Understanding the Basics of FEHB (Federal Employees Health Benefits)
What Is FEHB? The Federal Employees Health Benefits program is the largest employer-sponsored health insurance program in the United States. It offers an array of health plans, including fee-for-service, health maintenance organization (HMO), and high-deductible health plans. The program is available to eligible federal employees, retirees, and their eligible family members. It provides access to a wide network of healthcare providers and comprehensive coverage for various medical services.
Eligibility: To participate in the FEHB program, you must be a federal employee or retiree who is eligible for federal retirement benefits. In most cases, if you are currently employed in a federal job that offers retirement benefits, you are eligible for FEHB coverage. Additionally, you can cover your spouse and eligible children under the program.
Plan Options: FEHB offers a diverse selection of health plans, allowing you to choose the one that best suits your needs. These plans include:
Fee-for-Service Plans: These provide flexibility, allowing you to choose your doctors and specialists.
Health Maintenance Organization (HMO) Plans: HMOs offer lower costs and require you to select a primary care physician.
High Deductible Health Plans (HDHP): These plans offer lower monthly premiums but require you to pay higher deductibles before insurance kicks in.
Benefits: FEHB plans typically cover a broad range of healthcare services, including doctor's visits, hospital stays, prescription drugs, preventive care, and more. The program provides access to quality healthcare, ensuring that you and your family are well taken care of.
Premiums and Costs: FEHB premiums are shared between you and the federal government, with the government typically covering a significant portion of the cost. Your share of the premium is deducted from your paycheck, making it an affordable way to access quality healthcare.
Open Season: FEHB has an annual open season during which you can make changes to your plan. Note: For 2023 this open enrollment period begins in November and ends on December 11, 2023. It's an opportunity to evaluate your healthcare needs and select a plan that best fits your circumstances.
Understanding the basics of FEHB is the first step in making informed decisions about your healthcare. Whether you're a federal employee or retiree, this program provides the peace of mind that you and your family are covered. As you progress in your federal career or prepare for retirement, you can explore the available plans during open season and choose the one that aligns with your specific needs. FEHB is a vital component of your federal benefits, and it ensures that your health and well-being are a top priority.
