Best federal health insurance plan for single person 2022

Preventive Care You pay nothing You pay nothing You pay nothing Physician Care

$10 copay per visit for your first 10 primary and/or specialty care visits combined

$30 copay for primary care1
$40 copay for specialists1
$25 copay for primary care
$35 copay for specialists Mental Health Visits $10 copay per visit for your first 10 primary and/or specialty care visits combined $30 copay $25 copay Virtual doctor visits by Teladoc® $0 for first 2 visits
$10 copay all additional visits
$0 for first 2 visits
$15 copay all additional visits
$0 for first 2 visits
$10 copay all additional visits
Urgent Care Center $25 copay $35 copay Accidental Injury: $0
Medical Emergency: $30 copay
Prescription Drugs Preferred Retail Pharmacy^:
Tier 1 (Generics): $5 copay
Tier 2 (Preferred brand): 40% of our allowance ($350 max)

Mail Service Pharmacy:
Not a benefit

Specialty Pharmacy^:
Tier 4 (Preferred Generic specialty, and Preferred brand specialty): 40% 
of our allowance ($350 maximum)

Preferred Retail Pharmacy^:

If you have Medicare Part B primary, your costs for prescription drugs may be lower.

Tier 1 (Generics): $15 copay

Tier 2 (Preferred brand): $60 copay

Tier 3 (Non-preferred brand): 60% of our allowance ($90 minimum)

Tier 4 (Preferred specialty): $85 copay

Tier 5 (Non-preferred specialty): $110 copay

Mail Service Pharmacy:

Available to members with Medicare Part B primary only. Visit the Medicare page for more information.

Tier 1 (Generics): $20

Tier 2 (Preferred brand): $100 copay

Tier 3 (Non-preferred brand): $125 copay

Specialty Pharmacy^:

Tier 4 (Preferred specialty): $85 copay

Tier 5 (Non-preferred specialty): $110 copay

Preferred Retail Pharmacy:
If you have Medicare Part B primary, your costs for prescription drugs may be lower. 
Tier 1 (Generics): $7.50 
copay^
Tier 2 (Preferred brand): 30% 
of our allowance
Tier 3 (Non-preferred brand): 50% 
of our allowance
Tier 4 (Preferred specialty): 30% 
of our allowance^
Tier 5 (Non-preferred specialty): 30% 
of our allowance^

Mail Service Pharmacy:
Tier 1 (Generics): $15 

copay
Tier 2 (Preferred brand): $90 
copay
Tier 3 (Non-preferred brand): $125 
copay

Specialty Pharmacy^:
Tier 4 (Preferred specialty): $65

copay
Tier 5 (Non-preferred specialty): $85 
copay

Maternity Care $0 for doctor's visits
$1,500 for facility care $250 inpatient
$0
outpatient
$0 copay
Hospital Care Inpatient (Precertification is required): 30% of our allowance*
Outpatient: 30% of our allowance* Inpatient (Precertification is required): $250 per day; up to $1,500 per admission
Outpatient: $150 per day per facility1 Inpatient (Precertification is required): $350 per admission
Outpatient: 15% of our allowance* Surgery

30% of our allowance*

$150 in an office setting1
$200
in a non-office setting1

15% of our allowance*

ER (accidental injury) $0 within 72 hours $250 copay per day per facility $0 within 72 hours ER (medical emergency) 30% of our allowance* $250 copay per day per facility 15% of our allowance* Lab work (such as blood tests) $0 for first 10 specific lab tests** 15% of our allowance1 15% of our allowance* Diagnostic services (such as sleep studies, CT scans) 30% of our allowance* Up to $100 in an office1
Up to $200 in a hospital1
15% of our allowance* Chiropractic Care $25 per visit; for up to 10 visits a year1,2 $30 per visit; up to 20 visits per year $25 per visit; up to 12 visits per year Dental Care Not a benefit

$30 per evaluation; up to 2 evaluations per year

The difference between the fee schedule amount and the Maximum Allowable Charge (MAC) Rewards Program Earn a reward at no out-of-pocket cost for getting an annual physical4

Earn $50 for completing the Blue Health Assessment3

Earn up to $120 for completing three eligible Online Health Coach goals3

Earn $50 for completing the Blue Health Assessment3

Earn up to $120 for completing three eligible Online Health Coach goals3

Network Coverage In-network care only, except in certain situations like emergency care In-network care only, except in certain situations like emergency care In-network and out-of-network care Out-of-Pocket Maximum (PPO) Self Only: $8,500
Self + One and Self & Family: $17,000
Self Only: $6,500
Self + One and Self & Family: $13,000
Self Only: $6,000
Self + One and Self & Family: $12,000
Annual Deductible

Self Only: $500

Self + One and Self & Family: $1,000

No deductible

Self Only: $350

Self + One and Self & Family: $700


 

FEP Blue Focus Plan Page

Basic Option Plan Page

Standard Option Plan Page

Albany, NY – February 3, 2021 – CDPHP is proud to announce that it is ranked No. 1 in the nation for federal employee health benefits (FEHB) for the second year in a row.

Which is best government insurance?

15 Best Government Health Insurance Schemes in India for 2022.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY).
Pradhan Mantri Suraksha Bima Yojana (PMSBY).
Central Government Health Scheme (CGHS).
Employees State Insurance Scheme (ESIC).
Universal Health Insurance Scheme (UHIS).
Aam Aadmi Bima Yojana (AABY).

What health insurance do most federal employees have?

The Federal Employees Health Benefits (FEHB) program is the largest employer-sponsored health insurance program in the world, covering more than 8 million Federal employees, retirees, former employees, family members, and former spouses.

What is the best health insurance for federal retirees?

Medicare is the best health insurance option for seniors and retirees. For those age 65 and older or who have a qualifying disability, the Medicare program will be the cheapest health insurance with the best benefits.