Page 59 - The Informed Fed--Hearn (edited 10.29.20)

employees must state how much they want to contribute for the
year.
• All federal health plans are required to have a no pre-existing
condition clause. This allows federal employees to move from
one plan to another during open season each year without being
concerned about any existing health conditions. Each plan must
take your enrollment no matter what your health condition. This
continues even when you are retired.
• Each plan also is required to have a maximum out-of-pocket
limit for the year. If you reach that limit, you will not be required
to pay any further expenses, co-pays and deductibles due to this
limit. The amount of the out-of-pocket limit varies from plan to
plan, so you will want to be sure you understand the maximum
amount you would have to pay out of your own pocket for the
plans you are considering.
Here are some standard definitions you may want to become familiar
with:
FEHB – Federal Employee Health Benefits
FEDVIP – Federal Employee Dental and Vision Insurance Plan
PCP – Primary Care Physician
FSA – Flexible Savings Account
HSA – Health Saving Account
HMO – Health Maintenance Organization
PPO – Preferred Provider Organization
FFS – Fee-For-Service Plan
HDHP – High Deductible Health Plan
IOU – What you see if you don’t have good insurance

Traditional Types of Health Plans

HMO--Health Maintenance Organization. This is coverage
where you choose a primary care physician from a list of member

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