Get Ready for Open Season — Learn What’s New for 2019

 

This year’s FEHB Open Season is November 12, 2018 - December 10, 2018. During this time, all Federal employees and retirees currently enrolled in any FEHB plan have the opportunity to make changes in their coverage. Now is a perfect time to learn about what is new for the Compass Rose Health Plan next year.

 

2019 HEALTH PLAN RATES

 

We are happy to announce that our rates will decrease from this year!

 

ENROLLMENT TYPE

 

ENROLLMENT CODE

 

BIWEEKLY RATE

 

MONTHLY RATE

 

SELF ONLY

 

421

 

$91.18

 

$197.56

 

SELF PLUS ONE

 

423

 

$214.73

 

$465.24

 

SELF AND FAMILY

 

422

 

$245.95

 

$532.90

 

 


NEW FOR 2019

 

    
Out-of-Pocket Costs

We have created a separate out-of-pocket maximum for Self Only coverage and have increased the catastrophic out-of-pocket maximum for Self Plus One and Self and Family coverage as follows:

  • Catastrophic In-Network Medical & Pharmacy Coverage:
    • Self Only: $4,000
    • Self Plus One and Self and Family: $5,000
  • Catastrophic Out-of-Network Coverage:
    • Self Only: $7,000
    • Self Plus One and Self and Family: $9,000

   
Telehealth Services

Members can receive urgent and primary care telehealth services from Doctor On Demand or their network provider for a $0 copayment. Learn more about Doctor On Demand.

 

    
Wellness Rewards Program

Members and their covered spouse can earn up to $250 through our Wellness Rewards Program. Learn more about this new program.

 

    
Preventive Care

Immunizations for travel, work and sports, and physical exams for work and sports, will be covered under the preventive care benefit at 100% when performed by a network provider.

 

    
Allergy Care

Instead of a copayment, members are now responsible for 10% of the Plan allowance for network allergy care performed in a physician’s office. Office visits still require a copayment.

 

    
Devices and Equipment

Coverage for mastectomy garments and compression stockings (for the diagnosis of lymphedema) are limited to four per year.

 

    
Pharmacy Benefits

To enroll in the Home Delivery Program through Express Scripts, your prescription must be for an 84-day supply at minimum.

 

Coverage for specialty medications has been split into three tiers, with increased maximum cost-sharing for specialty formulary medications and increased coinsurance on specialty medications:

  • Specialty Generic: 20% of the Plan cost up to a maximum of $150 for up to 30-day supply (no deductible)
  • Specialty Formulary: 20% of the Plan cost up to a maximum of $200 for up to 30-day supply (no deductible)
  • Specialty Non-Formulary: 25% of the Plan cost up to a maximum of $300 for up to 30-day supply (no deductible)

Learn more about our Prescription Drug Program.



For a complete list of changes, please see Section 2 of our 2019 FEHB Plan Brochure.

 

Be sure to check out our Open Season webpage to learn more about our Plan and find out how to enroll.

 

Reminder: If you are happy with your coverage, you DO NOT need to do anything. Your coverage will automatically continue into the following year!

 

CUSTOMER SERVICE

 

Questions? We are here to help! If you have questions about health plan benefits, please call UMR at (888) 438-9135 Monday-Friday 8 am to 8 pm EST, or send an email to askCRBG@compassrosebenefits.com.