake Cos. (707) 544-2273 MMP 53.35 178.15 24.62 82.22 Both No 73-221 Kaiser (Northern CA) 59 1 2 Northern California (415) 987-3190 GPP 39.37 91.63 18.17 42.29 Both No 73-3 Kaiser (Southern CA) 62 1 2 Southern California (213) 667-4102 GPP 42.03 134.25 19.40 61.96 Both No 73-2 Kaiser (Southern CA) RC 1 2 Bakersfield area (805) 836-0123 GPP 40.27 116.44 18.58 53.74 Both No 73-2 No 73-188 Lifeguard Health Plan CD 1 2 Northern California/Bay area (408) 943-9400 IPP 41.72 140.04 19.25 64.63 Both Lincoln National. Health Plan of CA CY 1 2 Portions of California 1-800-999-8033 MMP 40.61 139.45 18.74 64.36 Both Yes 73-260 Maxicare (Northern CA) CX 1 2 Northern California (415) 375-8600 MMP 32.28 77.66 14.90 35.84 Both No 73-246 Maxicare (Southern CA) CM 1 2 Southern California (213) 765-2000 MMP 37.83 120.10 17.46 55.43 Both No 73-43 1-800-468-8600 IPP 37.64 93.62 17.37 43.21 Both No 73-512 National Med MN 1 2 Stan./San Joaq./Merced/Tuolum. Cos. PacifiCare of California CQ 1 2 Northern and Southern California (800) 624-8822 MMP 36.17 106.28 16.69 49.05 Both No 73-105 PCA Health Plans of California CL 1 2 Sacramento area (916) 921-0996 MMP 41.10 130.61 18.97 60.28 Both No 73-561 Qual-Med California CF 1 2 Northern California (415) 465-1400 IPP 53.11 177.50 24.51 81.92 Both No 73-176 St. Joseph's Omni Health Plan HN 1 2 San Joaquin, Stanislaus and Tuolumne Cos. (209) 466-6664 IPP 35.56 93.19 16.41 43.01 Both No 73-406 No 73-144 Takecare LC 1 2 Northern California/Los Angeles areas 1-800-635-2273 MMP 38.31 109.31 17.68 50.45 Both United Health Plan C4 1 2 Los Angeles/Orange Counties (213) 671-3465 MMP 43.14 167.92 19.91 77.50 Both No 73-269 ValuCare/Central Valley Health Plan BE 1 2 Central Valley area (209) 435-8366 IPP 41.53 145.21 19.17 67.02 Both No 73-403 Colorado COMPRECARE (High) D6 1 2 Denver/Col Springs/No. Colorado (303) 750-6200 MMP 38.35 110.72 17.70 51.10 Both Yes 73-49 MMP 31.11 80.25 14.36 37.04 Both Yes 73-49 COMPRECARE (Stnd) D6 4 5 Denver/Col Springs/No. Colorado (303) 750-6200 HMO Colorado L2 1 2 Front Range and San Luis Valley (303) 831-4114 MMP 39.02 116.12 18.01 53.59 Both Yes 73-147 Kaiser Colorado 65 1 2 Denver area (303) 344-7500 GPP 32.34 82.13 14.92 37.90 Both Yes 73-19 Lincoln National Health Plan of CO, Inc. DD 1 2 Denver/Col Springs/No. CO/So. CO 1-800-255-1139 MMP 36.32 90.80 16.76 41.91 Both Yes 73-78 Qual-Med Colorado MT 1 2 Col Springs/Denver/South Central CO (719) 598-0553 MMP 35.04 91.79 16.17 42.36 Both No 73-514 73-27 Rocky Mountain HMO 88 1 2 Western Colorado (303) 243-7050 IPP 46.26 138.28 21.35 63.82 Both Yes Connecticut CIGNA Healthplan of Connecticut AL 1 2 Northern, Central and Southern CT (203) 745-2288 IPP 116.31 311.83 53.68 143.92 Both No 73-410 Community Health Care Plan 71 1 2 New Hvn/Mddisex/Htfd/Ffd/Ltchfd Cos. 1-800-237-2427 MMP 90.38 248.48 41.71 114.68 Both No 73-24 Health New England DJ 1 2 Northern Connecticut (413) 787-4000 IPP 55.34 128.99 25.54 59.53 Both No 73-437 HMO IPA Network KH 1 2 Portions of Connecticut (413) 499-4009 IPP 42.90 163.26 19.80 75.35 Both No 73-194 Kaiser Connecticut DM 1 2 Hartford and Stamford areas (203) 678-6100 GPP 40.22 109.68 18.56 50.62 Both No 73-114 Physicians Health Services/CT DP 1 2 Eastern, Southern & Western CT (800) 848-4747 IPP 60.43 217.41 27.89 100.34 Both No 73-140 U.S. Healthcare Connecticut H1 1 2 Frfld/Hrtfrd/Ltchfld/New Hvn Cos. 1-800-537-9384 IPP 47.52 202.37 21.93 93.40 Both Yes 73-412 ABBREVIATIONS: ECF - Extended Care Facility IPP - Individual Practice Plan GPP Group Practice Plan MMP- Mixed Model Plan HHC- Home Health Care 13 FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- Many Prepaid plans provide chiropractic care benefits and most provide hospice care tient and outpatient services. However, benefits are limited to short-term care, benefits. generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). Enrollment 1992 1992 Code Monthly Premium Biweekly Premium Other Benefit Prepaid Plan General Location Plan Telephone Plan Your Share Your Share Features Brochure Name and Option Plan Number Self & Type Number Self Self Self & Self Self & ECF Dental RI Code Only Family Only Family Only and/or Family HHC Care Delaware Delaware Valley HMO SP 1 2 State of Delaware (302) 571-0822 IPP 45.50 175.03 21.00 80.78 Both Yes 73-65 Healthcare Delaware MR 1 2 New Castle County (302) 421-4141 IPP 76.31 243.10 35.22 112.20 Both No 73-513 Principal Health Care of Delaware RV 1 2 State of Delaware (302) 322-4700 IPP 72.28 266.18 33.36 122.85 Both No 73-544 US Healthcare Delaware NK 1 2 State of Delaware 1-800-537-9384 IPP 43.65 205.79 20.15 94.98 Both Yes 73-527 District of Columbia AETNA HEALTH PLAN V8 1 2 Washington, DC 1-800-537-5096 IPP 37.50 104.46 17.31 48.21 Both Yes 73-250 CareFirst JQ 1 2 Washington, DC (301) 528-7000 MMP 35.09 93.00 16.19 42.92 Both Yes 73-268 George Washington Univ HP (High) E5 1. 2 Washington, DC (202) 416-0400 MMP 60.91 128.79 28.11 59.44 Both Yes 73-46 George Washington Univ HP (Stnd) E5 4 5 Washington, DC (202) 416-0400 MMP 35.84 76.88 16.54 35.48 Both Yes 73-46 Group Health Association (High) 50 1 2 Washington, DC (202) 966-4357 GPP 56.51 165.41 26.08 76.34 Both Yes 73-8 Group Health Association (Stnd) 50 4 5 Washington, DC (202) 966-4357 GPP 28.97 73.80 13.37 34.06 Both Yes 73-8 HealthPlus (High) JN 1 2 Washington, DC (301) 441-1600 IPP 40.13 94.34 18.52 43.54 Both Yes 73-67 HealthPlus (Stnd) JN 4 5 Washington, DC (301) 441-1600 IPP 29.68 68.25 13.70 31.50 Both Yes 73-67 Kaiser/Mid-Atlantic E3 1 2 Washington; DC (202) 364-3400 GPP 35.67 96.25 16.46 44.42 Both Yes 73-47 Lincoln National Health Plan DS 1 2 Washington, DC 1-800-782-0622 IPP 43.38 142.20 20.02 65.63 Both Yes 73-442 M.D. IPA JP 1 2 Washington, DC (301) 294-5100 IPP 31.03 87.66 14.32 40.46 Both Yes 73-100 Physicians Care X9 1 2 Washington, DC 1-800-542-7258 IPP 52.03 229.50 24.01 105.92 Both Yes 73-331 Prudential Health Plan/Mid-Atlantic HD 1 2 Washington, DC 1-800-888-5447 MMP 41.43 165.65 19.12 76.45 Both Yes 73-413 Florida AV-MED/Gainesville JF 1 2 Gainesville area 1-800-237-1255 IPP 39.16 150.26 18.07 69.35 Both Yes 73-126 AV-MED/Jacksonville HW 1 2 Jacksonville area 1-800-227-4184 IPP 43.61 199.29 20.13 91.98 Both Yes 73-126 AV-MED/Orlando GP 1 2 Orlando area 1-800-227-4848 IPP 41.00 170.56 18.92 78.72 Both Yes 73-126 AV-MED/South Florida EM 1 2 South Florida 1-800-432-6676 IPP 46.96 208.96 21.67 96.44 Both Yes 73-126 AV-MED/Tampa H5 1 2 Tampa area 1-800-257-2273 IPP 39.88 158.17 18.41 73.00 Both Yes 73-126 Capital Health of Tallahassee EA 1 2 Tallahassee area (904) 386-3161 MMP 33.93 90.60 15.66 41.81 Both No 73-197 CIGNA Healthplan of Florida EJ 1 2 Tampa area (813) 281-1000 GPP 42.05 182.57 19.41 84.26 Both Yes 73-170 CIGNA Healthplan of Florida EN 1 2 Orlando area (407) 660-1344 MMP 48.86 215.52 22.55 99.47 Both Yes 73-170 Family Health Plan, Inc. FQ 1 2 Dade and Broward Counties 1-800-772-4347 IPP 32.31 83.39 14.91 38.49 Both No 73-551 Health Options-Jacksonville/Gainesile E8 1 2 Jacksonville and Gainesville areas (904) 731-7967 MMP 39.90 148.10 18.41 68.35 Both No 73-219 Health Options-Pensacola D5 1 2 Escambia & Santa Rosa Counties (904) 484-7550 IPP 39.93 151.84 18.43 70.08 Both No 73-385 1992 1992 Enrollment Other Benefit Monthly Premium Biweekly Premium Code Features Plan Telephone Plan Your Share Your Share Brochure Prepaid Plan General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family Care HHC Florida (cont.) Health Options-South FL/Palm Beach FN 1 2 Palm Beach area 1-800-955-3589 IPP 35.73 98.80 16.49 45.60 Both No 73-82 122.49 17.38 56.53 Both No 73-82 Health Options-South Florida/Miami FR 1 2 Dade and Broward Counties 1-800-955-3589 IPP 37.66 Health Options-Tampa Bay D7 1 2 Tampa Bay area (813) 882-0632 MMP 46.89 184.99 21.64 85.38 Both No 73-384 HIP Network of Florida K7 1 2 Broward/Dade/Palm Beach (305) 491-9055 IPP 47.52 222.00 21.93 102.46 Both No 73-421 Humana Medical Plan-Daytona P7 1 2 Daytona area (904) 676-1850 MMP 35.58 115.57 16.42 53.34 Both No 73-278 Orlando area (407) 661-6001 MMP 34.52 103.61 15.93 47.82 Both No 73-278 Humana Medical Plan-Orlando P5 1 2 Humana Medical Plan-South Florida EE 1 2 South Florida (800) 531-4773 MMP 33.16 96.20 15.30 44.40 Both No 73-278 Humana Medical Plan-Tampa JH 1 2 Tampa area (800) 544-7541 MMP 29.67 84.79 13.69 39.13 Both No 73-278 PCA Health Plans of Florida PJ 1 2 Broward, Dade, Palm Beach Cos. (305) 267-6633 IPP 38.42 116.72 17.73 53.87 Both No 73-573 Principal Health Care of Florida C2 1 2 Northwest Florida (904) 484-4080 MMP 39.13 139.69 18.06 64.47 Both No 73-355 PruCare of Jacksonville EC 1 2 Jacksonville area (904) 396-5401 MMP 36.01 113.23 16.62 52.26 Both No 73-261 PruCare of South Florida HE 1 2 South Florida 1-800-457-3885 IPP 38.70 150.46 17.86 69.44 Both No 73-422 PruCare Orlando EH 1 2 Orlando area (407) 875-2171 GPP 30.18 84.52 13.93 39.01 Both No 73-164 PruCare-Tampa Bay FH 1 2 Tampa Bay area 1-800-284-4302 IPP 35.81 118.22 16.53 54.56 Both No 73-343 Georgia Both No 73-424 HMO Georgia, Inc. CR 1 2 Atlanta, Augusta & Macon areas (404) 365-9673 IPP 43.33 156.48 20.00 72.22 Kaiser-Georgia F8 1 2 Atlanta area (404) 261-2825 GPP 39.06 141.18 18.03 65.16 Both Yes 73-321 Partners Health Plan of Georgia, Inc. F3 1 2 Atlanta area (404) 951-1255 MMP 55.25 182.91 25.50 84.42 Both Yes 73-304 PruCare of Atlanta EZ 1 2 Atlanta area (404) 955-7735 MMP 35.01 109.16 16.16 50.38 Both No 73-107 Guam 110.53 15.30 51.01 Both Yes 73-18 FHP/Guam JK 1 2 Guam 646-1984 GPP 33.15 Guam Memorial Health Plan (High) ZA 1 2 Guam and Belau (Palau) (671) 472-4647 IPP 38.33 109.88 17.69 50.71 Both Yes 73-213 Guam Memorial Health Plan (Stnd) ZA 4 5 Guam and Belau (Palau) (671) 472-4647 IPP 28.11 75.11 12.97 34.67 Both No 73-213 Health Maintenance Life 28 1 2 Guam 646-7826 IPP 23.40 70.23 10.80 32.41 Both Yes 73-36 Hawaii (808) 944-2498 IPP 33.56 88.95 15.49 41.05 Both Yes 73-10 HMSA 87 1 2 Hawaii HMSA's Community Health Program F6 1 2 Hawaii (808) 944-2372 GPP 34.75 94.08 16.04 43.42 Both Yes 73-60 Island Care F9 1 2 Hawaii (808) 523-8686 IPP 42.42 140.58 19.58 64.88 Both Yes 73-319 Kaiser Hawaii (High) 63 1 2 Hawaii (808) 521-0803 GPP 39.56 98.46 18.26 45.44 Both Yes 73-5 Kaiser Hawaii (Stnd) 63 5 Hawaii (808) 521-0803 GPP 31.35 72.73 14.47 33.57 Both Yes 73-5 4 Idaho Group Health Northwest VR 1 2 Kootenai and Bonner Counties (208) 664-5174 MMP 39.55 120.41 18.25 55.57 Both Yes 73-96 Lincoln National Health Plan GM 1 2 Ada and Canyon Counties 1-800-255-1139 GPP 39.69 150.46 18.32 69.44 Both No 73-426 Qual-Med Washington TM 1 2 Northern Idaho 1-800-845-7881 IPP 39.18 127.64 18.08 58.91 Both No 73-287 ABBREVIATIONS: ECF Extended Care Facility IPP Individual Practice Plan GPP- Group Practice Plan MMP- Mixed Model Plan HHC----- Home Health Care FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- tient and outpatient services. However, benefits are limited to short-term care, Many Prepaid plans provide chiropractic care benefits and most provide hospice care generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar benefits. year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). Enrollment 1992 1992 Code Monthly Premium Biweekly Premium Other Benefit Prepaid Plan Plan Telephone Plan Your Share Your Share Features Brochure Name and Option General Location Number Self Self & Type Number Plan Self Self & Self Self & ECF Dental RI Code Only Family Only Family Only and/or Family HHC Care Illinois American HMO Illinois AC 1 2 Metro Chicago area 1-800-367-9597 MMP 38.04 143.18 17.56 66.08 Both No 73-427 BCI HMO, Inc./Chicago Metro Area LF 1 2 Chicago area (708) 620-0176 MMP 37.51 103.55 17.31 47.79 Both No 73-152 BCI HMO, Inc./Downstate Area JL 1 2 Downstate counties (618) 632-1900 MMP 51.25 212.34 23.65 98.00 Both No 73-152 Blackhawk Health, Assurance Plan LH 1 2 Rockford area (815) 965-6755 IPP 31.10 79.69 14.35 36.78 Both No 73-149 BlueChoice M4 1 2 St. Clair and Madison Counties (800) 634-4395 IPP 41.34 132.95 19.08 61.36 Both Yes 73-516 CarleCare FX 1 2 East Central Illinois (217) 337-8100 MMP 36.01 86.57 16.62 39.95 Both No 73-168 Chicago HMO Ltd FJ 1 2 Chicago area (312) 751-4460 MMP 36.38 124.46 16.79 57.44 Both Yes 73-199 Dreyer HMO EU, 1 2 Greater Fox Valley and Dekalb areas (708) 859-0400 GPP 33.07 92.62 15.26 42.75 Both No 73-300 Foundation Program LG 1 2 Springfield area (217) 753-5280 IPP 64.79 245.16 29.90 113.15 Both No 73-151 Great Lakes Health Plan, Inc. FY., 1 2 Chicago area 1-800-325-7498 IPP 40.19 110.87 18.55 51.17 Both No 73-231 Group Health Plan St. Louis MM 1 2 St. Louis area (314) 453-1700 MMP 42.98 146.88 19.84 67.79 Both Yes 73-104 HealthChicago, Inc. GQ 1 2 Chicago Metro area (708) 964-2700 MMP 44.70 179.79 20.63 82.98 Both No 73-310 Humana Michael Reese HMO 75 1 2 Chicago Metro area (312) 808-3801 GPP 31.87 89.25 14.71 41.19 Both No 73-25 Maxicare Illinois FV 1 2 Chicago/Champaign areas (312) 220-9830 MMP 30.66 85.07 14.15 39.26 Both No 73-58 MetLife HCN of St. Louis 12 1 2 St. Louis area (800) 552-4679 MMP 64.74 143.46 29.88 66.21 Both Yes 73-32 PARTNERS HMO RN 1 2 Madison and St. Clair Counties 1-800-338-4123 IPP 43.58 134.73 20.11 62.18 Both No 73-541 PersonalCare's HMO GE 1 2 East Central, Northeast IL (800) 431-1211 MMP 33.37 92.84 15.40 42.85 Both No 73-257 RUSH-ANCHOR HMO 17 1 2 Chicago Metro area (312) 347-0163 MMP 38.64 140.04 17.83 64.63 Both No 73-29 SANUS Health Plan H8 1 2 St. Louis Metro area (314) 434-6010 IPP 53.48 141.60 24.68 65.35 Both Yes 73-345 Share Health Plan of Illinois FP 1 2 Chicago area 800-MD-SHARE MMP 41.39 93.13 19.10 42.98 Both Yes 73-187 Union Health Service, Inc. 76 1 2 Chicago Metropolitan area (312) 829-4224 GPP 30.43 86.43 14.04 39.89 Both No 73-26 Indiana American HMO - Illinois AC 1 2 Northwest Indiana 1-800-367-9597 MMP 38.04 143.18 17.56 66.08 Both No 73-427 Arnett HMO G2 1 2 Greater Lafayette area (317) 448-8200 GPP 38.25 114.82 17.65 52.99 Both No 73-288 BCI HMO, Inc. LF 1 2 Lake and Porter Counties (708) 620-0176 MMP 37.51 103.55 17.31 47.79 Both No 73-152 Great Lakes Health Plan, Inc. FY 1 2 Lake County 1-800-325-7498 IPP 40.19 110.87 18.55 51.17 Both No 73-231 HealthChicago, Inc. GQ 1 2 Lake, LaPorte and Porter Counties (708) 964-2700 MMP 44.70 179.79 20.63 82.98 Both No 73-310 Humana Care Plan 18 1 2 Southern Indiana (800) 448-0222 MMP 34.36 107.47 15.86 49.60 Both No 73-238 Humana Health Plan D2 1 2 Clark, Floyd and Harrison Counties (800) 448-0222 IPP 34.31 108.14 15.83 49.91 Both No 73-434 Humana Michael Reese HMO 75 1 2 Lake County (312) 808-3801 GPP 31.87 89.25 14.71 41.19 Both No 73-25 1992 1992 Other Benefit Enrollment Monthly Premium Biweekly Premium Features Code Plan Telephone Plan Your Share Your Share Brochure Prepaid Plan Number General Location Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family Care HHC Indiana (cont.) Key Health Plan GH 1 2 North and Central Indiana 1-800-321-8961 IPP 40.88 174.83 18.87 80.69 Both Yes 73-163 30.66 85.07 14.15 39.26 Both No 73-58 Maxicare Illinois FV 1 2 Lake and Porter Counties (312) 220-9830 MMP Maxicare Indiana GK 1 2 Indianapolis area (317) 843-9989 MMP 36.78 139.84 16.97 64.54 Both No 73-183 PARTNERS National Health of Indiana MC 1 2 Elkhart/South Bend (219) 233-4677 IPP 38.39 134.81 17.72 62.22 Both No 73-506 RUSH-ANCHOR HMO 17 1 2 Lake and Porter Counties (312) 347-0163 MMP 38.64 140.04 17.83 64.63 Both No 73-29 IN 2 Indianapolis Metro area (317) 571-5300 MMP 33.35 102.29 15.39 47.21 Both No 73-578 The M Plan 1 Welborn HMO H3 1 2 Evansville area (812) 425-3939 GPP 36.46 113.99 16.83 52.61 Both No 73-430 lowa Care Choices FA 1 2 Sioux City area 1-712-252-2344 IPP 40.22 149.87 18.56 69.17 Both No 73-444 HMO lowa 56 1 2 Des Moines area (515) 282-2000 IPP 41.17 194.22 19.00 89.64 Both No 73-554 Principal Health Care of Nebraska GU 1 2 Council Bluffs (402) 333-1720 IPP 31.30 84.51 14.45 39.00 Both Yes 73-453 Yes 73-186 Share Health Plan of lowa GS 1 2 Central lowa (515) 225-1234 IPP 42.41 98.76 19.57 45.58 Both Share Health Plan of Nebraska NF 1 2 Omaha/Council Bluffs area (402) 345-5500 IPP 41.54 107.49 19.17 49.61 Both Yes 73-265 Kansas CIGNA Healthplan of Kansas HC 1. 2 Wichita area (316) 636-1152 GPP 39.62 138.41 18.29 63.88 Both No 73-175 HMO Kansas HM 1 2 Capitol area/Wichita area/Central Kansas (800) 332-0028 MMP 28.63 77.35 13.21 35.70 Both Yes 73-232 104.76 16.26 48.35 Both Yes 73-128 Kaiser-Kansas City HA 1 2 Kansas City area (913) 469-5607 GPP 35.24 Prime Health (High) MS 1 2 Kansas City area (816) 941-8003 MMP 38.99 135.25 17.99 62.42 Both No 73-54 Prime Health (Stnd) MS 4 5 Kansas City area (816) 941-8003 MMP 35.62 100.56 16.44 46.41 Both No 73-54 Principal Health Care of Kansas City N3 1 2 Kansas City area (816) 941-3030 IPP 36.24 110.05 16.73 50.79 Both No 73-275 2 Kansas City area (816) 395-2323 IPP 72.20 211.06 33.32 97.41 Both No 73-142 Total Health Care LZ 1 Kentucky HealthWise of Kentucky DU 1 2 28 counties in Central Kentucky (800) 543-8339 IPP 33.71 117.31 15.56 54.14 Both No 73-433 Humana Care Plan 18 1 2 Louisville area (800) 448-0222 MMP 34.36 107.47 15.86 49.60 Both No 73-238 Humana Care Plan HR 1 2 Lexington area (800) 221-8390 MMP 30.34 84.35 14.00 38.93 Both No 73-238 Humana Health Plan D2 1 2 Louisville and Lexington areas (800) 448-0222 IPP 34.31 108.14 15.83 49.91 Both No 73-434 73-254 Lincoln National Health Plan R8 1 2 Northern Kentucky 1-800-999-6019 MMP 40.75 116.55 18.81 53.79 Both Yes Louisiana Community Health Network of LA RY 1 2 Baton Rouge area 1-800-349-1000 IPP 37.75 106.30 17.42 49.06 Both No 73-575 Community Health Network of LA S6 1 2 New Orleans area 1-800-349-1000 IPP 37.69 105.72 17.40 48.79 Both No 73-575 Community Health Network of LA S8 1 2 Shreveport area 1-800-349-1000 IPP 39.19 121.23 18.09 55.95 Both No 73-575 16.54 48.77 Both No 73-576 Gulf South Health Plans, Inc. LY 1 2 Baton Rouge area (504) 927-7212 IPP 35.85 105.67 Maxicare Louisiana JA 1 2 New Orleans area (504) 836-2022 MMP 38.60 110.24 17.82 50.88 Both No 73-244 PARTNERS Health Plan of Louisiana NG 1 2 New Orleans area 1-800-877-7997 IPP 36.53 118.93 16.86 54.89 Both No 73-570 Principal Health Care of Louisiana RP 1 2 New Orleans and River Region (504) 834-0840 IPP 32.27 87.14 14.89 40.22 Both No 73-542 ABBREVIATIONS: ECF - - Extended Care Facility IPP - Individual Practice Plan GPP- Group Practice Plan MMP- Mixed Model Plan HHC- Home Health Care FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- tient and outpatient services. However, benefits are limited to short-term care, Many Prepaid plans provide chiropractic care benefits and most provide hospice care generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar benefits. year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). Enrollment 1992 1992 Code Monthly Premium Biweekly Premium Other Benefit Prepaid Plan Plan Telephone Plan Your Share Your Share Features Brochure Name and Option General Location Number Self Self & Type Number Plan Self Self & Self Self & ECF Dental RI Code Only Family Only Family Only and/or Family HHC Care Maine Healthsource Maine MY 1 2 North, Central and Southern Maine (800) 642-5551 IPP 71.18 194.35 32.85 89.70 Both No 73-515 HMO Maine CU 1 2 Southern and Central Maine 1-800-527-7706 IPP 54.17 181.51 25.00 83.77 Both No 73-443 Maryland AETNA HEALTH PLAN V8 1 2 DC and Baltimore Metro areas 1-800-537-5096 IPP 37.50 104.46 17.31 48.21 Both Yes 73-250 CareFirst JQ 1 2 DC area/Most of Maryland (301) 528-7000 MMP 35.09 93.00 16.19 42.92 Both Yes 73-268 Chesapeake Health Plan BL 1 2 Baltimore City & Co./Harford/Anne Arundel (301) 539-8622 MMP 34.55 92.81 15.95 42.84 Both Yes 73-441 Columbia Medical Plan 67 1 2 Central Maryland (301) 997-8500 GPP 39.50 143.65 18.23 66.30 Both Yes 73-20 Free State Health Plan LD 1 2 Central Maryland (301) 964-8168 MMP 39.11 139.56 18.05 64.41 Both Yes 73-146 George Washington Univ HP (High) E5 1 2 Washington, DC area (202) 416-0400 MMP 60.91 128.79 28.11 59.44 Both Yes 73-46 George Washington Univ HP (Stnd) E5 4 5 Washington, DC area (202) 416-0400 MMP 35.84 76.88 16.54 35.48 Both Yes 73-46 Group Health Association (High) 50 1 2 Mntgmry/P.G./ Hwrd/Part of Chrls Cos. (202) 966-4357 GPP 56.51 165.41 26.08 76.34 Both Yes 73-8 Group Health Association (Stnd) 50 4 5 Mntgmry/P.G./ Hwrd/Part of Chrls Cos. (202) 966-4357 GPP 28.97 73.80 13.37 34.06 Both Yes 73-8 HealthPlus (High) JN 1 2 DC Metro area (301) 441-1600 IPP 40.13 94.34 18.52 43.54 Both Yes 73-67 HealthPlus (Stnd) JN 4 5 DC Metro area (301) 441-1600 IPP 29.68 68.25 13.70 31.50 Both Yes 73-67 HealthPlus (High) JW 1 2 Baltimore Metro Area (301) 441-1600 IPP 36.59 85.98 16.89 39.68 Both Yes 73-67 HealthPlus (Stnd) JW 4 5 Baltimore Metro Area (301) 441-1600 IPP 27.01 62.13 12.47 28.67 Both Yes 73-67 Kaiser/Mid-Atlantic E3 1 2 Washington, DC area (202) 364-3400 GPP 35.67 96.25 16.46 44.42 Both Yes 73-47 Kaiser/Mid-Atlantic E7 1 2 Baltimore area (301) 281-6123 GPP 32.52 88.10 15.01 40.66 Both Yes 73-47 Lincoln National Health Plan DS 1 2 Prince George's and Montgomery Cos. 1-800-782-0622 IPP 43.38 142.20 20.02 65.63 Both Yes 73-442 M.D. IPA JP 1 2 Most of Maryland (301) 294-5100 IPP 31.03 87.66 14.32 40.46 Both Yes 73-100 Physicians Care X9 1 2 DC Metro area 1-800-542-7258 IPP 52.03 229.50 24.01 105.92 Both Yes 73-331 Potomac Health JM 1 2 Most of Maryland (301) 528-7000 MMP 38.79 120.56 17.90 55.64 Both Yes 73-225 Prudential Health Plan/Mid-Atlantic HD 1 2 Montgomery and Prince George's Cos. 1-800-888-5447 MMP 41.43 165.65 19.12 76.45 Both Yes 73-413 Prudential Health Plan/Mid-Atlantic JB 1 2 Central Maryland 1-800-888-5447 MMP 37.02 117.94 17.08 54.43 Both Yes 73-413 Massachusetts Bay State Health Care KW 1 2 Eastern Massachusetts 1-800-525-5151 IPP 67.86 254.31 31.32 117.37 Both Yes 73-193 Central Massachusetts Health Care J1 1 2 Worcester County (508) 754-1870 IPP 77.94 260.00 35.97 120.00 Both Yes 73-291 CIGNA Healthplan of Massachusetts G6 1 2 Gtr Springfield and Worcester areas (800) 345-9458 IPP 57.46 159.51 26.52 73.62 Both No 73-295 CIGNA Healthplan of Massachusetts TR 1 2 Eastern Massachusetts (800) 345-9458 IPP 67.02 222.20 30.93 102.55 Both No 73-295 Community Health Plan SM 1 2 Berkshire/Franklin/Hampshire Cos. (413) 584-0600 MMP 45.05 169.07 20.79 78.03 Both No 73-53 1992 1992 Other Benefit Enrollment Monthly Premium Biweekly Premium Features Brochure Code Plan Telephone Plan Your Share Your Share Prepaid Plan Number General Location Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family Care HHC Massachusetts (cont.) Fallon Community Health Plan JV 1 2 Central Massachusetts (800) 635-1221 GPP 38.83 122.12 17.92 56.36 Both Yes 73-90 Eastern and Western Massachusetts (617) 739-6161 GPP 61.62 239.49 28.44 110.53 Both Yes 73-21 Harvard Community Health Plan, Inc. 68 1 2 Harvard Health New England 70 1 2 Southeastern Massachusetts (401) 331-4034 GPP 33.85 81.63 15.62 37.67 Both Yes 73-23 DJ 1 2 Hampden and Hampshire Cos. (413) 787-4000 IPP 55.34 128.99 25.54 59.53 Both No 73-437 Health New England HMO Blue JT 1 2 Eastern/Central Massachusetts (617) 246-8140 MMP 50.62 189.48 23.36 87.45 Both Yes 73-112 KH 1 2 Portions of Massachusetts (413) 499-4009 IPP 42.90 163.26 19.80 75.35 Both No 73-194 HMO IPA Network 69.10 Both No 73-489 HMO Rhode Island DA 1 2 Portions of Southeastern MA (401) 274-6674 MMP 49.19 149.72 22.70 Kaiser Massachusetts K1 1 2 Parts of Western Massachusetts (413) 256-0151 GPP 49.66 114.71 22.92 52.94 Both Yes 73-86 Lahey Clinic-BCBS HMP JX 1 2 Greater Burlington area (617) 246-8140 GPP 54.47 218.14 25.14 100.68 Both No 73-106 Matthew Thornton Health Plan NX 1 2 Northern Massachusetts 1-800-544-8333 GPP 43.00 179.95 19.84 83.05 Both No 73-76 1 2 Springfield area (413) 781-7320 GPP 43.60 111.18 20.12 51.31 Both Yes 73-97 Medical West CHP JZ JU 1 2 Eastern Massachusetts (617) 871-3950 IPP 62.01 257.73 28.62 118.95 Both Yes 73-139 Pilgrim Health Care K2 1 2 Eastern and Central Massachusetts (617) 466-1000 IPP 74.65 293.13 34.45 135.29 Both No 73-134 Tufts Associated Health Plan U.S. Healthcare-Massachusets NE 1 2 Boston Metropolitan area 1-800-537-9384 IPP 43.54 182.18 20.09 84.08 Both Yes 73-526 Michigan G7 1 2 North Michigan (616) 941-7823 IPP 40.33 126.95 18.61 58.59 Both No 73-272 Blue Care Network Great Lakes 17.19 60.11 Both No 73-272 Blue Care Network Great Lakes KF 1 2 Southwest Michigan (616) 388-9500 IPP 37.25 130.24 Blue Care Network Great Lakes KR 1 2 West Michigan (616) 957-5057 IPP 29.41 85.46 13.57 39.44 Both No 73-272 Blue Care Network of East MI/Flint KN 1 2 Greater Flint area (313) 733-9593 MMP 35.89 148.36 16.56 68.47 Both No 73-88 Blue Care Network of East MI/Saginaw K5 2 Saginaw, Bay City, Midland (517) 791-3222 MMP 34.96 87.33 16.14 40.30 Both No 73-88 1 LX 1 2 Detroit area (800) 662-6667 MMP 29.71 112.91 13.71 52.11 Both No 73-153 Blue Care Network of SE Michigan (517) 322-8022 MMP 34.24 148.53 15.80 68.55 Both No 73-154 Blue Care Network-Health Central LN 1 2 Lansing area BQ 1 2 Grand Rapids Metro area (616) 942-1221 IPP 34.66 105.26 16.00 48.58 Both No 73-550 Butterworth HMO Care Choices/Ann Arbor KZ 1 2 Ann Arbor area 1-800-852-9780 IPP 49.66 186.58 22.92 86.11 Both No 73-444 BA 1 2 Grand Rapids/Muskegon areas (616) 957-1100 IPP 34.14 92.78 15.76 42.82 Both No 73-444 Care Choices/Grand Rapids & Muskegon 40.57 153.06 18.72 70.64 Both No 73-444 Care Choices/Lansing FE 1 2 Lansing area 1-800-642-0119 IPP Comprehensive Health Services, Inc. K3 1 2 Southeastern Michigan (313) 875-5222 MMP 35.59 88.96 16.42 41.06 Both No 73-75 RL 1 2 Grand Rapids area (616) 949-2410 GPP 32.66 90.59 15.07 41.81 Both No 73-567 Grand Valley Health Plan Health Alliance Plan of Michigan 52 1 Southeastern Michigan (313) 872-8100 MMP 38.21 114.64 17.64 52.91 HHC No 73-15 2 EG 1 2 Southeastern Michigan (313) 747-8700 MMP 42.71 146.86 19.71 67.78 Both No 73-445 M-Care 73-473 Medical Value Plan EV 1 2 Monroe and Lenawee Counties (419) 244-2902 MMP 40.14 198.58 18.53 91.65 Both No OmniCare Health Plan KA 1 2 Southeastern Michigan (313) 873-2813 MMP 37.83 93.44 17.46 43.12 Both No 73-62 SelectCare HMO K6 1 2 Detroit Metro area (313) 680-1100 MMP 35.62 94.64 16.44 43.68 Both No 73-69 Total Health Care 1 2 Detroit Metro area (313) 871-2000 GPP 36.85 89.96 17.01 41.52 Both No 73-534 N2 ABBREVIATIONS: ECF - Extended Care Facility IPP - Individual Practice Plan GPP- Group Practice Plan MMP- Mixed Model Plan HHC- Home Health Care 20 FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- tient and outpatient services. However, benefits are limited to short-term care, Many Prepaid plans provide chiropractic care benefits and most provide hospice care generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar benefits. year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). Enrollment 1992 1992 Other Benefit Code Monthly Premium Biweekly Premium Prepaid Plan Plan Telephone Plan Your Share Your Share Features Brochure General Location Name and Option Number Type Number Plan Self Self & Self Self & Self Self & ECF Dental RI Code and/or Only Family Only Family Only Family HHC Care Minnesota Group Health (High) 53 1 2 Minneapolis and St. Paul (612) 623-8400 GPP 29.14 83.98 13.45 38.76 Both Yes 73-9 Group Health (Stnd) 53 4 5 Minneapolis and St. Paul (612) 623-8400 GPP 23.82 68.63 10.99 31.68 Both No 73-9 Medica Choice DR 1 2 Minnesota (612) 936-1821 IPP 37.27 121.94 17.20 56.28 Both Yes 73-169 Medica Primary 11 1 2 Minneapolis and St. Paul (612) 936-6000 MMP 31.58 88.93 14.57 41.04 Both Yes 73-30 Mississippi CIGNA Healthplan of Tennessee SR 1 2 Memphis area (915) 683-3311 IPP 49.77 172.86 22.97 79.78 Both No 73-356 Missouri BlueChoice M4 1 2 St. Louis area (800) 634-4395 IPP 41.34 132.95 19.08 61.36 Both Yes 73-516 Group Health Plan St. Louis MM 1 2 St. Louis area. (314) 453-1700 MMP 42.98 146.88 19.84 67.79 Both Yes 73-104 Kaiser Kansas City HA 1 2 Kansas City area (913) 469-5607 GPP 35.24 104.76 16.26 48.35 Both Yes 73-128 MetLife HCN of St. Louis 12 1 2 St. Louis area (800) 552-4679 MMP 64.74 143.46 29.88 66.21 Both Yes 73-32 PARTNERS HMO RN 1 2 St. Louis Metro area 1-800-338-4123 IPP 43.58 134.73 20.11 62.18 Both No 73-541 Prime Health (High) MS 1 2 Kansas City area (816) 941-8003 MMP 38.99 135.25 17.99 62.42 Both No 73-54 Prime Health (Stnd) MS 4 5 Kansas City area (816) 941-8003 MMP 35.62 100.56 16.44 46.41 Both No 73-54 Principal Health Care of Kansas City N3 1 2 Kansas City area (816) 941-3030 IPP 36.24 110.05 16.73 50.79 Both No 73-275 SANUS Health Plan H8 1 2 St. Louis Metro area (314) 434-6010 IPP 53.48 141.60 24.68 65.35 Both Yes 73-345 Total Health Care LZ 1 2 Kansas City area (816) 395-2323 IPP 72.20 211.06 33.32 97.41 Both No 73-142 Nebraska Care Choices FA 1 2 Dakota/Dixon/Thurston Cos. 1-712-252-2344 IPP 40.22 149.87 18.56 69.17 Both No 73-444 Principal Health Care of Nebraska GU 1 2 Omaha and Lincoln areas (402) 333-1720 IPP 31.30 84.51 14.45 39.00 Both Yes 73-453 Share Health Plan of Nebraska NF 1 2 Omaha/Council Bluffs area (402) 345-5500 IPP 41.54 107.49 19.17 49.61 Both Yes 73-265 Nevada Health Plan of Nevada NM 1 2 Las Vegas area (702) 646-8350 MMP 42.02 112.11 19.39 51.74 Both Yes 73-129 Humana Health Plan (Las Vegas) TL 1 2 Las Vegas area (702) 737-7211 IPP 32.14 89.99 14.83 41.53 Both No 73-580 New Hampshire Harvard Community Health Plan, Inc. 68 1 2 Southern New Hampshire (617) 739-6161 GPP 61.62 239.49 28.44 110.53 Both Yes 73-21 Healthsource New Hampshire J2 1 2 New Hampshire (800) 531-3121 IPP 41.81 180.77 19.30 83.43 Both No 73-312 HMO Blue JT 1 2 Southeast New Hampshire Towns (617) 246-8140 MMP 50.62 189.48 23.36 87.45 Both Yes 73-112 Kaiser Massachusetts K1 1 2 Southwestern New Hampshire (413) 256-0151 GPP 49.66 114.71 22.92 52.94 Both Yes 73-86 Matthew Thornton Health Plan NX 1 2 South Central New Hampshire 1-800-544-8333 GPP 43.00 179.95 19.84 83.05 Both No 73-76 1992 1992 Enrollment Other Benefit Code Monthly Premium Blweekly Premium Features Prepaid Plan Plan Telephone Plan Your Share Your Share Brochure General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family HHC Care New Hampshire (cont.) U.S. Healthcare-Massachusetts QN 1 2 Salem, New Hampshire area 1-800-537-9384 IPP 55.38 205.38 25.56 94.79 Both Yes 73-526 New Jersey Aetna Health Plans PC 1 2 New Jersey (800) 223-0812 IPP 58.61 227.70 27.05 105.09 Both No 73-127 CoMED HMO P4 1 2 New Jersey (201) 361-8808 IPP 44.46 176.05 20.52 81.25 Both No 73-87 GHI Health Plan 80 1 2 Northern New Jersey (201) 623-6000 IPP 41.03 170.69 18.94 78.78 HHC Yes 73-7 Greater Atlantic Health Service 27 1 2 Camden/Burl/Glou Cos. (215) 823-8610 MMP 35.15 92.06 16.22 42.49 Both No 73-40 HIP of New Jersey P9 1 2 Northern and Southern New Jersey (609) 654-9424 GPP 42.86 153.79 19.78 70.98 Both Yes 73-84 Medigroup HMO E4 1 2 New Jersey (201) 593-4481 MMP 89.31 268.06 41.22 123.72 Both No 73-393 Oxford Health Plans/New Jersey GD 1 2 Northern New Jersey (800) 444-6222 IPP 51.64 178.13 23.83 82.21 Both Yes 73-466 PruCare New Jersey PB 1 2 New Jersey (800) 422-7399 IPP 71.94 296.84 33.20 137.00 Both No 73-73 Rutgers Community Health Plan PA 1 2 Central and Northern New Jersey (908) 560-9898 GPP 42.86 153.79 19.78 70.98 Both Yes 73-57 Sanus Health Plan HK 1 2 New York Metro area (800) 338-8113 IPP 31.54 85.15 14.56 39.30 Both Yes 73-468 US Healthcare/NJ (High) P3 1 2 New Jersey 1-800-537-9384 IPP 59.20 224.49 27.32 103.61 Both Yes 73-116 US Healthcare/NJ (Stnd) P3 4 5 New Jersey 1-800-537-9384 IPP 43.13 175.72 19.91 81.10 Both No 73-116 New Mexico FHP/New Mexico P2 1 2 Albuquerque/Santa Fe areas (505) 881-7900 MMP 36.53 95.34 16.86 44.00 Both Yes 73-563 Lovelace Health Plan Q1 1 2 Albuquerque/Santa Fe (505) 262-7363 GPP 32.28 83.92 14.90 38.73 Both No 73-79 Qual-Med New Mexico PX 1. 2 Greater Albuquerque/Santa Fe areas (505) 889-8800 IPP 31.81 83.31 14.68 38.45 Both Yes 73-251 New York Aetna Health Plans PC 1 2 Metropolitan New York (800) 223-0812 IPP 58.61 227.70 27.05 105.09 Both No 73-127 Blue Choice of New York MK 1 2 Rochester area (716) 454-4810 IPP 29.10 74.29 13.43 34.29 Both No 73-510 BlueCare Plus AH 1 2 Greater Utica/Rome & So. Tier areas (315) 798-4395 IPP 42.89 146.21 19.79 67.48 Both No 73-460 Capital District Physicians HP SG 1 2 Capital District area (518) 452-1941 IPP 40.28 147.88 18.59 68.25 Both No 73-549 ChoiceCare J6 1 2 Queens/Nassau/Suffolk Counties (516) 694-4000 IPP 42.59 165.39 19.66 76.33 Both No 73-294 CHP/Hudson Valley Region QB 1 2 Dutchess/Orange/Ulster/Putnam Cos. (914) 471-2368 MMP 38.82 126.69 17.92 58.47 Both No 73-136 Community Blue J7 1 2 Western New York (716) 884-2800 IPP 32.17 87.58 14.85 40.42 Both No 73-298 Community Health Plan PW 1 2 Capital Area/Central Clinton Co. (518) 783-1864 MMP 37.64 105.20 17.37 48.55 Both No 73-53 Empire BC/BS HEALTHNET/Cap/AD S1 1 2 Catskills/NE NY Adirondacks (800) 453-0113 MMP 40.95 149.55 18.90 69.02 Both No 73-33 Empire BC/BS HEALTHNET/Subrb S7 1 2 Suburban/Metro (800) 453-0113 MMP 53.80 191.06 24.83 88.18 Both No 73-33 Empire BC/BS HLTHNET/Cap/MHu S2 1 2 Capitol Dist./Mid-Hudson (800) 453-0113 MMP 42.68 159.49 19.70 73.61 Both No 73-33 Empire BC/BS HLTHNET/Manhattan 15 1 2 Manhattan (800) 453-0113 MMP 73.39 242.15 33.87 111.76 Both No 73-33 Foundation Health Plan CE 1 2 Southern Tier (607) 754-3380 IPP 40.84 130.39 18.85 60.18 Both No 73-461 GHI Health Plan 80 1 2 New York State (212) 721-2020 IPP 41.03 170.69 18.94 78.78 HHC Yes 73-7 Group Health of New York 21 1 2 Rochester area (716) 325-3630 GPP 27.60 71.07 12.74 32.80 Both No 73-35 Health Care Plan Q8 1 2 Buffalo area (716) 847-1480 GPP 31.74 84.70 14.65 39.09 Both No 73-71 ABBREVIATIONS: ECF - Extended Care Facility IPP - Individual Practice Plan GPP- Group Practice Plan MMP- Mixed Model Plan HHC- Home Health Care FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's generalt location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- tient and outpatient services. However, benefits are limited to short-term care, Many Prepaid plans provide chiropractic care benefits and most provide hospice care generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar benefits. year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). 1992 1992 Enrollment Other Benefit Code Monthly Premium Biweekly Premium Prepaid Plan Plan Telephone Plan Your Share Your Share Features Brochure General Location Name and Option Number Type Number Plan Self Self & Self Self & Self Self & ECF Dental RI and/or Code Only Family Only Family Only Family Care HHC New York (cont.) HIP of New York 51 1 2 Greater New York area 1-800-HIP-TALK GPP 40.53 132.21 18.70 61.02 Both No 73-1 Independent Health Association C1 1 2 Hudson Valley area (914) 631-0939 IPP 41.66 158.58 19.23 73.19 Both No 73-103 Independent Health Association QA 1 2 Western New York (716) 631-5392 IPP 26.70 74.74 12.32 34.50 Both No 73-103 Independent Prepaid Health Plan EB 1 2 Syracuse area (315) 638-4900 IPP 40.70 132.37 18.78 61.09 Both No 73-462 Kaiser New York QH 1 2 Westchester County (914) 682-0025 GPP 43.68 103.22 20.16 47.64 Both Yes 73-55 Mid-Hudson Health Plan F4 1 2 Hudson Valley area (914) 338-0202 IPP 36.63 98.22 16.91. 45.33 Both No 73-464 Mohawk Valley Health Plan GA 1. 2 Eastern Region (518) 370-4793 IPP 43.57 162.57. 20.11 75.03 Both No. 73-465 Mohawk Valley Health Plan M9 1 2 Central and Northern Region (800) 777-4793 IPP 37.26 94.64 17.20 43.68 Both No 73-465 Mohawk Valley Health Plan. MX 1 2 Mid-Hudson Region (914) 473-1762 IPP 81.64 258.86 37.68 119.47 Both No 73-465 Oxford Health Plans/New York GC 1 2 Metropolitan New York (800) 444-6222 IPP 62.53 204.02 28.86 94.16 Both Yes 73-466 PHP/Slocum Dickson Medical Network SH 1 2 Utica area (315) 797-7019 GPP 37.94 101.10 17.51 46.66 Both No 73-560 Physicians Health Services/NY PD 1 2 Westchester County (800) 732-5357 IPP 82.25 275.37 37.96 127.09 Both No 73-531 Preferred Care GV 1 2 Rochester area (716) 325-3113 IPP 31.17 79.14 14.39 36.53 Both No 73-467 Prepaid Health Plan QE 1 2 Syracuse area (315) 638-2133 GPP 37.86 110.83 17.47 51.15 Both Yes 73-98 Sanus Health Plan HK 1 2 New York Metro area (718) 899-3600 IPP 31.54 85.15 14.56 39.30 Both Yes 73-468 TOTAL HEALTH HU 1. 2 Metropolitan New York (516) 466-1000 IPP 33.89 92.35 15.64 42.62 Both No 73-469 US Healthcare-New York JC 1 2 Metropolitan and Greater New York 1-800-537-9384 IPP 37.66 94.71 17.38 43.71 Both Yes 73-365 North Carolina Carolina Physicians' Health Plan RQ 1 2 Central and Eastern North Carolina (919) 833-8000 IPP 41.29 144.52 19.06 66.70 Both No 73-566 Kaiser North Carolina QT 1 2 Triangle area/Charlotte (919) 981-6000 GPP 37.10 99.09 17.12 45.73 Both No 73-240 Maxicare North Carolina Q5 1 2 Charlotte, Greensboro and Raleigh (800) 822-0012 MMP 40.10 138.69 18.51 64.01 Both No 73-227 PruCare of Charlotte Q4 1 2 Portions of North Carolina (704) 365-6070 GPP 31.86 89.21 14.70 41.17 Both No 73-340 North Dakota Heart of America HMO RU 1 2 Northcentral North Dakota (701) 776-5848 GPP 31.65 82.16 14.61 37.92 Both No 73-543 Medica Choice DR 1 2 Fargo/Moorehead area 1-800-642-0477 IPP 37.27 121.94 17.20 56.28 Both Yes 73-169 Ohio AETNA Health Plan RD 1 2 Northern Ohio (216) 486-8979 IPP 41.06 94.82 18.95 43.76 Both No 73-273 CIGNA Healthplan of Ohio AT 1 2 Central Ohio (800) 541-7526 IPP 53.95 173.01 24.90 79.85 Both No 73-471 Health Guard MA 1 2 Portions of Ohio (614) 676-4623 MMP 32.23 82.93 14.87 38.28 Both No 73-504 Health Plan of the Upper Ohio Valley U4 1 2 Eastern Ohio (614) 695-3585 IPP 32.72 81.89 15.10 37.79 Both No 73-553 1992 1992 Enrollment Other Benefit Code Monthly Premium Biweekly Premium Features Prepaid Plan Plan Telephone Plan Your Share Your Share Brochure General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family Care HHC Ohio (cont.) HealthOhio, Inc. RF 1 2 Marion area (614) 387-6355 IPP 34.45 87.74 15.90 40.50 Both Yes 73-56 HHP/Licking Memorial MG 1 2 Central Ohio (614) 366-0533 IPP 36.33 93.80 16.77 43.29 Both No 73-508 HMO Health Ohio L4 1 2 Northeast Ohio (800) 634-0977 MMP 44.66 166.58 20.61 76.88 Both No 73-157 HMO Health Ohio MD 1 2 Northwest Ohio (800) 634-0977 MMP 37.37 112.80 17.25 52.06 Both No 73-157 HMO Health Ohio OH 1 2 Central Ohio (800) 634-0977 MMP 44.23 158.08 20.41 72.96 Both No 73-157 HMP/OHIO R5 1 2 Portions of Ohio 1-800-342-5467 MMP 47.91 177.80 22.11 82.06 Both Yes 73-31 Humana Health Plan/Ohio SQ 1 2 SW Ohio (800) 521-3508 MMP 42.40 151.74 19.57 70.03 Both No 73-579 Kaiser Ohio 64 1 2 Cleveland and Akron areas (216) 621-5600 GPP 43.10 120.25 19.89 55.50 Both No 73-17 Lincoln National Health Plan R8 1 2 Cincinnati/Dayton areas 1-800-999-6019 MMP 40.75 116.55 18.81 53.79 Both Yes 73-254 Medical Value Plan EV 1 2 Greater Toledo area (419) 244-2902 MMP 40.14 198.58 18.53 91.65 Both No 73-473 Personal Physician Care PL 1 2 Cleveland Metro area (216) 687-0015 IPP 39.99 120.25 18.46 55.50 Both No 73-557 Principal Health Care of Ohio R4 1 2 Columbus area (614) 841-1237 GPP 36.35 90.88 16.78 41.94 Both No 73-99 PruCare-Central Ohio AY 1 2 Columbus area (614) 761-0244 GPP 40.00 123.20 18.46 56.86 Both No 73-339 Western Ohio Health Care Plan RH 1 2 Dayton/Springfield area (513) 439-8903 IPP 44.70 169.35 20.63 78.16 Both Yes 73-539 Oklahoma BlueLincs HMO-Oklahoma City N5 1 2 Oklahoma City area (405) 841-9777 IPP 37.03 102.99 17.09 47.53 Both No 73-267 BlueLincs HMO-Tulsa RX 1 2 Greater Tulsa area (918) 561-9933 IPP 61.02 164.17 28.16 75.77 Both No 73-267 CIGNA Healthplan of Oklahoma RT 1 2 Oklahoma City area (405) 943-7711 MMP 36.52 107.64 16.86 49.68 Both No 73-216 PacifiCare PE 1 2 Oklahoma City area (800) 545-0389 GPP 38.29 112.80 17.67 52.06 Both Yes 73-530 PacifiCare of Oklahoma N1 1 2 Tulsa area (918) 496-8181 GPP 41.74 134.51 19.26 62.08 Both Yes 73-396 PruCare of Oklahoma City RR 1 2 Oklahoma City area (405) 942-6687 GPP 34.03 83.25 15.70 38.42 Both No 73-108 PruCare of Tulsa RS 1 2 Tulsa area (918) 624-4733 GPP 35.04 95.49 16.17 44.07 Both No 73-118 Oregon Kaiser Northwest (High) 57 1 2 Portland/Salem (503) 721-2000 GPP 41.40 124.31 19.11 57.37 Both Yes 73-4 Kaiser Northwest (Stnd) 57 4 5 Portland/Salem (503) 721-2000 GPP 35.06 89.34 16.18 41.23 Both No 73-4 PacifiCare of Oregon SS 1 2 Portland/Salem/Corvallis (503) 620-9324 GPP 39.05 121.34 18.02 56.00 Both No 73-362 Qual-Med Oregon AF 1 2 Portland Metro area (503) 222-6691 IPP 38.56 121:01 17.80 55.85 Both No 73-327 SelectCare SD 1 2 Eugene/Springfield/Albany (800) 248-2330 IPP 41.22 88.94 19.02 41.05 Both No 73-83 Pennsylvania AETNA Health Plans of Eastern PA GL 1 2 Phila/Mont/Bucks/Dela/Chester Cos. 1-800-876-5000 IPP 42.53 156.00 19.63 72.00 Both Yes 73-485 Central Medical Health Plan 24 1 2 Pittsburgh area (412) 471-6877 MMP 38.41 131.93 17.73 60.89 Both Yes 73-42 Foundation Health Plan CE 1 2 NY Southern Tier (607) 754-3380 IPP 40.84 130.39 18.85 60.18 Both No 73-461 Free State Health Plan LD 1 2 Portions of Southern PA (301) 964-8168 MMP 39.11 139.56 18.05 64.41 Both Yes 73-146 Freedom Health Care CT 1 2 Harrisburg area (800) 247-8452 MMP 37.18 93.61 17.16 43.20 Both No 73-478 ABBREVIATIONS: ECF - Extended Care Facility IPP - Individual Practice Plan GPP- Group Practice Plan MMP- Mixed Model Plan HHC- Home Health Care 23 FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- tient and outpatient services. However, benefits are limited to short-term care, Many Prepaid plans provide chiropractic care benefits and most provide hospice care generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar benefits. year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). 1992 1992 Enrollment Other Benefit Code Monthly Premium Biweekly Premium Features Prepaid Plan Plan Telephone Plan Your Share Your Share Brochure General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family HHC Care Pennsylvania (cont.) Freedom Health Care KJ 1 2 Philadelphia and Reading area (800) 822-0505 MMP 38.04 121.01 17.56 55.85 Both No 73-478 Geisinger Health Plan N9 1 2 Central, Northeast Pennsylvania (717) 271-8760 MMP 22.92 73.19 10.58 33.78 Both No 73-303 Greater Atlantic Health Service 27 1 2 Southeast Pennsylvania (215) 823-8610 MMP 35.15 92.06 16.22 42.49 Both No 73-40 HealthAmerica Pennsylvania 26 1 2 Pittsburgh area (412) 553-7300 MMP 33.23 93.03 15.34 42.94 Both Yes 73-255 HealthAmerica Pennsylvania SW 1 2 Central Pennsylvania (717) 763-9313 MMP 33.18 86.53 15.31 39.94 Both Yes 73-255 HealthGuard of Lancaster NQ 1 2 Lancaster County (717) 560-9049 IPP 30.57 83.50 14.11 38.54 Both No 73-311 HMO of Northeastern Pennsylvania C8 1 2 Northeastern Pennsylvania (717) 821-1241 IPP 30.86 79.37 14.24 36.63 Both Yes 73-480 Keystone Health Plan Central S4 1 2 Harrisburg area 1-800-622-2843 IPP 33.19 81.90 15.32 37.80 Both No 73-241 Keystone Health Plan Central ST 1 2 Lehigh Valley area 1-800-622-2843 IPP 34.46 91.57 15.90 42.26 Both No 73-241 Keystone Health Plan East ED 1 2. Greater Philadelphia area (215) 558-3337 IPP 37.70 108.38 17.40 50.02 Both Yes 73-483 Keystone Health Plan West EF 1 2 Pittsburgh area (412) 937-4330 IPP 34.80 122.68 16.06 56.62 Both No 73-484 Medigroup HMO E4 1 2 Portion of Lower Bucks County (609) 259-5965 MMP 89.31 268.06 41.22 123.72 Both No 73-393 Riverside Health Plan HG 1 2 Beaver Valley area in Southwest PA (412) 775-4404 IPP 33.66 88.33 15.53 40.77 Both No 73-487 US Healthcare/PA (High) SU 1 2 Southeastern PA 1-800-537-9384 IPP 39.97 131.89 18.45 60.87 Both Yes 73-52 US Healthcare/PA (Stnd) SU 4 5 Southeastern PA 1-800-537-9384 IPP 32.94 85.85 15.20 39.62 Both No 73-52 US Healthcare/PA (Pitt.) (High) KL 1 2 Pittsburgh area 1-800-537-9384 IPP 37.48 132.65 17.30 61.22 Both Yes 73-52 US Healthcare/PA (Pitt.) (Stnd) KL 4 5 Pittsburgh area 1-800-537-9384 IPP 32.49 89.44 15.00 41.28 Both No 73-52 Puerto Rico Health Plus, Inc. ME 1 2 Puerto Rico (809) 782-7900 IPP 24.35 59.27 11.24 27.36 Both No 73-507 SSS Plan 89 1 2 Puerto Rico (809) 749-4777 IPP 32.87 73.00 15.17 33.69 Both Yes 73-16 Rhode Island Harvard Community Health Plan, Inc. 68 1 2 Northern Rhode Island (617) 739-6161 GPP 61.62 239.49 28.44 110.53 Both Yes 73-21 Harvard Health - New England 70 1 2 Rhode Island (401) 331-4034 GPP 33.85 81.63 15.62 37.67 Both Yes 73-23 HMO Rhode Island DA 1 2 Rhode Island (401) 274-6674 MMP 49.19 149.72 22.70 69.10 Both No 73-489 Pilgrim Health Care PZ 1 2 Rhode Island (617) 871-3950 IPP 50.34 225.03 23.23 103.86 Both Yes 73-139 South Carolina Companion Health Care SE 1 2 Portions of South Carolina 1-800-868-2528 IPP 36.71 113.58 16.94 52.42 Both Yes 73-548 Healthsource South Carolina M3 1 2 Charleston area (803) 723-5520 IPP 39.21 109.20 18.10 50.40 Both No 73-536 Maxicare North Carolina Q5 1 2 Chester and York Counties (800) 822-0012 MMP 40.10 138.69 18.51 64.01 Both No 73-227 Maxicare South Carolina TA 1 2 Columbia/Greenville/Spartanburg (800) 334-6294 MMP 69.47 197.13 32.06 90.98 Both No 73-180 Enrollment 1992 1992 Other Benefit Code Monthly Premium Biweekly Premium Features Prepaid Plan Plan Telephone Plan Your Share Your Share Brochure General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family HHC Care South Carolina (cont.) PruCare-Charlotte Q4 1 2 York County (704) 365-6070 GPP 31.86 89.21 14.70 41.17 Both No 73-340 Tennessee AETNA Health Plans of Tennessee TN 1 2 Nashville and Central Tennessee 1-800-537-5097 IPP 40.74 165.08 18.80 76.19 Both No 73-571 CIGNA Healthplan of Tennessee SR 1 2 Memphis area (915) 683-3311 IPP 49.77 172.86 22.97 79.78 Both No 73-356 PruCare of Memphis UB 1 2 Shelby County (901) 766-7908 GPP 32.59 93.84 15.04 43.31 Both No 73-122 PruCare of Nashville UA 1 2 Nashville area (615) 248-7156 GPP 37.76 109.83 17.43 50.69 Both No 73-92 Tennessee First Health Plan HT 1 2 Knoxville area (800) 634-1454 IPP 32.47 112.65 14.98 51.99 Both No 73-491 Texas CIGNA Healthplan of Texas-Dallas UG 1 2 Dallas/Ft. Worth area (214) 401-5310 MMP 55.21 164.84 25.48 76.08 Both Yes 73-119 CIGNA Healthplan of Texas-Houston UH 1 2 Houston area (713) 552-7600 MMP 43.97 207.20 20.29 95.63 Both No 73-124 Coastal Bend Health Plan T5 1 2 Corpus Christi area (512) 887-0101 IPP 39.66 172.10 18.30 79.43 Both No 73-299 EQUICOR Healthplan of Houston V1 1 2 Houston area (713) 552-7600 IPP 43.97 207.20 20.29 95.63 Both No 73-271 FIRSTCARE CK 1 2 Potter/Randall/Carson/Armstrng Cos. (806) 358-5151 IPP 91.26 195.37 42.12 90.17 Both No 73-496 Harris Methodist Health Plan SC 1. 2 Ft. Worth/Dallas Metroplex (817) 878-5880 IPP 82.27 175.85 37.97 81.16 Both No 73-547 Humana Care Plan UR 1 2 San Antonio area (512) 617-1010 MMP 37.89 106.52 17.49 49.16 Both Yes 73-70 Humana of Corpus Christi TX 1 2 Corpus Christi area (512) 994-2020 IPP 33.19 118.00 15.32 54.46 Both No 73-237 Kaiser Texas UK 1 2 Dallas/Ft. Worth area (214) 458-8645 GPP 38.00 121.19 17.54 55.93 Both No 73-63 PacifiCare of Texas GF 1 2 San Antonio area (512) 641-7838 MMP 33.64 94.19 15.52 43.47 Both No 73-498 PCA Health Plans of Texas TW 1 2 Austin/Waco/Temple/Bryan/Collge Station 1-800-234-7912 IPP 37.20 124.85 17.17 57.62 Both No 73-198 PruCare Austin UN 1 2 Austin area (512) 465-6661 GPP 31.48 84.92 14.53 39.19 Both No 73-91 PruCare Houston UP 1 2 Houston Metro area (713) 993-3801 GPP 28.63 83.25 13.21 38.42 Both Yes 73-48 SANUS/New York Life Health Plan UM 1 2 Houston Metro area (713) 993-9982 MMP 43.51 172.45 20.08 79.59 Both No 73-120 SANUS Texas Health Plan V2 1- 2 Dallas/Ft. Worth Metroplex (214) 929-0376 IPP 40.62 125.89 18.75 58.10 Both Yes 73-264 Scott and White Health Plan UF 1 2 Bryan/College Station/Temple/Killeen/Waco (817) 774-4000 GPP 41.04 141.81 18.94 65.45 Both No 73-102 Southwest, an AETNA Health Plan TS 1 2 Dallas/Ft. Worth area 1-800-992-7947 IPP 42.08 179.99 19.42 83.07 Both No 73-572 Utah FHP/Utah KU 1 2 Ogden/Salt Lake areas (801) 355-1234 GPP 33.48 107.58 15.45 49.65 Both Yes 73-564 PHP/UT UT 1 2 Salt Lake City area (6 counties) (801) 942-6967 IPP 43.36 93.23 20.01 43.03 Both No 73-581 Vermont Community Health Plan PW 1 2 Most of Vermont (7 Counties) (802) 878-1008 MMP 37.64 105.20 17.37 48.55 Both No 73-53 Harvard Community Health Plan, Inc. 68 1 2 Southern Vermont (617) 739-6161 GPP 61.62 239.49 28.44 110.53 Both Yes 73-21 Kaiser Massachusetts K1 1 2 Southeastern Vermont (413) 256-0151 GPP 49.66 114.71 22.92 52.94 Both Yes 73-86 Virginia AETNA HEALTH PLAN V8 1 2 Northern Virginia 1-800-537-5096 IPP 37.50 104.46 17.31 48.21 Both Yes 73-250 CIGNA Healthplan of Virginia/Central VA W3 1 2 Central Virginia (804) 273-1150 IPP 38.28 126.84 17.67 58.54 Both No 73-270 ABBREVIATIONS: ECF - Extended Care Facility IPP - Individual Practice Plan GPP- Group Practice Plan MMP- Mixed Model Plan HHC- Home Health Care 25 26 FEHB Plan Comparison Chart - For Benefits Beginning in January 1992 Prepaid Plans (Commonly referred to as CMP/HMOs) A Prepaid plan's general location is the approximate area served by the plan. To Every Prepaid plan provides physicals, immunizations, and prescription drug benefits enroll in a Prepaid plan, you MUST live within the plan's exact enrollment area shown and all Prepaid plan benefit packages include catastrophic coverage, since these in the plan's brochure. plans provide for necessary care during a year. Some Prepaid plans require you to share costs for certain services. Every Prepaid plan provides benefits for mental conditions/substance abuse inpa- tient and outpatient services. However, benefits are limited to short-term care, Many Prepaid plans provide chiropractic care benefits and most provide hospice care generally 30 to 45 days of inpatient care and 20 to 35 outpatient visits per calendar benefits. year. You typically share costs to benefit limits. Many Prepaid plans provide "Opt-Out" benefits (see definition). 1992 1992 Enrollment Other Benefit Monthly Premium Biweekly Premium Code Features Prepaid Plan Plan Telephone Plan Your Share Your Share Brochure General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family Care HHC Virginia (cont.) CIGNA Healthplan of Virginia/Southeast VA W2 1 2 Southeastern Virginia (804) 498-1555 IPP 39.48 139.73 18.22 64.49 Both No 73-270 George Washington Univ HP (High) E5 1 2 Washington, DC area (202) 416-0400 MMP 60.91 128.79 28.11 59.44 Both Yes 73-46 George Washington Univ HP (Stnd) E5 4 5 Washington, DC area (202) 416-0400 MMP 35.84 76.88 16.54 35.48 Both Yes 73-46 Group Health Association (High) 50 1 2 Northern Virginia (202) 966-4357 GPP 56.51 165.41 26.08 76.34 Both Yes 73-8 Group Health Association (Stnd) 50 4 5 Northern Virginia (202) 966-4357 GPP 28.97 73.80 13.37 34.06 Both Yes 73-8 HealthPlus (High) JN 1 2 DC Metro area (301) 441-1600 IPP 40.13 94.34 18.52 43.54 Both Yes 73-67 HealthPlus (Stnd) JN 4 5 DC Metro area (301) 441-1600 IPP 29.68 68.25 13.70 31.50 Both Yes 73-67 HMO Virginia V7 1 2 Hampton Roads area (800) 421-1880 MMP 37.89 147.51 17.49 68.08 Both No 73-235 HMO Virginia X8 1 2 Richmond area (804) 358-7390 MMP 39.70 160.16 18.32 73.92 Both No 73-235 Kaiser/Mid-Atlantic E3 1 2 Washington, DC area (202) 364-3400 GPP 35.67 96.25 16.46 44.42 Both Yes 73-47 Lincoln National Health Plan DS 1 2 Northern Virginia 1-800-782-0622 IPP 43.38 142.20 20.02 65.63 Both Yes 73-442 M.D. IPA JP 1 2 Northern Virginia, Richmond and Tidewater (301) 294-5100 IPP 31.03 87.66 14.32 40.46 Both Yes 73-100 OPTIMA (High) V9 1 2 Peninsula/Southside Hampton Roads (804) 552-7410 IPP 66.98 150.91 30.91 69.65 Both Yes 73-253 OPTIMA (Stnd) V9 4 5 Peninsula/Southside Hampton Roads (804) 552-7410 IPP 23.62 89.79 10.90 41.44 Both Yes 73-253 Physicians Care X9 1 2 DC Metro area 1-800-542-7258 IPP 52.03 229.50 24.01 105.92 Both Yes 73-331 PruCare of Richmond V6 1 2 Richmond area (804) 323-0900 MMP 31.42 85.78 14.50. 39.59 Both No 73-132 Prudential Health Plan/Mid-Atlantic HD 1 2 Northern Virginia 1-800-888-5447 MMP 41.43 165.65 19.12 76.45 Both Yes 73-413 Sentara Health Plan V5 1 2 Peninsula/Southside Hampton Roads (804) 552-7110 MMP 55.73 118.87 25.72 54.86 Both Yes 73-228 Washington Group Health Cooperative (High) 54 1 2 Puget Sound area (206) 448-4140 MMP 55.15 164.00 25.45 75.69 HHC Yes 73-12 Group Health Cooperative (Stnd) 54 4 5 Puget Sound area (206) 448-4140 MMP 36.79 85.18 16.98 39.31 HHC No 73-12 Group Health Northwest VR 1 2 Spokane/Tri Cit./Yak./Ellens./Walla W. (509) 783-3484 MMP 39.55 120.41 18.25 55.57 Both Yes 73-96 Kaiser Northwest (High) 57 1 2 Vancouver/Longview (503) 721-2000 GPP 41.40 124.31 19.11 57.37 Both Yes 73-4 Kaiser Northwest (Stnd) 57 4 5 Vancouver/Longview (503) 721-2000 GPP 35.06 89.34 16.18 41.23 Both No 73-4 Kitsap Physicians Service (High) VT 1 2 Kitsap, Mason, Jefferson Counties 1-800 552-7114 IPP 101.60 213.92 46.89 98.73 Both No 73-51 Kitsap Physicians Service (Stnd) VT 4 5 Kitsap, Mason, Jefferson Counties 1-800 552-7114 IPP 38.41 82.03 17.73 37.86 Both Yes 73-51 Pacific Health Plans WB 1 2 King/Snohomish/Kitsap/Pierce/Thurstor 1-800-722-4666 MMP 32.87 89.71 15.17 41.40 Both No 73-329 PacifiCare of Oregon SS 1 2 Clark County 1-800-922-1444 GPP 39.05 121.34 18.02 56.00 Both No 73-362 Qual-Med Oregon AF 1 2 Clark County 1-800-388-8335 IPP 38.56 121.01 17.80 55.85 Both No 73-327 Qual-Med Washington TM 1 2 Most of Washington 1-800-869-7165 IPP 39.18 127.64 18.08 58.91 Both No 73-287 1992 1992 Enrollment Other Benefit Code Monthly Premium Biweekly Premium Features Prepaid Plan Plan Telephone Plan Your Share Your Share Brochure *U.S. G.P.0.:1991-299-607S General Location Number Name and Option Number Type ECF Plan Self Self & Self Self & Self Self & Dental RI and/or Code Only Family Only Family Only Family HHC Care Washington (cont.) SelectCare SD 1 2 Cowlitz & Wahkiakum Counties (206) 577-4419 IPP 41.22 88.94 19.02 41.05 Both No 73-83 West Virginia Free State Health Plan LD 1 2 Portions of Northeastern WV (301) 964-8168 MMP 39.11 139.56 18.05 64.41 Both Yes 73-146 Health Guard MA 1 2 Portions of West Virginia (614) 676-4623 MMP 32.23 82.93 14.87 38.28 Both No 73-504 Health Plan of the Upper Ohio Valley U4 1 2 Northern West Virginia (614) 695-3585 IPP 32.72 81.89 15.10 37.79 Both No 73-553 Wisconsin Chicago HMO Ltd FJ 1 2 Kenosha area (312) 751-4460 MMP 36.38 124.46 16.79 57.44 Both Yes 73-199 Compcare Health Services 69 1 2 Southeastern Wisconsin (414) 226-6744 MMP 38.26 112.74 17.66 52.03 Both Yes 73-22 DeanCare HMO WD 1 2 South Central Wisconsin (608) 828-1301 GPP 32.69 88.27 15.09 40.74 Both No 73-189 Family Health Plan WH 1 2 Metropolitan Milwaukee (414) 256-0040 GPP 34.56 89.75 15.95 41.42 Both Yes 73-81 Greater Marshfield Health Plan WY 1 2 Marshfield and surrounding counties (800) 472-2363 MMP 181.31 416.72 83.68 192.33 Both Yes 73-38 Group Health Coop of Eau Claire WT 1 2 West Central Wisconsin (715) 836-8552 GPP 40.87 142.33 18.86 65.69 Both No 73-552 Group Health Coop/South Central WI WJ 1 2 Madison and adjacent areas (608) 251-3356 GPP 31.79 84.82 14.67 39.15 Both Yes 73-61 HMO Midwest CV 1 2 West Central & Northwestern Wisconsin (800) 535-4041 MMP 30.45 90.02 14.05 41.55 Both No 73-454 HMO of Wisconsin W4 1 2 Southern/Central Wisconsin (800) 362-3308 IPP 37.55 115.01 17.33 53.08 Both No 73-317 Maxicare Wisconsin WG 1 2 Milwaukee area (414) 271-6865 MMP 33.38 86.15 15.41 39.76 Both Yes 73-179 Physicians Plus HMO 29 1 2 South Central Wisconsin (608) 282-8505 MMP 38.45 116.96 17.74 53.98 Both No 73-559 PrimeCare Health Plan, Inc. WK 1 2 Milwaukee area (414) 453-9070 IPP 41.20 129.59 19.01 59.81 Both Yes 73-172 U-Care HMO WC 1 2 Dane County area (608) 833-6666 MMP 33.12 88.25 15.28 40.73 Both Yes 73-562 Wisconsin Health Organization X1 1 2 Southeastern Wisconsin (414) 223-3300 IPP 36.36 95.25 16.78 43.96 Both No 73-367 ABBREVIATIONS: ECF - Extended Care Facility IPP - Individual Practice Plan GPP- Group Practice Plan. MMP- Mixed Model Plan HHC- Home Health Care 27 FEHB FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM INFORMATION FOR FEDERAL CIVILIAN EMPLOYEES AND U.S. POSTAL SERVICE EMPLOYEES United States FPM Supplement 890-1 Office of GSA Control No. 2809-219 Personnel NSN 7540-00-130-8501 Management SF 2809-A Rev. June 1990 TO EMPLOYEES: One of the benefits of working for the Government is the protection against the cost of medical care available to you through the Federal Employees Health Benefits (FEHB) Program. This pamphlet contains information about your rights and obligations under the Program and describes its major features. The information may be subject to change because of statutory or regulatory revisions that take effect after publication. Your employing office can give you the most up-to-date information. To aid you in selecting the health care protection best suited to your needs, you should review the most current FEHB Enrollment Information Guide and Plan Comparison Chart applicable to you (see below) and the official brochure for the health benefits plan or plans in which you are interested. These may be obtained from your employing office. UNITED STATES OFFICE OF PERSONNEL MANAGEMENT FEHB Enrollment Information Guide and Plan Comparison Chart Booklets for Employees RI 70-1 Federal Employees (Non-Postal) RI 70-2 Postal Employees RI 70-5 Individuals Eligible for Temporary Continuation of FEHB Coverage RI 70-6 Individuals Receiving Compensation from the Office of Workers' Compensation Programs (OWCP) RI 70-7 Employees in Positions Outside the Continental U.S. (including Alaska, Hawaii, Guam and Puerto Rico) RI 70-8 Temporary Employees Eligible for FEHB under 5 U.S.C. 8906a RI 70-10 Visually Impaired Employees 2 TABLE OF CONTENTS Participation is Voluntary 4 Who is Eligible to Enroll 4 What the Program Offers You 4 Cost of Enrollment 4 Types of Plans Available 4 Types of Enrollment 5 Enrollment of Former Spouses 6 Dual Enrollment 6 Opportunities to Enroll or Change Enrollment 6 Effective Dates 7 Identification Cards 7 Coordination of Benefits 7 Circumstances Permitting Continuation of Enrollment 8 Cancellation of Enrollment 9 Termination of Enrollment 9 31-Day Extension of Coverage 10 Conversion Rights 10 Temporary Continuation of Coverage 10 Cost Containment 11 Review of Claims 12 Table of Permissible Changes in Enrollment 13 3 PARTICIPATION IS VOLUNTARY A Government contribution toward the cost of your plan (unless you are a temporary employee required to pay The Federal Employees Health Benefits Program helps both the Government and employee shares of the cost). protect you and your eligible family members from the expenses of illness and accident. It is a voluntary program. The payroll deduction method of making premium Whether you enroll or not is entirely up to you; but, if you are payments. eligible, you are encouraged to enroll for this protection. If you do enroll, you may cancel your enrollment at any time. If Extended protection for 31 days without cost to you after you don't enroll at your first opportunity, you won't be able to your enrollment or coverage of a family member ends enroll until Open Season or until another event permitting (unless you voluntarily cancel). enrollment occurs (see the table on page 13). Under certain circumstances, an opportunity for temporary continuation of group coverage or conversion IMPORTANT to nongroup coverage if your enrollment ends or a covered family member loses eligibility for coverage. You will not be eligible for health benefits coverage after retirement unless you are enrolled before you If you meet certain requirements, continued protection retire and meet all the requirements for continuation for you and eligible family members after your retirement of enrollment after retirement (see page 8). or while you are receiving compensation from the Office of Workers' Compensation Programs for a work-related injury. If certain conditions are met, confinued protection for WHO IS ELIGIBLE TO ENROLL your eligible family members after your death. All permanent employees with regularly scheduled tours of duty and temporary employees whose appointments are for COST OF ENROLLMENT longer than one year are eligible to enroll in the FEHB Program. Also eligible to enroll are temporary employees Unless you are a temporary employee who is required to pay with an appointment for one year or less who have com- the total cost, you and the Government share the cost of your pleted one year of current, continuous employment, exclud- enrollment. Under current law, the Government pays 60 ing any break in service of five days or less. Employees percent of the average high option premium of six of the whose appointments are intermittent (without a prearranged largest health benefits plans in the Program, but not more regular tour of duty), or short-term (limited to one year or than 75 percent of the total premium for any plan. (For less) are not eligible to enroll. Postal employees, the Postal Service pays 75 percent of the average of the "Big 6," but not more than 93.75 percent of the total premium.) After the Government contribution is WHAT THE PROGRAM OFFERS YOU deducted from the total cost, you pay the remainder of the premium through salary withholdings. Premiums are An opportunity, within 31 days from the date of your adjusted annually; the amount you would currently pay under appointment (or from the date you become eligible), to any plan in the Program is shown in the most recent enroll in a health benefits plan with group-rated Enrollment Information Guide and Plan Comparison premiums and benefits. Chart applicable to you (see page 2). An annual opportunity, during Open Season, to enroll in a health benefits plan if you are not already enrolled or, if Note 1: The formula utilized to compute the you are enrolled, to change to another plan or option. Government contribution has been modified for 1990 (and 1991), because of the departure from the A choice of plans and options so that you can get the FEHB Program of the Aetna Indemnity Plan, whose kind and amount of protection best suited to your high option premium had been used in computing personal and family health needs and finances. the Government's share prior to 1990. Guaranteed protection that can't be canceled by the Note 2: If you are a part-time employee appointed plan. under the Federal Employees Part-Time Career Employment Act of 1978, you should contact your Coverage without medical examination or restrictions employing office for information about the cost of because of age, current health or pre-existing medical enrollment. Only a portion of the Government conditions. (Plans may limit benefits for dentistry or contribution is paid toward your total premium. cosmetic surgery to conditions arising after the effective Therefore, your share of the premium will be date of coverage.) greater than the amount that appears in the Enrollment Information Guide and Plan Comparison Coverage without waiting periods after the effective date Chart. of enrollment. Catastrophic protection against unusually large medical bills. (Fee-for-service plans limit the amount of covered TYPES OF PLANS AVAILABLE expenses you would have to pay out-of-pocket for yourself and your family; prepaid plans provide or The two basic types of health benefits plans available to you arrange for all necessary care.) under the FEHB Program are fee-for-service plans and prepaid plans. 4 Fee-for-Service Plans For whom a judical determination of support has been obtained; or These plans reimburse you or the health care provider for covered services. If you enroll in one of these plans, you To whose support you make regular and substantial may choose your own physician, hospital and other health contributions. care providers. Your unmarried dependent stepchildren under age 22 if Fee-for-service plans include the Service Benefit Plan they live with you in a regular parent-child relationship. administered by Blue Cross and Blue Shield and plans sponsored by unions and other employee organizations. Your unmarried dependent foster child (or children) under age 22 if: The Blue Cross and Blue Shield plan is open to all Federal employees. Some employee organization plans are open to The child (who may or may not be related to you) all Federal employees who hold full or associate member- lives with you in a regular parent-child relationship; ships in the organizations that sponsor the plans; the other and employee organization plans are restricted to employees in certain occupational groups and/or agencies. Generally, the You are raising the child as your own, exercising full employee organizations require you to pay a membership fee parental responsibility and control; and or dues in addition to your health plan premium. (Such membership charges are paid directly to the employee You expect to continue to raise the child indefinitely organizations and are not part of the FEHB Program.) into adulthood. Prepaid Plans A child is not a foster child for health benefits purposes if: These are the Comprehensive Medical Plans/Health Maintenance Organizations (CMP/HMOs) that provide or The child is temporarily living with you as a matter of arrange for health care by designated plan physicians, convenience; or hospitals, and other providers in particular locations. CMP/HMOs are either Group Practice Plans, Individual A welfare or social service agency places the child in Practice Plans or a combination of both (called Mixed Model your home and retains control of the child; or Plans). Group Practice Plans provide care through a group of physicians who practice at medical centers operated by or A natural parent of the child also lives with you and is under contract to the plans. Individual Practice Plans provide able to exercise or share parental responsibility and care through participating physicians who practice in their control. own offices. Your unmarried dependent children age 22 or over who Each CMP/HMO is open to all Federal employees who live are incapable of self-support because of physical or within the plan's enrollment area. It is very important that you mental incapacity that existed before their 22nd birthday; are sure you live in the plan's enrollment area before you the incapacity must be expected to last at least one year enroll in one of these plans. The enrollment area is de- from the date of medical certification of incapacity. (Ask scribed in the plan's brochure. your employing office about the medical certification required for a child age 22 or over. If the child is not yet 22, you should submit the medical certificate to your TYPES OF ENROLLMENT employing office at least 30 days before the child's 22nd birthday.) Each FEHB plan has two types of enrollment: (1) self only and (2) self and family. All eligible family members are covered under a self and family enrollment; you can't decide to cover some and Self Only Enrollment exclude others. However, other relatives -- for example, your parents or grandchildren (unless a foster parent-child This enrollment provides benefits only for you. relationship exists) -- are not eligible for coverage as family members even though they live with you and are dependent Self and Family Enrollment upon you. This enrollment provides benefits for you and your eligible family members. Events Causing Family Members Family Members Eligible for Coverage to Lose Eligibility for Coverage Your spouse. If family member is---- Event Your unmarried dependent children under age 22, Your wife or husband Divorce or annulment of including legally adopted children. marriage. Your unmarried dependent recognized children under A child under age 22 Marriage or attainment of age age 22 born out of wedlock: 22. (A child whose marriage ends before age 22 may again Who live with you in a regular parent-child relation- become eligible.) ship; or 5 Note: You will not be notified by either your IMPORTANT employing office or your plan when your child loses eligibility because of age. As indicated on page 11, Your employing office does not monitor changes in if your child wants to temporarily continue group your marital or family status and will not automati- coverage, you must notify your employing office cally change your enrollment. If you need to of the child's loss of eligibility for coverage as a change your enrollment from self only to self and family member within 60 days after his or her 22nd family or vice versa, you must file an SF 2809 with birthday; if he or she wants to convert to nongroup your employing office. See the table on page 13 to coverage, you or the child must apply to the carrier find out when such changes may be made. of your plan for a conversion contract within 31 days after his or her 22nd birthday. A disabled child age 22 ENROLLMENT OF FORMER SPOUSES or over Marriage or recovery of ability for self-support. Certain former spouses of employees (and of former employees and annuitants), whose marriage ended before Family members lose eligibility for coverage on the day the employee's (or former employee's or annuitant's) death, that any of the above events occurs, subject to the may enroll in the FEHB Program under the Spouse Equity 31-day extension of coverage for conversion to a law or similar statutes. Once enrolled, former spouses must nongroup health benefits contract (see page 10). pay the total premium for the plan they select, including the Government share. (See Cost of Enrollment on page 4). For You do not have to notify your employing office when a further information about the enrollment of former spouses, family member loses eligibility for coverage if at least contact your employing office. one other eligible family member remains covered by your self and family enrollment. However, if your spouse loses eligibility because of your divorce, you should Note: Former spouses who are not eligible to enroll promptly notify your plan in writing. (See also Enrollment under the Spouse Equity law (or similar statutes) of Former Spouses below, Conversion Rights on page may be eligible to continue FEHB coverage on a 10 and Temporary Continuation of Coverage on page temporary basis (see page 10 ). 10.) If you become the only person covered by your self and family enrollment, you may immediately change to a less expensive self only enrollment. To do this, obtain a DUAL ENROLLMENT Health Benefits Registration Form (Standard Form (SF) 2809) from your employing office, complete the form and Normally, you may not enroll or be enrolled as an employee if return it to your employing office. you are covered as a family member under someone else's enrollment in the FEHB Program. However, such dual enrollments may be permitted under certain circumstances in Coverage of New Family Members order to Protect the interests of children who otherwise would Self Only Enrollment lose coverage as family members, or You must change to a self and family enrollment if you want Enable an employee who is under age 22 and covered to provide coverage for a new family member, e.g., a under a parent's enrollment and becomes the parent of newborn child or a new spouse. To do this, find the event a child to enroll for self and family coverage. that permits the change in the table on page 13 to determine when you can change. Then complete an SF 2809 and give No person (employee or family member) is entitled to receive it to your employing office within 60 days after a change in benefits under more than one enrollment in the Program. family status or anytime between 31 days before and 60 days after a change in marital status. Your employing office can give you details about permissible dual enrollments. Self and Family Enrollment A new family member is automatically covered under your self and family enrollment, but your plan may ask you for OPPORTUNITIES TO ENROLL information to verify the family member's eligibility when a claim for benefits is filed for that person. OR CHANGE ENROLLMENT New or Newly Eligible Employees You are required to complete a Health Benefits Registration Form (Standard Form (SF) 2809) obtained from your employing office. You must indicate on the form whether you want to enroll or do not want to enroll in an FEHB plan. 6 You must return the completed SF 2809 to your employing pay status requirement doesn't apply to a change from self office: and family to self only.) Within 31 days after If you are a There are exceptions -- Your date of appointment New employee. Open Season. Your employing office can give you the specific day on which your enrollment or enrollment The date you become change will take effect. eligible to enroll Newly eligible employee. Change from Self Only to Self and Family Due to the Birth or Addition of a Child as a New Family Member. All Eligible Employees This change takes effect on the first day of the pay period in which the child is born or becomes an eligible family If you are not enrolled, you will be able to enroll only when member, regardless of your pay status. an event permitting enrollment occurs. Such events, which are listed in the table on page 13, include (but are not limited Cancellation. See page 9. to) -- Additional information about effective dates appears in the Open-Season. table on page 13. Change in marital status. Note: If you change plans or change options in your Loss of coverage as a family member under FEHB. current plan, and you or a family member covered by your prior plan or option are confined in a hospital on Loss of coverage under spouse's non-Federal health the date your enrollment change takes effect, plan if spouse involuntarily loses his or her coverage or benefits of the prior plan or option will continue coverage for his or her dependents. temporarily for the confined person. Benefits will continue (unless they are exhausted) for each additional day of continuous confinement through the If you are enrolled, you may change your enrollment only 91st day after the date your enrollment change takes when an event permitting the change you want to make effect. Benefits of the new plan or option will not occurs (see table). However, you may change from self and begin for the confined person until the day after his or family to self only at any time. her confinement ends or the 92nd day after the date your enrollment change takes effect, whichever is To enroll or change your enrollment, obtain an SF 2809 from earlier. your employing office, complete the form and return it to your employing office within the time limit specified in the table for the event permitting the enrollment or enrollment change. IDENTIFICATION CARDS IMPORTANT Once your enrollment or enrollment change is processed, your plan will send you an identification card. However, you should You will not be eligible for health benefits coverage keep the copy of the SF 2809 your employing office gives you after retirement unless you are enrolled before you for your records. If you need to obtain benefits before you retire and meet all the requirements for continuation receive your identification card, contact your plan for assis- of enrollment after retirement (see page 8). tance and use your copy of the SF 2809 as proof of your enrollment or enrollment change. Do not send bills or claims to your employing office or the Office of Personnel Management. Temporary Employees Eligible for FEHB Under 5 U.S.C. 8906a COORDINATION OF BENEFITS If you are a temporary employee with an appointment for one year or less who has completed one year of current continu- Double Coverage ous employment, excluding any break in service of five days or less, you are eligible under section 8906a of the FEHB law Because many people covered by FEHB plans also have to participate in the FEHB Program. All of the above other health care protection, all FEHB plans have a coordina- enrollment and enrollment change information applies to you tion of benefits (COB), or double coverage, provision. The with one exception. A decision not to enroll will not affect provision applies when a person covered by an FEHB plan is your future eligibility to continue FEHB enrollment after also entitled to benefits under any other kind of group health insurance, Medicare or no-fault or other automobile insurance retirement (see page 8). that pays benefits without regard to fault. The purpose of the provision is to enable enrollees and covered family members to recover as much of their health care expenses as their total EFFECTIVE DATES coverage permits, but not more than the actual charges for the In general, enrollments and enrollment changes take effect on care. Under COB, or double coverage, one plan normally the first day of the pay period that begins after your employing pays its benefits in full as the primary payer, and the other plan office receives your completed SF 2809 and follows a pay pays a reduced benefit as the secondary payer. The com- period during any part of which you were in a pay status. (The bined amount paid by both plans will usually equal 100% of covered, or allowable, expenses. 7 Say, for example, that a person with double coverage is You are eligible for FEHB Program coverage in your charged $100.00 for medical services received, that the new position. actual charge is an allowable expense of both plans, and that the benefit of each plan is 80% of the allowable expense. Normally, the plan designated as the primary payer would pay $80.00, or its benefit in full, and the plan designated as Note: If you are not enrolled in an FEHB plan at the the secondary payer would pay only the remaining $20.00. time you transfer, you will have an opportunity to enroll if you have a break in service of more than Except for Medicare, primary and secondary payers are three days and you are eligible for FEHB coverage determined according to the guidelines of the National in the new position. Association of Insurance Commissioners. Generally, the plan that covers you as an enrollee is the primary payer; the plan that covers you as a family member is the secondary Leave Without Pay (LWOP) payer. If you go on LWOP (or your pay isn't enough to cover your The COB provision helps reduce the FEHB plan premium share of the premium), your enrollment will continue for up to that you pay. one year, unless you cancel it (see page 9). However, you are responsible for paying your share of the premium. Your FEHB Plans and Medicare employing office will tell you how to make the premium payments. Plans under the FEHB Program typically provide protection against the same kinds of expenses as Medicare, which has Military Service two parts (Part A, hospital insurance, and Part B, medical insurance). Under the law, if you're an employee age 65 or Your enrollment will continue without change if you enter on over and have Part A, your FEHB plan is the primary payer active duty in the military service for 30 days or less. and Medicare is the secondary payer of benefits provided under both your plan and Medicare Part A or Part B. If you enter on active duty for more than 30 days, your Medicare is also the secondary payer of mutually provided enrollment will continue for up to one year, unless you elect benefits for your covered spouse, regardless of your age, if to have the enrollment terminated (see page 9). You are he or she is age 65 or over and has Part A. responsible, however, for paying your share of the premium (your employing office will explain how to make the premium payments). If you elect to have your enrollment terminated, it Note: After you retire, Medicare will become the will be reinstated at the time you exercise your reemployment primary payer and your FEHB plan will be the rights and return to civilian service. (You may also change secondary payer for you (unless you are your enrollment, or enroll if you were not enrolled when you reemployed by the Government), and for your entered on active duty, within 31 days after returning to covered spouse (unless he or she is employed by civilian service.) the Government). Your decision to have your enrollment terminated will not affect your future eligibility to continue FEHB enrollment after In addition, your FEHB plan is the primary payer and retirement (see below). Medicare is the secondary payer of mutually provided benefits for an End Stage Renal Disease (ESRD) Medicare Retirement beneficiary under age 65 within the first 12 months of ESRD care. Also, your FEHB plan is the primary payer and Your enrollment will continue without change in benefits or Medicare is the secondary payer for a person under age 65 cost (except that Postal Service retirees will pay the same entitled to Medicare on the basis of disability. share of the premium as other Federal retirees) if you retire FEHB Plans and Uniformed Services Health Under a retirement system for Federal civilian employ- Benefits Program ees and If you are eligible for health care coverage under the Civilian On an immediate annuity. Health and Medical Program of the Uniformed Services (CHAMPUS), your FEHB plan is the primary payer of In addition, you must be currently enrolled in a plan under the benefits, and CHAMPUS is the secondary payer. FEHB Program and must have been enrolled (or covered as a family member) in an FEHB plan for CIRCUMSTANCES PERMITTING The five years of service immediately before retirement, CONTINUATION OF ENROLLMENT or If fewer than five years, all service since your first Transfer opportunity to enroll. (Generally, your first opportunity to Your enrollment will continue without change if -- enroll is within 31 days after your first appointment [in your Federal career] to a position under which you are You transfer to (or are reemployed by) another Federal eligible to enroll under conditions that permit a Govern- ment contribution toward the enrollment.) agency without a break in service of more than three calendar days, and 8 If you are on a monthly or 4-week pay period, and your Note 1: "Service" means service in which you were employing office receives your SF 2809 -- eligible to be enrolled in an FEHB plan under conditions that permitted a Government contribution More than 15 days before the end of the pay period, the toward the enrollment. Your enrollment (or cancellation will take effect on the last day of that pay coverage) need not have been in the same plan, period. but it must have been in one or more FEHB plans. Coverage under a non-FEHB plan is not creditable Less than 15 days before the end of the pay period, the toward meeting the five-year or first-opportunity cancellation will take effect on the last day of the requirement. (In some circumstances, if you are following pay period. enrolled in an FEHB plan at the time of retirement, your past coverage under CHAMPUS may be creditable toward meeting the five-year or first opportunity requirement. Contact your employing Note: If you intend to be covered by someone office for details.) else's enrollment at the time you cancel and wish to avoid a gap in your coverage, you should coordi- Note 2: While the Office of Personnel Management nate the effective date of your cancellation with the has the authority to waive the five-year requirement effective date of your new coverage. (See page 7 for continuation of enrollment after retirement, this for additional information on effective dates.) authority is limited to extraordinary situations only and is rarely exercised. Once your cancellation becomes effective, you may not enroll again until an event occurs that permits enrollment, Workers' Compensation such as marriage or Open Season (see the table on page 13). Your enrollment continues while you are receiving compen- sation from the Office of Workers' Compensation Programs if In addition, you will not be eligible for health benefits the Secretary of Labor determines that you are unable to coverage after retirement unless you reenroll before you return to duty and if you were enrolled in the FEHB Program retire and meet all the requirements for continuation of (or covered as a family member) for (1) the five years of enrollment after retirement (see page 8). service immediately before the compensation started, or (2) all service since your first opportunity to enroll. (Notes 1 and 2 above also apply to Workers' Compensation.) Note: Some employees who cancel their enroll- ment may plan to reenroll in time to qualify for Death FEHB coverage as a retiree; however, there is always the risk that they will have to retire earlier If you die while you are enrolled for self and family, the than expected (e.g., due to disability or involuntary enrollment will continue for your eligible survivor annuitants separation) and not be able to meet the five-year and other eligible family members with no change in benefits requirement for continuing FEHB coverage into or cost. (However, survivors of deceased Postal Service retirement. Please understand that when you employees will pay the same share of the premium as other cancel your enrollment you are voluntarily Federal survivor annuitants.) If there is only one survivor accepting this risk. An alternative would be to annuitant, and he or she is the sole eligible family member, change to a lower cost plan so that you meet the the enrollment will be changed automatically to self only, with requirements for continuation of your FEHB a corresponding reduction in cost. enrollment after retirement. CANCELLATION OF ENROLLMENT TERMINATION OF ENROLLMENT You may voluntarily cancel your enrollment at any time by Your enrollment will end on the last day of the pay period in submitting a properly completed Standard Form (SF) 2809 to which -- your employing office. You are separated from your job, unless you are However, if you cancel your enrollment, neither you nor any separated under circumstances that allow you to family member covered by your enrollment will be entitled to continue your enrollment (see page 8). a 31-day extension of coverage for conversion to nongroup coverage (see page 10). Moreover, family members who You become ineligible for coverage because of a lose coverage because of your cancellation will not be change in your employment status. eligible for temporary continuation of coverage (see page 10). You die, and there is no eligible survivor annuitant to continue the enrollment. Effective Date of Cancellation Your enrollment also will end on -- If you are on a biweekly pay period -- The last day of the pay period that includes your 365th The cancellation will take effect on the last day of the day of continuous nonpay status. pay period in which your employing office receives your SF 2809. The day you are separated, furloughed or placed on leave of absence to enter military service for more than 9 30 days, if you elect to have your enrollment terminated nearest office of your plan within 31 days after the family (see page 8). member's FEHB coverage ends. (Although you will be notified when your enrollment ends, no one will notify you or the family member when he or she loses coverage.) 31-DAY EXTENSION OF The carrier will then send you or the family member an COVERAGE application form as well as benefit and cost information about the nongroup coverage. Your coverage will continue for 31 days after your enrollment ends for any reason except voluntary cancellation in order to Effective Date of a Conversion Contract give you the opportunity to convert to an individual (non- group) health benefits contract. Nongroup coverage takes effect at the end of the 31-day extension of coverage described above. This is true even if If you are confined in a hospital on the 31st day, the benefits you or a family member are confined in a hospital on the 31st under your FEHB plan will continue for up to 60 more days of day and continue to receive benefits for that confinement continuous confinement. under your FEHB plan for up to 60 more days. These extensions of coverage are without cost to you and Some Basic Differences Between a Conversion also apply to your family members who lose coverage for any Contract and an FEHB Plan reason except your voluntary cancellation. Nongroup benefits and premiums are not subject to Government review and approval. CONVERSION RIGHTS The benefits available under a conversion contract may If your enrollment ends for any reason except voluntary not be the same as those under your FEHB plan. In cancellation, you may convert to nongroup coverage fact, many carriers provide fewer benefits under their without giving evidence of good health. nongroup contracts. Any member of your family who loses coverage for any Nongroup coverage is likely to cost you more because reason except your voluntary cancellation may also the Government doesn't pay part of the premium, and convert to nongroup coverage. you will not have the advantage of a "group rate." Nongroup coverage under a conversion contract is available only from the carrier of the FEHB plan you are enrolled in when your enrollment ends. TEMPORARY CONTINUATION OF COVERAGE Applying for a Conversion Contract If your enrollment is terminated because you separate from service on or after January 1, 1990, you may be eligible to Within 60 days after your enrollment ends, your employing temporarily continue your health benefits coverage under the office must give you a notice of termination of your enroll- FEHB Program after separation. Temporary continuation of ment and the right to convert to an individual contract with coverage is available to you if your separation is voluntary or the carrier of your plan. involuntary (unless it is for gross misconduct), and you would not otherwise be eligible for continued coverage under the If you want to convert to nongroup coverage, write for Program. An example is separation for retirement when you information to the nearest office of your plan within: are unable to meet the requirements for continuation of enrollment after retirement (see page 8). 91 days after your enrollment ends, or Your temporary coverage continues for up to 18 months after your separation from service, and you must pay the total 31 days after the date the notice was signed by an premium (both the Government and employee shares), plus authorized official, whichever is earlier. a charge for administrative expenses of 2% of the total premium. When your temporary continuation of coverage ends (except by cancellation or nonpayment of premiums), you will be entitled to a 31-day extension of coverage for Note: If you don't receive the notice within 60 days conversion to nongroup coverage (see above). after your enrollment ends, or you can show that you did not apply for a conversion contract in a Electing Temporary Continuation of Coverage timely manner for reasons beyond your control, you may request conversion to nongroup coverage by Your employing office will notify you of your opportunity to writing to your plan within six months from the day elect temporary continuation of coverage within 61 days after on which your enrollment ends. Your request must your enrollment terminates because of separation from be accompanied by verification of your loss of service. You have 60 days after separation (or after FEHB coverage, e.g., a Standard Form 50 showing receiving the notice, if later) to elect continued coverage. your separation from the service. Complete a Standard Form (SF) 2809 obtained from your employing office. You may choose -- If a member of your family wants to convert to nongroup The same plan, option and type of enrollment that coverage, you or the family member should write to the covered you at the time of separation; or 10 Any other plan (for which you are eligible), option or type spouse because of remarriage or loss of qualifying court of enrollment. order; or Return the properly completed form to the employing office The date he or she receives the notice. within the 60-day time limit. Effective Date of Coverage Note: In the case of a child who becomes eligible for temporary continuation of coverage, if the Your temporary continuation of coverage takes effect on the employing office is not notified by the enrollee within day after the 31-day extension of coverage described on the 60-day time limit, the opportunity to elect page 10. Coverage is retroactive if you return the SF 2809 to continued coverage ends 60 days after the the employing office after the 31-day extension period ends. qualifying event; in the case of a former spouse, if the employing office is not notified by the enrollee or Other Individuals Eligible for Temporary the former spouse within the 60-day time limit, the Continuation of Coverage opportunity to elect continued coverage ends 60 days after the change in status. If someone other On and after January 1, 1990, children who lose FEHB than the enrollee notifies the employing office about coverage and former spouses who are not eligible to enroll in a child's eligibility (or someone other than the the FEHB Program under the Spouse Equity law or similar enrollee or former spouse, in the case of a former statutes (see page 6) may also be eligible for temporary spouse's eligibility), the employing office notifies the continuation of coverage. Their temporary coverage child (or former spouse) of his or her temporary continues for up to 36 months after the qualifying event continuation of coverage rights, but no additional occurs, e.g., child reaches age 22 or divorce. time is given. Child and former spouse enrollees also must pay the total premium plus the 2% administrative charge and are entitled to a 31-day extension of coverage for conversion to non- For a child who elects temporary continuation of coverage, group coverage when their temporary continuation of the effective date of coverage is the same as described coverage ends (except by cancellation or nonpayment of above. For a former spouse who elects temporary continua- premiums). tion of coverage, the effective date of coverage is the same as described above or the date of the qualifying event, if If temporary continuation of coverage is desired for your child later. or former spouse, your employing office must be notified when the child or former spouse becomes eligible. For a child, you must notify the employing office within 60 days COST CONTAINMENT after the qualifying event occurs. For a former spouse, you or the former spouse must notify the employing office within To ensure that enrollees and covered family members 60 days after the former spouse's change in status. The receive the best quality of care in an environment of employing office then notifies the child or the former spouse constantly rising health care costs, all FEHB plans have of his or her temporary continuation of coverage rights. If a instituted cost containment programs. These programs, child wants continued coverage, he or she must elect it within which include, for example, precertification of hospital 60 days after the date of the qualifying event (or after admissions and case management, are designed to help receiving the notice, if later). If a former spouse wants make sure that services are performed at the right time, in continued coverage, he or she must make the election within the right place and at the right price. It is important that you 60 days after the later of: and your covered family members be sound consumers of health care services and adhere to the cost containment The date of the qualifying event; programs your plan has established. The date he or she loses coverage as an enrolled former 11 REVIEW OF CLAIMS Along with your request for review, you must send a copy of the plan's reconsideration decision. Read the plan brochure to become familiar with your plan's benefits and claims procedures. Questions concerning OPM review may be obtained by writing to: benefits, claim payments and claim processing must be addressed to your plan. The Office of Personnel Manage- ment (OPM) does not pay or process claims. U.S. Office of Personnel Management Insurance Review Division If your plan denies your claim for payment or for service, it Retirement and Insurance Group will reconsider the denial upon receipt of a written request P.O. Box 436 within one year of the denial. The written request should Washington, D.C. 20044 state, in terms of applicable brochure provisions, the reasons you believe the denied claim for payment or service should OPM must receive your request for review, along with a copy have been paid or provided. Within 30 days after receipt of of your letter to the plan and its reply, within 90 days of the your request for reconsideration, the plan must affirm the plan's affirmation of the denial. You may also ask OPM for a denial in writing to you, pay the claim, provide the service, or review if the plan fails to respond within 30 days to your request additional information from you or your health care written request for reconsideration or within 30 days after you provider reasonably necessary for making a determination. have supplied additional information. In this case, OPM must (Your plan must notify you if it has requested additional receive a request for review within 120 days of your request information from your provider.) If this information is not to the plan for reconsideration or the date you were notified supplied within 60 days, the plan will base its decision on the that the plan needed additional information. In your request information it has on hand. If the plan affirms its denial, you for review, show (1) the date of your request to the plan or (2) have a right to a review by OPM to determine whether the the dates the plan requested and you provided additional plan has acted in accordance with its contract. Before information to the plan. OPM will notify you and the plan of seeking OPM review of a claim, these are some of the things its decision. you should keep in mind: If you decide to seek judicial review of the denial of a claim, you must file suit no later than December 31 of the third year Do not submit initial bills from providers for payment to after the year in which the care or service was provided, or the below address or any other office within OPM; send two years after a final determination has been made on the them to the plan along with the appropriate claim form. claim by OPM through the disputed claims process, whichever is later. Federal law governs claims for relief that Providers may use this procedure only on behalf of and relate to benefits under an FEHB plan. Damages recover- with the specific written consent of the member, and are able under Federal law are limited to the amount of benefits required to demonstrate that the member has assigned in dispute, plus simple interest and court costs. Under all of his or her rights to the provider with regard to that Federal regulations (5 CFR 890.107), such legal actions particular claim. should be brought against the carrier of your plan. You should first check with your provider or facility to be Privacy Act Statement -- If you request OPM to review a sure the plan was billed correctly; for instance, was the denial of a claim for payment or service, OPM is authorized correct procedure code(s) used, were complications by chapter 89 of title 5, U.S. Code, to use the information correctly indicated on the billing or operative report, etc. collected from you and the plan to determine if the plan has Reasonable and customary (R&C) allowances are acted properly in denying you the payment or service, and determined and controlled solely by the plan based upon the information so collected may be disclosed to you and/or information available to it. the plan in support of OPM's decision on the disputed claim. 12 TABLE OF PERMISSIBLE CHANGES IN ENROLLMENT Enrollment May Be Cancelled or Changed From Family to Self Only at Any Time Events That Permit Enrollment Change Change Permitted From Not From From Time Limit in Which Registration Form No. Event Enrolled Self Only One Plan to to or Option Electing Change Must Be Filed With to Employing Office** Enrolled Family Another 1 Open Season. Yes*t Yes Yes As announced by the Office of Personnel Management. 2 Change in marital status. (Marriage, divorce, annulment, Yes* Yes (Except Yes (Except From 31 days before to 60 days after change in marital status. death of spouse.) former spouses) former spouses) 3 Other change in family status. (For example, birth of a No Yes No Within 60 days after change in family status. child, legal separation, discharge from military service of a spouse or of a child under age 22). 4 Move from an area served by a prepaid plan (CMP/HMO) Does not Yes Yes At any time after move. in which enrolled at time of move. apply 5 Termination of enrollment by employee organization plan Does not No Yes Within 31 days after termination of enrollment in plan. because of termination of membership in organization. apply 6 Employee, annuitant or former spouse (spouse equity), Yes* Does not Does not Within 31 days after termination (except, for employees, within 60 days covered as a family member under another's FEHB apply apply after the death of the enrollee). Coverage is effective the first day of enrollment, loses coverage other than by cancellation or the pay period that begins after the employing office receives the SF change to Self Only of the covering enrollment; or employee, 2809. If election is made within the time limit, but after expiration of the covered under Retired Federal Employees Health Benefits 31-day extension of coverage (or too close to the expiration of the Program or under another federally sponsored health benefits 31-day extension of coverage), there will be a break in coverage. program, loses such coverage for any reason. 7 Employee, annuitant or former spouse (spouse equity), Yes, for Does not Does not Within 31 days after change of covering enrollment has been filed. covered as a family member under another's FEHB Self Only* apply apply Coverage is effective the first day of the pay period that begins after enrollment, loses coverage because of change of the the employing office receives the SF 2809. If election is made within covering enrollment from Family to Self Only. the time limit, but during a pay period following the one in which the change to Self Only was filed, there will be a break in coverage. 8 Employee transfers to overseas post of duty from the Yes* Yes Yes United States, or reverse. Within 31 days before or after move. 9 Employee returns to active civilian duty or annuitant separates from military service which was not limited to Yes* t Yes Yes Within 31 days after return to active civilian duty or separation from 30 days or less. military service. 10 Your plan stops participating in the FEHB Program. Does not Yes Yes As set by the Office of Personnel Management. apply 11 Self Only enrollment under this Program of employee's or No Yes No Within 31 days after termination of spouse's enrollment. Coverage is annuitant's spouse terminates as a result of change in effective the first day of the pay period that begins after the employing office spouse's Federal employment status or 365 days' nonpay receives the SF 2809. If election is made within the time limit, but after status. expiration of the 31-day extension of coverage (or too dose to the expiration of the 31-day extension of coverage), there will be a break in coverage. 12 Employee who is not enrolled loses coverage under parent's Yes* Does not Does not Within 31 days after loss of coverage, except within 60 days after the death non-Federal health plan. apply apply of the parent. 13 Enrolled employee retires from overseas post of duty and Does not is eligible to continue enrollment as annuitant. Yes Yes Within 60 days after retirement. apply 14 Enrollee becomes eligible for Medicare. Does not No Yes At any time beginning 30 days before becoming eligible for Medicare. apply 15 Enrollee's eligible child (or children) loses coverage under No Yes No another's FEHB enrollment. Within 31 days after child's (children's) loss of coverage. Coverage is effective the first day of the pay period that begins after the employing office receives the SF 2809. If election is made within the time limit, but after expiration of the 31-day extension of coverage (or too close to the expiration of the 31-day extension of coverage), there will be a break in coverage. Individuals must be otherwise eligible to enroll. t Employees only. ** Also selected effective date information. 13 Events That Permit Enrollment Change Change Permitted From Not From From Time Limit In Which Registration Form Enrolled Self Only One Plan No. Event to or Option Electing Change Must Be Filed With to to Enrolled Family Employing Office** Another 16 Employee loses coverage under Medicaid (State program Yes* Does not Does not Within 31 days after termination of Medicaid. of medical assistance for the needy). apply apply 17 Employee, annuitant or former spouse (spouse equity), Yes* Does not You must enroll in the same plan and option as that from which coverage is lost, if covered as a family member under another's FEHB apply eligible to enroll in that plan, within 31 days after cancellation of the covering enrollment, loses coverage due to cancellation of the enrollment. If not eligible to enroll in that plan, you may enroll in the same option of covering enrollment. any available plan within the 31-day period. Coverage is effective the first day of the pay period that begins after the employing office receives the SF 2809. If election is made within the time limit, but during a pay period following the one in which the cancellation was filed, there will be a break in coverage. 18 Enrolled employee's employment status changes from No No Yes full-time to part-time career employment as defined in the Within 31 days after the change in employment status. Federal Employees Part-Time Career Employment Act of 1978. 19 Employee or employee's spouse loses coverage under Yes* Yes No Within 31 days before or after move. spouse's non-Federal health plan when spouse terminates employment to accompany employee whose reassignment is directed out of commuting area. 20 Employee's or annuitant's spouse involuntarily loses his Yes* t Yes No Within 31 days before or after spouse's or dependent's loss of or her non-Federal health insurance coverage, or coverage; or within 31 days before or after child's (or children's) loss coverage for his or her dependents; or employee's or of coverage. annuitant's eligible child (or children) loses non-Federal coverage under the other parent's health plan because the other parent involuntarily loses coverage for his or her dependents. 21 Former spouse who is eligible to enroll under the authority Yes* Does not Does not Generally, within 60 days after divorce. If divorce occurs after Federal of the Civil Service Retirement Spouse Equity Act of 1984 apply apply employee retires, within 60 days after divorce or 60 days after retiree (P.L. 98-615), as amended, the Intelligence Authorization election of a survivor annuity for the former spouse. Certain former Act of 1986 (P.L. 99-569), or the Foreign Relations spouses of employees who retired before May 7, 1985, may be Authorization Act, Fiscal Years 1988 and 1989 (P.L. subject to a different time limit and should contact the employee's 100-204). retirement system for additional information. 22 Temporary employee completes one year of service Yes* Does not Does not Within 31 days after becoming eligible. in accordance with 5 U.S.C. 8906a. apply apply 23 Temporary employee, eligible under 5 U.S.C. 8906a, Yes* Yes Yes Within 31 days after changing to non-temporary appointment. changes to a nontemporary appointment. 24 Employee separated from service and eligible for Does not Yes Yes Within 60 days after the later of: separation; or receiving notice of the temporary continuation of coverage. apply opportunity to elect temporary continuation of coverage. Coverage is effective the day after other FEHB coverage ends, including the 31-day extension of coverage. If election is made after the end of the 31-day extension of coverage, the effective date will be retroactive. 25 Child of employee, former employee or annuitant stops Yes* Does not Does not Within 60 days after the later of: the qualifying event; or the child's meeting the requirements for unmarried dependent apply apply receiving notice of the opportunity to elect temporary continuation of children. coverage (based on the enrollee's notification to the employing office of the child's eligibility). Coverage is effective the day after other FEHB coverage ends, including the 31-day extension of coverage. If election is made after the end of the 31-day extension of coverage, the effective date will be retroactive. . Individuals must be otherwise eligible to enroll. ** Also selected effective date information. t Employees only. 14 Events That Permit Enrollment Change Change Permitted From Not From From Time Limit in Which Registration Form Enrolled Self Only One Plan No. Event to or Option Electing Change Must Be Filed With to to Enrolled Family Employing Office** Another Former spouse meets the requirement in 5 U.S.C. 8901(10) Yes* Does not Does not 26 Within 60 days after the later of: the qualifying event; the date coverage of having been enrolled in an FEHB plan as a covered family apply apply under Subpart H of 5 CFR Part 890 was lost, if the loss occurred within 36 member at some time during the 18 months before the months of the qualifying event; or the former spouse's receiving notice of marriage ended, but does not meet one or both of the other the opportunity to elect temporary continuation of coverage (based on the two requirements of 5 U.S.C. 8901(10). enrollee's or former spouse's notification to the employing office of the former spouse's eligibility). Coverage is effective the day after other FEHB coverage ends, including the 31-day extension of coverage; or the date of the qualifying event, if later. If election is made after the end of the 31-day extension of coverage or the date of the qualifying event, the effective date will be retroactive. 27 Former employee, former spouse or child whose temporary Yes* Does not You must reenroll in the same plan and option as that in which you were continuation of coverage under 5 CFR Part 890 Subpart K apply enrolled prior to obtaining the other FEHB coverage, if eligible to enroll in that terminates due to other FEHB coverage, loses the other plan, within 31 days after the other coverage ends, but not later than the FEHB coverage. expiration of the period of eligiblility for the temporary continuation of coverage. If not eligible to enroll in that plan, you may enroll in the same option of any available plan within the 31-day time limit. * Individuals must be otherwise eligible to enroll. ** Also selected effective date information. t Employees only. 15