Fedweek

Enrollees affected by dropouts will have the opportunity to change plans during open season: Nov 14 - Dec 12. Image: Mariusz S. Jurgielewicz/Shutterstock.com

OPM has called attention to “significant plan changes” for the upcoming FEHB plan year, including some dropouts of plans and addition of options or expansions of geographic coverage areas in others.

Enrollees affected by the dropouts will have the opportunity to change plans during the open season that will run November 14-December 12, but if they don’t, by law their enrollment will be automatically changed to the lowest-cost national plan, OPM said in a message agencies. In 2023 that will be the GEHA Indemnity Benefit Plan’s “Elevate” option.

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Plans dropping out are Blue Open Access in Georgia; HealthKeepers in Virginia; EmblemHealth Plan in New Jersey and New York; BlueAdvantage HMO in Colorado; and Blue Preferred HMO in Missouri and Illinois. Unlike in past years, the OPM did not say how many enrollees would be affected by the dropouts.

In a separate question and answer document, OPM noted that any supplemental dental or vision coverage offered by plans dropping out of the FEHB also will end. It pointed to the availability of the separate FEDVIP dental-vision insurance program as an option.

There will be one new plan, Indiana University Health Plan in parts of Indiana. Plans adding new options include Medical Mutual of Ohio and Health Net of California, while plans expanding coverage areas are Humana Employers Health Plan of Georgia, Kaiser Foundation Health Plan of the Northwest, Scott and White Health Plan in Texas, Humana Health Plan in Kentucky and Indiana.

Several plans meanwhile are changing their names or the names of options.

OPM said it would soon post the documents it sent to agencies in BAL 22-403 at www.opm.gov/retirement-services/publications-forms/benefits-administration-letters.

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