Here are the most popular Federal Health Plans utilized by DCRB annuitants. To help you make the best choice, We have included details about premiums in 2022 and enrollment codes. Below are links to the plan details that are included in this letter.

Blue Cross & Blue Shield
https://www.fepblue.org/plan-brochures
Kaiser Foundation HP – The Mid Atlantic
https://healthplans.kaiserpermanente.org/federal-employees-fehb/toolsresources/brochures-forms/
Government Employees Hospital Association
https://www.geha.com/enroll/plan-brochures
Aetna Open Access
https://www.aetnafeds.com/brochures.php
Mail Handlers Benefit Plan
https://mhbp.com/plan-documents/
M.D. IPA: The Quality Care HP
https://www.uhcfeds.com/health-benefit-officers
Capital Care, Inc. (CareFirst Blue Choice)
https://www.carefirst.com/fedhmo/

For access to these and other complete plan brochures you may either visit the plan provider’s
web page or OPM’s health plan web page at https://www.opm.gov/healthcareinsurance/healthcare/plan-information/plans/.

A Fee-For-Service Plan (FEP Blue Standard and FEP Blue Basic Options) with
a Preferred Provider Organization

This plan’s health insurance is classified as essential minimum coverage, and it is in compliance with the minimum value standard in terms of the services it gives. See page 9 for details. This Plan is approved. Check out the page 13. The Plan is administered and sponsored by: the Blue Cross and Blue Shield Association as well as participating Blue Cross and Blue Shield Plans Participants in this plan The plan is open to all Federal employees or Tribal employees as well as annuitants that are eligible to join this plan. Federal Employees Health Benefits Program

Enrollment codes for this Plan:
104 Standard Option – Self Only
106 Standard Option – Self Plus One
105 Standard Option – Self and Family
111 Basic Option – Self Only
113 Basic Option – Self Plus One
112 Basic Option – Self and Family

To compare your FEHB health plan options please go to www.opm.gov/fehbcompare.
To review premium rates for all FEHB health plan options please go to www.opm.gov/FEHBpremiums
or www.opm.gov/Tribalpremium.

Premiums for Tribal employees are shown under the Monthly Premium Rate column. The amount shown under employee contribution
is the maximum you will pay. Your Tribal employer may choose to contribute a higher portion of your premium. Please contact your
Tribal Benefits Officer for exact rates.

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