A New Standard For Federal Employee Health Plans.
That’s you, federal employees. No matter what job you do in the service of the U.S. public, MHBP has a plan for you. Whether it’s coordinating services, providing nurse support around the clock or paying claims quickly and accurately, MHBP is there when you need us. Plus, MHBP is backed by Aetna, a CVS Health Company – a name you know and trust.
MHBP provides federal employee health plans with:
- Outstanding plan satisfaction, per OPM.gov Consumer Satisfaction Survey Results
- A large, nationwide network of over 1.6 million providers and hospitals. When you need care, it’s never too far.
- Worldwide coverage
- No referrals required to see specialists. No jumping through hoops to see the right doctor.
Complete coverage at a price that may surprise you. With copays for most services, the MHBP Standard Option will help make your out-of-pocket expenses more predictable.
Standard Option’s In-Network Benefits Have You Covered
Summary of covered expenses
This is a summary of MHBP Standard Option benefits when you use network providers. Do not rely on this list alone. Not all benefits are shown below.
Preventive Care | You Pay Nothing |
---|---|
Primary Care Doctors’ Visits | $20 copay, adult
$10 copay, dependents through age 21 |
Specialist Visits | $30 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) | $20 copay per visit up to 40-visit combined maximum |
Alternative Care (Acupuncture) | 10% of the Plan allowance 40-visit combined maximum |
Maternity | You Pay Nothing |
Emergency Room Visits | $200 copay*
(No deductible for accidental injury) |
Urgent Care Center Visits | $50 copay* |
Hospitalization | $200 copay per admission and 10% of
Plan allowance for ancillary services |
Prescription Drugs, Generic (retail) | $5 copay |
Calendar Year Deductible
(a separate deductible applies to |
$350 per person $700 per family |
*Must meet deductible first
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These rates do not apply to all enrollees. If you’re in a special enrollment category, please contact the agency that maintains your health benefits enrollment.
2023 Enrollment Type | Federal Employees (biweekly) |
Annuitants (monthly) |
---|---|---|
Self Only – 454 | $80.61 | $174.65 |
Self Plus One – 456 | $185.54 | $402.01 |
Self and Family – 455 | $187.33 | $405.88 |
This is a summary of the MHBP Standard Option. Before making a final decision, please read the official Plan brochure (RI 71-007). All benefits are subject to the definitions, limitations and exclusions set forth in the official Plan brochure. A single annual $52 associate membership fee makes all MHBP plans available to you.
Includes select MinuteClinic services. Not all MinuteClinic services are covered. Please consult benefit documents to confirm which services are included. Members enrolled in qualified high-deductible health plans must meet their deductible before receiving covered non-preventive MinuteClinic services at no cost-share. However, such services are covered at negotiated contract rates. This benefit is not available in all states and on indemnity plans.
Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services.
Quest, Quest Diagnostics, any associated logos, and all associated Quest Diagnostics registered or unregistered trademarks are the property of Quest Diagnostics. LabCorp trademark is the property of LabCorp.