| Plan | Enrollment | Premium | Deductible | Annual out-of-pocket max | Health Savings Account (HSA) | Hospital | Primary/Specialist | Prescriptions | Emergency/Urgent Care | Tests or Procedures - Simple | Tests or Procedures - MRI, CT, etc | Brochure |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APWU CDHP | Self + 1 | $198.00 | $4400 | $13,000 | $2400 | 15% | 15%/15% | Tier1/Tier2/Tier3 25%/25%/40% | 15%/15% | 15% | 15% | Brochure |
| APWU-High | Self + 1 | $216.18 | $800 | $13,000 | $0 | 15% | $25/$25 | Tier1/Tier2/Tier3 $10/25%/45% | 15%/$30 | 15% | 15% | Brochure |
| APWU CDHP | Self + Family | $216.01 | $4400 | $13,000 | $2400 | 15% | 15%/15% | Tier1/Tier2/Tier3 25%/25%/40% | 15%/15% | 15% | 15% | Brochure |
| Blue Cross Basic | Self + 1 | $313.84 | $0 | $15,000 | $0 | $425 | $35/$50 | Tier1/Tier2/Tier3 $15/35%/60% | $425/$50 | $40 | $100 | Brochure |
| APWU-High | Self + Family | $275.94 | $800 | $13,000 | $0 | 15% | $25/$25 | Tier1/Tier2/Tier3 $10/25%/45% | 15%/$30 | 15% | 15% | Brochure |
| Blue Cross FEP Blue Focus | Self + 1 | $161.56 | $1500 | $20,000 | $0 | 30% | $10/$10 | Tier1/Tier2/Tier3 $5/40%/NA | 30%/$25 | 30% | 30% | Brochure |
| Blue Cross Basic | Self + Family | $357.52 | $0 | $15,000 | $0 | $425 | $35/$50 | Tier1/Tier2/Tier3 $15/35%/60% | $425/$50 | $40 | $100 | Brochure |
| Blue Cross-Std | Self + 1 | $424.42 | $700 | $12,000 | $0 | $350 | $30/$40 | Tier1/Tier2/Tier3 $7.50/30%/50% | 15%/$30 | 15% | 15% | Brochure |
| Blue Cross FEP Blue Focus | Self + Family | $177.70 | $1500 | $20,000 | $0 | 30% | $10/$10 | Tier1/Tier2/Tier3 $5/40%/NA | 30%/$25 | 30% | 30% | Brochure |
| GEHA HDHP | Self + 1 | $182.50 | $3600 | $12,000 | $2000 | 5% | 5%/5% | Tier1/Tier2/Tier3 25%/25%/40% | 5%/5% | 5% | 5% | Brochure |
| Blue Cross-Std | Self + Family | $479.21 | $700 | $12,000 | $0 | $350 | $30/$40 | Tier1/Tier2/Tier3 $7.50/30%/50% | 15%/$30 | 15% | 15% | Brochure |
| GEHA-High | Self + 1 | $372.42 | $700 | $12,000 | $0 | 10%+$100 | $20/$30 | Tier1/Tier2/Tier3 $10/25%/40% | 25%/$30 | 10% | 10% | Brochure |
| APWU-High | Self | $107.15 | $450 | $6,500 | $0 | 15% | $25/$25 | Tier1/Tier2/Tier3 $10/25%/45% | 15%/$30 | 15% | 15% | Brochure |
| Blue Cross Basic | Self | $127.59 | $0 | $7,500 | $0 | $425 | $35/$50 | Tier1/Tier2/Tier3 $15/35%/60% | $425/$50 | $40 | $100 | Brochure |
| Blue Cross FEP Blue Focus | Self | $75.15 | $750 | $10,000 | $0 | 30% | $10/$10 | Tier1/Tier2/Tier3 $5/40%/NA | 30%/$25 | 30% | 30% | Brochure |
| Blue Cross-Std | Self | $190.10 | $350 | $6,000 | $0 | $350 | $30/$40 | Tier1/Tier2/Tier3 $7.50/30%/50% | 15%/$30 | 15% | 15% | Brochure |
| GEHA HDHP | Self | $84.88 | $1800 | $6,000 | $1000 | 5% | 5%/5% | Tier1/Tier2/Tier3 25%/25%/40% | 5%/5% | 5% | 5% | Brochure |
| GEHA-High | Self | $163.51 | $350 | $6,000 | $0 | 10%+$100 | $20/$30 | Tier1/Tier2/Tier3 $10/25%/40% | 25%/$30 | 10% | 10% | Brochure |
| GEHA-Std | Self | $84.77 | $350 | $6,500 | $0 | 15% | $20/$35 | Tier1/Tier2/Tier3 $10/40%/60% | 30%/$30 | 15% | $250 | Brochure |
| MHBP HDHP | Self | $133.53 | $2000 | $6,500 | $1200 | $75 | $15/$15 | Tier1/Tier2/Tier3 $10/30%/50% | $150/$50 | $15 | $15 | Brochure |
| MHBP Value | Self | $70.40 | $600 | $6,600 | $0 | 20% | $30/$50 | Tier1/Tier2/Tier3 $10/45%/75% | 20%/20% | 20% | 20% | Brochure |
| MHBP-Std | Self | $92.09 | $350 | $6,000 | $0 | $200 | $20/$30 | Tier1/Tier2/Tier3 | $200/$50 | 10% | 5% | Brochure |
| NALC CDHP | Self | $67.11 | $2000 | $6,600 | $1200 | 20% | 20%/20% | Tier1/Tier2/Tier3 20%/30%/50% | 20%/20% | 20% | 20% | Brochure |
| NALC-High | Self | $121.14 | $350 | $3,500 | $0 | $350 | $25/$25 | Tier1/Tier2/Tier3 20%/30%/50% | 15%/$25 | 15% | 15% | Brochure |
| Rural Carrier | Self | $158.24 | $350 | $5,000 | $0 | $200 | $20/$35 | Tier1/Tier2/Tier3 30%/30%/30% | $35$200/ | 15% | 5% | Brochure |
| GEHA HDHP | Self + Family | $224.27 | $3600 | $12,000 | $2000 | 5% | 5%/5% | Tier1/Tier2/Tier3 25%/25%/40% | 5%/5% | 5% | 5% | Brochure |
| GEHA-Std | Self + 1 | $182.26 | $700 | $13,000 | $0 | 15% | $20/$35 | Tier1/Tier2/Tier3 $10/40%/60% | 30%/$30 | 15% | $250 | Brochure |
| GEHA-High | Self + Family | $460.83 | $700 | $12,000 | $0 | 10%+$100 | $20/$30 | Tier1/Tier2/Tier3 $10/25%/40% | 25%/$30 | 10% | 10% | Brochure |
| MHBP HDHP | Self + 1 | $312.13 | $4000 | $13,000 | $2400 | $75 | $15/$15 | Tier1/Tier2/Tier3 $10/30%/50% | $150/$50 | $15 | $15 | Brochure |
| GEHA-Std | Self + Family | $225.18 | $700 | $13,000 | $0 | 15% | $20/$35 | Tier1/Tier2/Tier3 $10/40%/60% | 30%/$30 | 15% | $250 | Brochure |
| MHBP Value | Self + 1 | $166.81 | $1200 | $13,200 | $0 | 20% | $30/$50 | Tier1/Tier2/Tier3 $10/45%/75% | 20%/20% | 20% | 20% | Brochure |
| MHBP HDHP | Self + Family | $305.80 | $4000 | $13,000 | $2400 | $75 | $15/$15 | Tier1/Tier2/Tier3 $10/30%/50% | $150/$50 | $15 | $15 | Brochure |
| MHBP-Std | Self + 1 | $211.97 | $700 | $12,000 | $0 | $200 | $20/$30 | Tier1/Tier2/Tier3 $5/30%/50% | $200/$50 | 10% | 10% | Brochure |
| MHBP Value | Self + Family | $170.15 | $1200 | $13,200 | $0 | 20% | $30/$50 | Tier1/Tier2/Tier3 $10/45%/75% | 20%/20% | 20% | 20% | Brochure |
| NALC CDHP | Self + 1 | $152.63 | $4000 | $12,000 | $2400 | 20% | 20%/20% | Tier1/Tier2/Tier3 20%/30%/50% | 20%/20% | 20% | 20% | Brochure |
| MHBP-Std | Self + Family | $214.00 | $700 | $12,000 | $0 | $200 | $20/$30 | Tier1/Tier2/Tier3 $5/30%/50% | $200/$50 | 10% | 10% | Brochure |
| NALC-High | Self + 1 | $293.31 | $700 | $7,000 | $0 | $350 | $25/$25 | Tier1/Tier2/Tier3 20%/30%/50% | 15%/$25 | 15% | 15% | Brochure |
| Rural Carrier | Self + 1 | $306.50 | $700 | $10,000 | $0 | $200 | $20/$35 | Tier1/Tier2/Tier3 30%/30%/30% | $200/$35 | 15% | 5% | Brochure |
| NALC-High | Self + Family | $267.42 | $700 | $7,000 | $0 | $350 | $25/$25 | Tier1/Tier2/Tier3 20%/30%/50% | 15%/$25 | 15% | 15% | Brochure |
| Rural Carrier | Self + Family | $300.26 | $700 | $10,000 | $0 | $200 | $20/$35 | Tier1/Tier2/Tier3 30%/30%/30% | $200/$35 | 15% | 5% | Brochure |
| APWU CDHP | Self | $91.10 | $2200 | $6,500 | $1200 | 15% | 15%/15% | Tier1/Tier2/Tier3 25%/25%/40% | 15%/15% | 15% | 15% | Brochure |
| NALC CDHP | Self + Family | $165.21 | $4000 | $12,000 | $2400 | 20% | 20%/20% | Tier1/Tier2/Tier3 20%/30%/50% | 20%/20% | 20% | 20% | Brochure |
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