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Section 2. How we change for 2007
Do not rely on these change descriptions; this Section is not an
official statement of benefits. For that, go to
Sections 5 Benefits.
Also, we edited and clarified language throughout the brochure; any language change not shown here is a
clarification that does not change benefits.
Program-wide changes
- Texas was added to the list for medically underserved areas and Alaska was deleted.
Changes to this Plan
- This plan now participates in the FSAFEDS paperless reimbursement program. When you enroll for your HCFSA, you
will have the opportunity to enroll for paperless reimbursement. You must re-enroll every Open Season to remain in the
paperless reimbursement program. If you do, we will send FSAFEDS the information they need to reimburse you for
your out-of-pocket costs so you can avoid filing paper claims.
Changes to our High Option only
- Your share of the Postal premium will decrease by 0.1% for Self Only or increase by 0.7 % for Self and Family
(see page 106).
- Your share of the non-Postal premium will increase by 0.9 % for Self Only or 1.3 % for Self and Family
(see page 106).
- The Plan has made many changes to its PPO networks for 2007.
See page 6 to determine whether there has been a
change in the network for your state. If so, the Plan encourages you to use the online PPO directory on its Web page, or
to call your PPO administrator to verify that your providers are participating in your new network.
- The Plan has changed its primary vendor for obtaining
precertification and/or preauthorization of services. In
most cases, your PPO administrator will now perform these
services for you.
See Section 3, pages 11 and 13 before obtaining
hospital or medical services that require precertification and/or preauthorization to make sure you are contacting the
appropriate source.
- The Plan now covers immunizations for adults for Vericella (Chickenpox) and Diphtheria, Tetanus and Pertussis (dtap)
once every 10 years through age 64
(see page 24).
- The Plan now covers one Screening Examination of Premature Infants for Retinopathy of Prematurity for infants with
low birth weight or gestational age of 32 weeks or less
(see page 25).
Changes to our Consumer Driven Health Plan
- Your share of the Postal premium will increase by 0.0 % for Self Only or 0.0 % for Self and Family (see page 106).
- Your share of the non-Postal premium will increase by 0.0 % for Self Only or 0.0 % for Self and Family (see page 106).
- The Plan now covers immunizations for adults for Vericella (Chickenpox) and Diphtheria, Tetanus and Pertussis (dtap)
once every 10 years through age 64
(see page 52).
- The Plan now covers one Screening Examination of Premature Infants for Retinopathy of Prematurity for infants with
low birth weight or gestational age of 32 weeks or less
(see page 53).
To print this entire FEHB Brochure or a section of this Brochure, click here.
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