2023 Rate Information for the Blue Cross and Blue Shield Service Benefit Plan

This brochure version is for internal use only.

2023 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
2023 Rate Information for the Blue Cross and Blue Shield Service Benefit Plan

To compare your FEHB health plan options please go to www.opm.gov/fehbcompare.

To review premium rates for all FEHB health plan options please go to www.opm.gov/FEHBpremiums or www.opm.gov/Tribalpremium.

Premiums for Tribal employees are shown under the Monthly Premium Rate column. The amount shown under employee contribution is the maximum you will pay. Your Tribal employer may choose to contribute a higher portion of your premium. Please contact your Tribal Benefits Officer for exact rates.

FEP Blue Focus Option, Self Only, Enrollment Code 131:
Premium Rate
Biweekly government share: $162.65
Biweekly your share: $54.21
Monthly government share: $352.40
Monthly your share: $117.46

FEP Blue Focus Option, Self Plus One, Enrollment Code 133:
Premium Rate
Biweekly government share: $349.64
Biweekly your share: $116.54
Monthly government share: $757.55
Monthly your share: $252.51

FEP Blue Focus Option, Self and Family, Enrollment Code 132:
Premium Rate
Biweekly government share: $384.59
Biweekly your share: $128.19
Monthly government share: $833.27
Monthly your share: $277.75