This is a general description of the plan changes. This page is not an official statement of benefits. For that, go to the Benefits descriptions in the Plan Brochure. Also, we edited and clarified language throughout the brochure; any language change not shown here is a clarification that does not change benefits.
- Your share of the non-Postal premium will increase by 11% for Self Only or 11% for Self and Family.
- The primary care or specialist office visit copayment will increase from $10 per office visit to $15 per office visit.
- The lab and x-ray and other diagnostic tests in a physician office or freestanding facility setting copayment of $10 has been
eliminated.
- The mail order prescription drug copayment will decrease from $30-$90-$125 (Generic / Brand name / Non-formulary) respectively to $25-$75-$112.50.