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Section 12. Three Federal Programs complement FEHB benefits
| Important Information |
OPM wants to make
sure you are aware of three Federal programs that complement the
FEHB Program.
First, the Federal Long Term Care Insurance Program (FLTCIP) helps cover long term
care costs, which are not covered under the FEHB Program.
Second, the Federal Flexible Spending Account Program, also known as FSAFEDS,
lets
you set aside tax-free money to pay for health and dependent care expenses. The result
can be a discount of 20% to more than 40% on services you routinely pay for out-of-pocket.
Third, the new Federal Employees Dental and Vision Insurance Program (FEDVIP),
Provides comprehensive dental and vision insurance at competitive group rates. There are
several plans from which to choose. Under FEDVIP you may choose self only, self plus
one, or self and family coverage for yourself and any qualified dependents.
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The
Federal Long Term Care Insurance Program - FLTCIP
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| It's important protection |
The Federal Long Term Care Insurance Program (FLTCIP) can help you pay for the
potentially high cost of long term care services, which are not covered by FEHB plans.
Long term care is help you receive to perform activities of daily living – such as bathing
or dressing yourself - or supervision you receive because of a severe cognitive
impairment. To qualify for coverage under the FLTCIP, you must apply and pass a
medical screening (called underwriting). To request an Information Kit and application.
Call 1-800-LTC-FEDS (1-800-582-3337) (TTY 1-800-843-3557) or visit
www.ltcfeds.com. |
The Federal Flexible Spending Account
Program - FSAFEDS
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| What is an FSA? |
It is a tax-favored benefit
that allows you to set aside pre-tax money from your
paychecks to pay for a variety of eligible expenses.
Annuitants are not eligible to enroll.
There are three types of FSAs offered by FSAFEDS. Each type has a minimum annual
election of $250 and a maximum annual election of $5,000.
Health Care FSA (HCFSA) – Pays for eligible health care expenses (such as
copayments, deductibles, over-the-counter medications and products, vision and
dental expenses, and much more) for you and your dependents which are not covered
or reimbursed by FEHBP or FEDVIP coverage or any other insurance.
Limited Expense Health Care FSA (LEX HCFSA) – Designed for employees enrolled
in or covered by a High Deductible Health Plan with a Health Savings Account.
Eligible expenses are limited to dental and vision care expenses for you and your
dependents, which are not covered or reimbursed, by FEHBP or FEDVIP coverage or
any other insurance.
Dependent Care FSA (DCFSA) – Pays for eligible dependent care expenses for your
child(ren) under age 13 or for dependants unable to care for themselves that allow you
(and your spouse if married) to work, look for work (as long as you have earned
income for the year), or attend school full-time.
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| Where can I get more information
about FSAFEDS? |
Visit www.FSAFEDS.com
or call an FSAFEDS Benefits Counselor toll-free at 1-877-
FSAFEDS (1-877-372-3337), Monday through Friday, 9 a.m. until 9 p.m., Eastern Time.
TTY: 1-800-952-0450.
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The Federal Employees Dental and Vision Insurance Program - FEDVIP
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| Important
Information |
The Federal Employees Dental and Vision Insurance Program (FEDVIP) is a program, separate and
different from the FEHB Program, established by the Federal Employee Dental and Vision Benefits
Enhancement Act of 2004. This Program has no pre-existing condition limitations. FEDVIP is available to
eligible Federal and Postal Services employees, retirees, and their eligible family members on an enroll-pay
basis. Premiums are withheld from salary on a pre-tax basis.
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| Dental Insurance |
Dental plans will provide a comprehensive range
of services, including the following:
- Class A (Basic) services, which include oral examinations, prophylaxis, diagnostic evaluations, sealants
and x-rays.
- Class B (Intermediate) services, which include restorative procedures such as fillings, prefabricated
stainless steel crowns, periodontal scaling, tooth extractions, and denture adjustments.
- Class C (Major) services, which include endodontic services such as root canals, periodontal services
such as gingivectomy, major restorative services such as crowns, oral surgery, bridges and prosthodontic
services such as complete dentures.
- Class D (Orthodontic) services with up to a 24-month waiting period.
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| Vision Insurance |
Vision plans provide comprehensive eye examinations and coverage for lenses, frames and contact lenses.
Other benefits such as discounts on LASIK surgery may also be available.
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Additional
Information |
You can find a comparison of the plans available and their premiums on the OPM website at
www.opm.gov/insure/dentalvision.
This site also provides links to each plan's website, where you can
view detailed information about benefits and preferred providers
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| How do I enroll? |
You enroll on the Internet at
www.BENEFEDS.com. For those without access to a computer, call 1-877-
888- 3337(TTY number, 1-877- 889-5680).
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To print this entire FEHB Brochure or a section of this Brochure, click here.
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