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Postal Premium Rates for the Federal Employees Health Benefits Program
FFS (Fee-for-Service/Nationwide Plans)
Nationwide APWU Health Plan - CDHP Self
474
275.85
278.61
211.74
66.87
0.67
275.85
278.61
220.80
57.81
0.57
Nationwide APWU Health Plan - CDHP Self & Family
475
654.04
660.58
502.04
158.54
1.57
654.04
660.58
523.51
137.07
1.36
Nationwide APWU Health Plan - CDHP Self Plus One
476
599.54
605.53
460.20
145.33
1.44
599.54
605.53
479.88
125.65
1.25
Nationwide APWU Health Plan - High Self
471
335.18
345.24
244.94
100.30
4.17
335.18
345.24
255.00
90.24
3.93
Nationwide APWU Health Plan - High Self & Family
472
804.42
828.55
570.06
258.49
8.13
804.42
828.55
593.48
235.07
7.47
Nationwide APWU Health Plan - High Self Plus One
473
703.86
724.97
524.65
200.32
7.58
703.86
724.97
546.21
178.76
7.03
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self
111
303.78
314.42
238.96
75.46
2.55
303.78
314.42
249.18
65.24
2.21
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self & Family
112
737.69
763.52
570.06
193.46
9.83
737.69
763.52
593.48
170.04
9.17
Nationwide Blue Cross and Blue Shield Service Benefit Plan Basic Option - Basic Self Plus One
113
682.73
706.63
524.65
181.98
10.37
682.73
706.63
546.21
160.42
9.82
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self
131
212.58
212.58
161.56
51.02
0.00
212.58
212.58
168.47
44.11
0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self & Family
132
502.70
502.70
382.05
120.65
0.00
502.70
502.70
398.39
104.31
0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus - FEP Blue Focus Self Plus One
133
457.02
457.02
347.34
109.68
0.00
457.02
457.02
362.19
94.83
0.00
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self
104
352.68
365.03
244.94
120.09
6.46
352.68
365.03
255.00
110.03
6.22
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self & Family
105
833.21
862.37
570.06
292.31
13.16
833.21
862.37
593.48
268.89
12.50
Nationwide Blue Cross and Blue Shield Service Benefit Plan Standard Option - Standard Self Plus One
106
771.27
798.27
524.65
273.62
13.47
771.27
798.27
546.21
252.06
12.92
Nationwide Compass Rose Health Plan - High Self
421
337.43
347.55
244.94
102.61
4.23
337.43
347.55
255.00
92.55
3.99
Nationwide Compass Rose Health Plan - High Self & Family
422
809.84
834.13
570.06
264.07
8.29
809.84
834.13
593.48
240.65
7.63
Nationwide Compass Rose Health Plan - High Self Plus One
423
742.35
764.62
524.65
239.97
8.74
742.35
764.62
546.21
218.41
8.19
Nationwide Foreign Service Benefit Plan - High Self
401
275.95
287.02
218.14
68.88
2.65
275.95
287.02
227.46
59.56
2.30
Nationwide Foreign Service Benefit Plan - High Self & Family
402
682.70
710.02
539.62
170.40
6.55
682.70
710.02
562.69
147.33
5.67
Nationwide Foreign Service Benefit Plan - High Self Plus One
403
675.91
696.19
524.65
171.54
6.75
675.91
696.19
546.21
149.98
6.20
Nationwide GEHA Benefit Plan - High Self
311
341.19
349.72
244.94
104.78
2.64
341.19
349.72
255.00
94.72
2.40
Nationwide GEHA Benefit Plan - High Self & Family
312
850.86
876.38
570.06
306.32
9.52
850.86
876.38
593.48
282.90
8.86
Nationwide GEHA Benefit Plan - High Self Plus One
313
750.63
769.39
524.65
244.74
5.23
750.63
769.39
546.21
223.18
4.68
Nationwide GEHA Benefit Plan - Standard Self
314
242.18
250.66
190.50
60.16
2.04
242.18
250.66
198.65
52.01
1.76
Nationwide GEHA Benefit Plan - Standard Self & Family
315
622.08
659.40
501.14
158.26
8.96
622.08
659.40
522.57
136.83
7.75
Nationwide GEHA Benefit Plan - Standard Self Plus One
316
520.71
538.94
409.59
129.35
4.38
520.71
538.94
427.11
111.83
3.78
Nationwide GEHA HDHP - HDHP Self
341
237.16
245.47
186.56
58.91
1.99
237.16
245.47
194.53
50.94
1.73
Nationwide GEHA HDHP - HDHP Self & Family
342
600.16
636.18
483.50
152.68
8.64
600.16
636.18
504.17
132.01
7.48
Nationwide GEHA HDHP - HDHP Self Plus One
343
509.91
527.76
401.10
126.66
4.28
509.91
527.76
418.25
109.51
3.70
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self
251
290.69
301.44
229.09
72.35
2.58
290.69
301.44
238.89
62.55
2.23
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self & Family
252
720.91
747.57
568.15
179.42
6.40
720.91
747.57
592.45
155.12
5.53
Nationwide GEHA Indemnity Benefit Plan - Elevate Plus Self Plus One
253
674.39
693.27
524.65
168.62
5.35
674.39
693.27
546.21
147.06
4.80
Nationwide GEHA Indemnity Benefit Plan - Elevate Self
254
189.29
189.29
143.86
45.43
0.00
189.29
189.29
150.01
39.28
0.00
Nationwide GEHA Indemnity Benefit Plan - Elevate Self & Family
255
530.03
530.03
402.82
127.21
0.00
530.03
530.03
420.05
109.98
0.00
Nationwide GEHA Indemnity Benefit Plan - Elevate Self Plus One
256
435.38
435.38
330.89
104.49
0.00
435.38
435.38
345.04
90.34
0.00
Nationwide MHBP Consumer Option - HDHP Self
481
264.59
291.04
221.19
69.85
6.35
264.59
291.04
230.65
60.39
5.49
Nationwide MHBP Consumer Option - HDHP Self & Family
482
614.80
676.28
513.97
162.31
14.76
614.80
676.28
535.95
140.33
12.76
Nationwide MHBP Consumer Option - HDHP Self Plus One
483
585.53
644.08
489.50
154.58
14.05
585.53
644.08
510.43
133.65
12.15
Nationwide MHBP Standard Option - Standard Self
454
263.47
287.19
218.26
68.93
5.70
263.47
287.19
227.60
59.59
4.92
Nationwide MHBP Standard Option - Standard Self & Family
455
612.30
667.41
507.23
160.18
13.23
612.30
667.41
528.92
138.49
11.44
Nationwide MHBP Standard Option - Standard Self Plus One
456
606.47
661.06
502.41
158.65
13.10
606.47
661.06
523.89
137.17
11.33
Nationwide MHBP Value Plan - Value Self
414
209.22
213.41
162.19
51.22
1.01
209.22
213.41
169.13
44.28
0.87
Nationwide MHBP Value Plan - Value Self & Family
415
505.63
515.75
391.97
123.78
2.43
505.63
515.75
408.73
107.02
2.10
Nationwide MHBP Value Plan - Value Self Plus One
416
495.73
505.65
384.29
121.36
2.38
495.73
505.65
400.73
104.92
2.06
Nationwide NALC Health Benefit Plan - CDHP Self
324
218.55
218.55
166.10
52.45
0.00
218.55
218.55
173.20
45.35
0.00
Nationwide NALC Health Benefit Plan - CDHP Self & Family
325
502.63
507.66
385.82
121.84
1.21
502.63
507.66
402.32
105.34
1.04
Nationwide NALC Health Benefit Plan - CDHP Self Plus One
326
482.16
482.16
366.44
115.72
0.00
482.16
482.16
382.11
100.05
0.00
Nationwide NALC Health Benefit Plan - High Self
321
326.61
336.41
244.94
91.47
3.91
326.61
336.41
255.00
81.41
3.67
Nationwide NALC Health Benefit Plan - High Self & Family
322
735.21
760.94
570.06
190.88
9.73
735.21
760.94
593.48
167.46
9.07
Nationwide NALC Health Benefit Plan - High Self Plus One
323
722.43
744.10
524.65
219.45
8.14
722.43
744.10
546.21
197.89
7.59
Nationwide NALC Health Benefit Plan - Value Self
KM1
179.37
179.37
136.32
43.05
0.00
179.37
179.37
142.15
37.22
0.00
Nationwide NALC Health Benefit Plan - Value Self & Family
KM2
412.69
416.82
316.78
100.04
0.99
412.69
416.82
330.33
86.49
0.86
Nationwide NALC Health Benefit Plan - Value Self Plus One
KM3
395.70
395.70
300.73
94.97
0.00
395.70
395.70
313.59
82.11
0.00
Nationwide Panama Canal Area Benefit Plan - High Self
431
290.09
304.60
231.50
73.10
3.48
290.09
304.60
241.40
63.20
3.01
Nationwide Panama Canal Area Benefit Plan - High Self & Family
432
605.54
635.81
483.22
152.59
7.26
605.54
635.81
503.88
131.93
6.28
Nationwide Panama Canal Area Benefit Plan - High Self Plus One
433
578.99
607.94
462.03
145.91
6.95
578.99
607.94
481.79
126.15
6.01
Nationwide Rural Carrier Benefit Plan - High Self
381
358.00
368.30
244.94
123.36
4.41
358.00
368.30
255.00
113.30
4.17
Nationwide Rural Carrier Benefit Plan - High Self & Family
382
734.00
781.71
570.06
211.65
31.71
734.00
781.71
593.48
188.23
31.05
Nationwide Rural Carrier Benefit Plan - High Self Plus One
383
709.00
744.21
524.65
219.56
21.68
709.00
744.21
546.21
198.00
21.13
Nationwide SAMBA Health Benefit Plan - High Self
441
416.19
403.70
244.94
158.76
-18.38
416.19
403.70
255.00
148.70
-18.62
Nationwide SAMBA Health Benefit Plan - High Self & Family
442
998.84
968.87
570.06
398.81
-45.97
998.84
968.87
593.48
375.39
-46.63
Nationwide SAMBA Health Benefit Plan - High Self Plus One
443
915.61
888.14
524.65
363.49
-41.00
915.61
888.14
546.21
341.93
-41.55
Nationwide SAMBA Health Benefit Plan - Standard Self
444
314.08
323.50
244.94
78.56
3.18
314.08
323.50
255.00
68.50
3.29
Nationwide SAMBA Health Benefit Plan - Standard Self & Family
445
716.56
738.06
560.93
177.13
5.16
716.56
738.06
584.91
153.15
4.46
Nationwide SAMBA Health Benefit Plan - Standard Self Plus One
446
676.00
696.28
524.65
171.63
6.75
676.00
696.28
546.21
150.07
6.20
U.S. Office of Personnel Management
1900 E Street, NW, Washington, DC 20415
202-606-1800
Federal Relay Service