A New Standard for Federal Employee Health Plans? It’s Certain.

MHBP Consumer Option (HDHP) is part health plan, part savings account that’s there when you need it.

MHBP provides federal employee health plans with:

 

The Consumer Option (HDHP) comes with a tax-advantaged Health Savings Account (HSA)

Summary of covered expenses

This is a summary of MHBP Consumer Option benefits when you use a doctor in our network. Do not rely on this list alone. Not all benefits are shown below.

Preventive Care You Pay Nothing
Primary Care Doctors’ Visits $15 copay*
Specialist Visits $15 copay*
MinuteClinic® Visits You Pay Nothing*
Walk-in Clinic Visits $5 copay*
Lab Savings Program You pay nothing* for covered lab tests with the Lab Savings Program when LabCorp® or Quest Diagnostics™ performs the tests
Alternative Care (Chiropractic) $15 copay* per visit up to 40-visit combined maximum
Alternative Care (Acupuncture) $15 copay* per visit up to 40-visit combined maximum
Maternity You Pay Nothing, after deductible*
Emergency Room Visits $50 copay*
Urgent Care Center Visits $50 copay*
Hospitalization $75 copay per day, up to $750

maximum per admission*

Prescription Drugs, Generic (retail) $10 copay*
Calendar Year Deductible

(a separate deductible applies to
Non-Network benefits)

$2,000 Self Only

$4,000 Self Plus One or Self and

Family

* Indicates calendar year deductible applies before benefits begin.

These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency that maintains your health benefits enrollment.

2022 Consumer Option Rates and Resources
2022 Enrollment Type Federal Employees
(biweekly)
Annuitants
(monthly)
Self Only – 481 $76.40 $165.53
Self Plus One – 483 $169.07 $366.32
Self and Family – 482 $177.52 $384.63

These rates do not apply to all enrollees. If you are in a special enrollment category, please contact the agency that maintains your health benefits enrollment.

 

This is a summary of the MHBP Consumer Option. Before making a final decision, please read the official Plan brochure (RI 71-016). All benefits are subject to the definitions, limitations and exclusions set forth in the official Plan brochure. A single annual $42 associate membership fee makes all MHBP plans available to you.

 

Official Brochure

View the MHBP Consumer Option Official Plan Brochure.
Download Plan Brochure (PDF)

Benefit Summary

View the MHBP Consumer Option Benefit Summary.
Download Benefit Summary (PDF)