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Federal Employees Health Benefits Program (FEHBP) - Available Health Insurance Options (Paperback)
Loot Price: R417
Discovery Miles 4 170
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Federal Employees Health Benefits Program (FEHBP) - Available Health Insurance Options (Paperback)
(sign in to rate)
Loot Price R417
Discovery Miles 4 170
Expected to ship within 10 - 15 working days
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FEHBP is generally available to employees, annuitants, and their
dependents. Eligible individuals may elect coverage in an approved
health benefits plan for either individual or family coverage. For
the 2013 plan year, there are about 230 different plan choices,
including all regionally available options. As a practical matter,
an individual's choice of plans is often limited to 10 to 15
different plans, depending on where the individual resides. While
enrollees have a range of choices, they typically decide which
options best match their needs, the amount of their wages they will
contribute to health insurance, and how risk-averse they are to
potential out-of-pocket costs. While most federal employees or
annuitants reaching age 65 are automatically entitled to Medicare
Part A, Medicare-eligible employees may also voluntarily choose to
enroll in Medicare Part B and Part D. For individuals covered under
a FEHBP plan as an annuitant, Medicare is the primary payer and
FEHBP is the secondary payer. As a secondary payer, FEHBP could
cover a share of Medicare deductibles and coinsurance for any
services that are covered by both plans, and FEHBP would continue
to reimburse for its covered services that are not covered by
Medicare. FEHBP is administered by the Office of Personnel
Management (OPM), which is statutorily given the authority to
contract with qualified carriers offering plans and to prescribe
regulations necessary to carry out the statute, among other duties.
Some of OPM's additional duties include coordinating the
administration of FEHBP with employing offices, managing
contingency reserve funds for the plans, and applying sanctions to
health care providers according to the prescribed regulations.
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