| 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 | W/Medicare | Brochure |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APWU-High | Self + 1 | $468.38 | $800 | $13,000 | $0 | 15% | $25/$25 | Tier1/Tier2/Tier3 $10/25%/45% | 15%/$30 | 15% | 15% | Deductible waived | Brochure |
| Blue Cross Basic | Self + 1 | $679.99 | $0 | $15,000 | $0 | $425 | $35/$50 | Tier1/Tier2/Tier3 $15/35%/60% | $425/$50 | $40 | $100 | Part B Reimbursement $800 | Brochure |
| APWU-High | Self + Family | $597.87 | $800 | $13,000 | $0 | 15% | $25/$25 | Tier1/Tier2/Tier3 $10/25%/45% | 15%/$30 | 15% | 15% | Deductible waived | Brochure |
| Blue Cross FEP Blue Focus | Self + 1 | $350.06 | $1500 | $20,000 | $0 | 30% | $10/$10 | Tier1/Tier2/Tier3 $5/40%/NA | 30%/$25 | 30% | 30% | NA | Brochure |
| Blue Cross Basic | Self + Family | $774.62 | $0 | $15,000 | $0 | $425 | $35/$50 | Tier1/Tier2/Tier3 $15/35%/60% | $425/$50 | $40 | $100 | Part B Reimbursement $800 | Brochure |
| Blue Cross-Std | Self + 1 | $919.58 | $700 | $12,000 | $0 | $350 | $30/$40 | Tier1/Tier2/Tier3 $7.50/30%/50% | 15%/$30 | 15% | 15% | Deductible waived | Brochure |
| Blue Cross FEP Blue Focus | Self + Family | $385.03 | $1500 | $20,000 | $0 | 30% | $10/$10 | Tier1/Tier2/Tier3 $5/40%/NA | 30%/$25 | 30% | 30% | NA | Brochure |
| GEHA HDHP | Self + 1 | $395.43 | $3600 | $12,000 | $2000 | 5% | 5%/5% | Tier1/Tier2/Tier3 25%/25%/40% | 5%/5% | 5% | 5% | NA | Brochure |
| Blue Cross-Std | Self + Family | $1038.29 | $700 | $12,000 | $0 | $350 | $30/$40 | Tier1/Tier2/Tier3 $7.50/30%/50% | 15%/$30 | 15% | 15% | Deductible waived | Brochure |
| GEHA-High | Self + 1 | $806.91 | $700 | $12,000 | $0 | 10%+$100 | $20/$30 | Tier1/Tier2/Tier3 $10/25%/40% | 25%/$30 | 10% | 10% | Deductible waived Part B Reimbursement $800 | Brochure |
| Blue Cross Basic | Self | $276.45 | $0 | $7,500 | $0 | $425 | $35/$50 | Tier1/Tier2/Tier3 $15/35%/60% | $425/$50 | $40 | $100 | Part B Reimbursement $800 | Brochure |
| Blue Cross FEP Blue Focus | Self | $162.83 | $750 | $10,000 | $0 | 30% | $10/$10 | Tier1/Tier2/Tier3 $5/40%/NA | 30%/$25 | 30% | 30% | NA | Brochure |
| Blue Cross-Std | Self | $411.89 | $350 | $6,000 | $0 | $350 | $30/$40 | Tier1/Tier2/Tier3 $7.50/30%/50% | 15%/$30 | 15% | 15% | Deductible waived | Brochure |
| GEHA HDHP | Self | $183.92 | $1800 | $6,000 | $1000 | 5% | 5%/5% | Tier1/Tier2/Tier3 25%/25%/40% | 5%/5% | 5% | 5% | NA | Brochure |
| GEHA-High | Self | $354.28 | $350 | $6,000 | $0 | 10%+$100 | $20/$30 | Tier1/Tier2/Tier3 $10/25%/40% | 25%/$30 | 10% | 10% | Deductible waived Part B Reimbursement $800 | Brochure |
| GEHA-Std | Self | $183.67 | $350 | $6,500 | $0 | 15% | $20/$35 | Tier1/Tier2/Tier3 $10/40%/60% | 30%/$30 | 15% | $250 | Deductible waived | Brochure |
| MHBP HDHP | Self | $289.32 | $2000 | $6,500 | $1200 | $75 | $15/$15 | Tier1/Tier2/Tier3 $10/30%/50% | $150/$50 | $15 | $15 | NA | Brochure |
| MHBP Value | Self | $152.54 | $600 | $6,600 | $0 | 20% | $30/$50 | Tier1/Tier2/Tier3 $10/45%/75% | 20%/20% | 20% | 20% | NA | Brochure |
| MHBP-Std | Self | $199.52 | $350 | $6,000 | $0 | $200 | $20/$30 | Tier1/Tier2/Tier3 | $200/$50 | 10% | 5% | Deductible waived | Brochure |
| NALC CDHP | Self | $145.40 | $2000 | $6,600 | $1200 | 20% | 20%/20% | Tier1/Tier2/Tier3 20%/30%/50% | 20%/20% | 20% | 20% | NA | Brochure |
| NALC-High | Self | $262.47 | $350 | $3,500 | $0 | $350 | $25/$25 | Tier1/Tier2/Tier3 20%/30%/50% | 15%/$25 | 15% | 15% | Deductible waived | Brochure |
| Rural Carrier | Self | $342.86 | $350 | $5,000 | $0 | $200 | $20/$35 | Tier1/Tier2/Tier3 30%/30%/30% | $35$200/ | 15% | 5% | Deductible waived | Brochure |
| GEHA HDHP | Self + Family | $485.91 | $3600 | $12,000 | $2000 | 5% | 5%/5% | Tier1/Tier2/Tier3 25%/25%/40% | 5%/5% | 5% | 5% | NA | Brochure |
| GEHA-Std | Self + 1 | $394.90 | $700 | $13,000 | $0 | 15% | $20/$35 | Tier1/Tier2/Tier3 $10/40%/60% | 30%/$30 | 15% | $250 | Deductible waived | Brochure |
| GEHA-High | Self + Family | $998.46 | $700 | $12,000 | $0 | 10%+$100 | $20/$30 | Tier1/Tier2/Tier3 $10/25%/40% | 25%/$30 | 10% | 10% | Deductible waived Part B Reimbursement $800 | Brochure |
| MHBP HDHP | Self + 1 | $676.29 | $4000 | $13,000 | $2400 | $75 | $15/$15 | Tier1/Tier2/Tier3 $10/30%/50% | $150/$50 | $15 | $15 | NA | Brochure |
| GEHA-Std | Self + Family | $487.90 | $700 | $13,000 | $0 | 15% | $20/$35 | Tier1/Tier2/Tier3 $10/40%/60% | 30%/$30 | 15% | $250 | Deductible waived | Brochure |
| MHBP Value | Self + 1 | $361.43 | $1200 | $13,200 | $0 | 20% | $30/$50 | Tier1/Tier2/Tier3 $10/45%/75% | 20%/20% | 20% | 20% | NA | Brochure |
| MHBP HDHP | Self + Family | $662.56 | $4000 | $13,000 | $2400 | $75 | $15/$15 | Tier1/Tier2/Tier3 $10/30%/50% | $150/$50 | $15 | $15 | NA | Brochure |
| MHBP-Std | Self + 1 | $459.26 | $700 | $12,000 | $0 | $200 | $20/$30 | Tier1/Tier2/Tier3 $5/30%/50% | $200/$50 | 10% | 10% | Deductible waived | Brochure |
| MHBP Value | Self + Family | $368.65 | $1200 | $13,200 | $0 | 20% | $30/$50 | Tier1/Tier2/Tier3 $10/45%/75% | 20%/20% | 20% | 20% | NA | Brochure |
| NALC CDHP | Self + 1 | $330.69 | $4000 | $12,000 | $2400 | 20% | 20%/20% | Tier1/Tier2/Tier3 20%/30%/50% | 20%/20% | 20% | 20% | NA | Brochure |
| MHBP-Std | Self + Family | $463.67 | $700 | $12,000 | $0 | $200 | $20/$30 | Tier1/Tier2/Tier3 $5/30%/50% | $200/$50 | 10% | 10% | Deductible waived | Brochure |
| NALC-High | Self + 1 | $635.51 | $700 | $7,000 | $0 | $350 | $25/$25 | Tier1/Tier2/Tier3 20%/30%/50% | 15%/$25 | 15% | 15% | Deductible waived | Brochure |
| Rural Carrier | Self + 1 | $664.09 | $700 | $10,000 | $0 | $200 | $20/$35 | Tier1/Tier2/Tier3 30%/30%/30% | $200/$35 | 15% | 5% | Deductible waived | Brochure |
| NALC-High | Self + Family | $579.41 | $700 | $7,000 | $0 | $350 | $25/$25 | Tier1/Tier2/Tier3 20%/30%/50% | 15%/$25 | 15% | 15% | Deductible waived | Brochure |
| Rural Carrier | Self + Family | $650.56 | $700 | $10,000 | $0 | $200 | $20/$35 | Tier1/Tier2/Tier3 30%/30%/30% | $200/$35 | 15% | 5% | Deductible waived | Brochure |
| NALC CDHP | Self + Family | $357.96 | $4000 | $12,000 | $2400 | 20% | 20%/20% | Tier1/Tier2/Tier3 20%/30%/50% | 20%/20% | 20% | 20% | NA | Brochure |
| APWU CDHP | Self + 1 | $429.01 | $4400 | $13,000 | $2400 | 15% | 15%/15% | Tier1/Tier2/Tier3 25%/25%/40% | 15%/15% | 15% | 15% | Part B Reimbursement $1,200 | Brochure |
| APWU CDHP | Self + Family | $468.02 | $4400 | $13,000 | $2400 | 15% | 15%/15% | Tier1/Tier2/Tier3 25%/25%/40% | 15%/15% | 15% | 15% | Part B Reimbursement $1,200 | Brochure |
| APWU-High | Self | $232.16 | $450 | $6,500 | $0 | 15% | $25/$25 | Tier1/Tier2/Tier3 $10/25%/45% | 15%/$30 | 15% | 15% | Deductible waived | Brochure |
| APWU CDHP | Self | $197.39 | $2200 | $6,500 | $1200 | 15% | 15%/15% | Tier1/Tier2/Tier3 25%/25%/40% | 15%/15% | 15% | 15% | Part B Reimbursement $1,200 | Brochure |
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