Here’s a look at the updates we made to our benefits for 2027.
Here’s a look at the updates we made to our benefits for 2027.
What’s New for 2027
What’s New for 2027
Changes to our Federal Employees Health Benefits (FEHB) and
Postal Service Health Benefits (PSHB) plans
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More ways to earn rewards by opting in to paperless explanation of benefits
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Adding coverage for doulas under FEP Blue Standard
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Expanding coverage for preventive care screenings like breast, cervical and colorectal cancers
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Updating prescription copays and cost share maximums across brand name, specialty and diabetes-related drugs
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Updating medical cost shares on services like maternity care, inpatient care and emergency room care
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Updating deductibles and out-of-pocket maximums
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Adding navigation services for breast and cervical cancer patients
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Ending reimbursement for over-the-counter COVID-19 test kits
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New Specialty Pharmacy partner, Accredo, starting in January 2027
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More ways to earn rewards by opting in to paperless explanation of benefits
-
Adding coverage for doulas under FEP Blue Standard
-
Kids under age 18 pay $20 per primary care provider visit under FEP Blue Basic
-
Expanding coverage for preventive care screenings like breast, cervical and colorectal cancers
-
Updating prescription copays and cost-share maximums across brand name, specialty and diabetes-related drugs
-
Updating medical cost shares on services like maternity care, inpatient care and emergency room care
-
Updating deductibles and out-of-pocket maximums
-
Adding navigation services for breast and cervical cancer patients
-
Ending reimbursement for over-the-counter COVID-19 test kits
-
New Specialty Pharmacy partner, Accredo, starting in January 2027
Changes to federal plans
- The annual deductible will be $1,000 for Self Only and $2,000 for Self Plus One and Self & Family.
- The annual out-of-pocket maximum will be $11,000 for Self Only and $22,000 for Self Plus One and Self & Family.
- The maternity services copay will be $3,000. If your pregnancy care starts in 2026 and your baby is born in 2027, your copay will be based on the 2027 amount.
- The annual out-of-pocket maximum will be $8,500 for Self Only and $17,000 for Self Plus One and Self & Family.
- The FEP Medicare Prescription Drug Program annual out-of-pocket maximum will be $2,400 per member.
- The in-network inpatient facility copay will be $500 per day, up to $3,500.
- The in-network outpatient observation copay will be $500 per day, up to $3,500.
- The emergency room copay will be $500 per day per facility across in-network, member and non-member emergency rooms.
- The copay for inpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $150 per day, up to $750.
- The copay for outpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $50 per day per facility.
- Prior approval will be required for MRI, PET and CT scans.
- The annual deductible will be $500 for Self Only and $1,000 for Self Plus One and Self & Family.
- The annual out-of-pocket maximum will be $7,000 for Self Only and $14,000 for Self Plus One and Self & Family.
- The FEP Medicare Prescription Drug Program annual out-of-pocket maximum will be $2,400 per member.
- The in-network inpatient facility copay will be $450 per admission.
- The copay for inpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $250 per admission.
- The copay for outpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $150 per day per facility.
- Prior approval will be required for MRI, PET and CT scans.
Changes to postal plans
- The annual deductible will be $1,000 for Self Only and $2,000 for Self Plus One and Self & Family.
- The annual out-of-pocket maximum will be $11,000 for Self Only and $22,000 for Self Plus One and Self & Family.
- The FEP Medicare Prescription Drug Program annual out-of-pocket maximum will be $2,400 per member.
- The copay for maternity facility care will be $5,000. If your pregnancy care starts in 2026 and your baby is born in 2027, your copay will be based on the 2027 amount.
- Prior approval will be required for non-emergency air ambulance services.
- The annual out-of-pocket maximum will be $8,500 for Self Only and $17,000 for Self Plus One and Self & Family.
- The FEP Medicare Prescription Drug Program annual out-of-pocket maximum will be $2,400 per member.
- The primary care provider visit copay for children under age 18 will be $20 per visit.
- The inpatient admission copay will be $500 per day, up to $3,500.
- The outpatient observation copay will be $500 per day, up to $3,500.
- The emergency room copay will be $500 per day per facility for emergency services.
- The copay for inpatient admission at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $200 per day, up to $1,400.
- The copay for outpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $100 per day per facility.
- Prior approval will be required for non-emergency air ambulance services.
- Prior approval will be required for MRI, PET and CT scans.
- The annual deductible will be $500 for Self Only and $1,000 for Self Plus One and Self & Family.
- The in-network annual out-of-pocket maximum will be $7,000 for Self Only and $14,000 for Self Plus One and Self & Family.
- The out-of-network annual out-of-pocket maximum will be $9,000 for Self Only and $18,000 for Self Plus One and Self & Family.
- The FEP Medicare Prescription Drug Program annual out-of-pocket maximum will be $2,400 per member.
- The in-network inpatient facility copay will be $600 per admission.
- The copay for inpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $350 per admission.
- The copay for outpatient surgery at a Blue Distinction Center for certain hip, knee, spine and bariatric procedures will be $200 per day per facility.
- Prior approval will be required for non-emergency air ambulance services.
- Prior approval will be required for MRI, PET and CT scans.
This is not a full list of changes. For the full list and details, see the Blue Cross and Blue Shield Service Benefit Plan brochures for the FEHB and PSHB Programs at fepblue.org/brochure.
Features included in every plan:
$0 in-network preventive care
$0 Teladoc Health® visits
Referral-free care from all providers
Large national network
Worldwide coverage
Choose what fits you, then compare rates and benefits
I want the lowest monthly cost
FEP Blue Focus®
Essential coverage if you:
I want more coverage
FEP Blue Basic®
Everything in FEP Blue Focus, plus coverage if you:
I want the most flexibility
FEP Blue Standard®
The most complete coverage if you:
See 2027 plan rates
If you’re a federal or postal service employee, you can view rates and compare benefits for FEP Blue Focus, FEP Blue Basic and FEP Blue Standard.
See Federal Rates See Postal Rates
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