Search results for about walt francis and consumers checkbook

155 articles found

  • How can Checkbook's Guide to Health Plans for Federal Employees help me?

    Checkbook's Guide to Health Plans for Federal Employees gives you vital shopping information that you cannot get from any other source. It tells you how much money you can save by changing—or by

  • How to use Checkbook's Guide to Health Plans for Federal Employees

    We prepared the Guide because we know that choosing the right plan can be difficult, even if you have time to read hundreds of pages in plan brochures. The coverage details are hard to understand and

  • FEHB Plan Brochures

    You can download PDF copies of plan brochures at the Checkbook, OPM, and plan websites, and either use them online or as print copies. Plan brochures are necessary to determine what benefits each

  • What You Need to Know About the FEHB Program and Health Savings Accounts (HSA)

    Both Health Reimbursement Arrangements (HRAs) and Health Savings Accounts (HSAs) provide significant tax advantages, beyond those available through Premium Conversion and FSAs. The simpler case

  • What You Need to Know About Vision Care in the FEHB Program

    All FEHB plans pay for medically necessary care of your eyes, such as cataract surgery. Many pay for annual refractive examinations to determine your prescription for eyeglasses or contact lens, and

  • Clinical Quality of Care for FEHB Plans

    We also report ratings from OPM on how plans compared for clinical quality of care. These data are from the Healthcare Effectiveness Data and Information Set (HEDIS), which are standardized

  • Doctors in Plan

    This shows whether the doctor(s) you selected were found by Checkbook the last time we looked at the health plans' online physician directory. Even when a doctor appears in a plan's directory, they

  • What Part-Time Employees Need to Know About the FEHB Program

    Many career Federal employees work part-time schedules. In these cases, most government agencies do not pay the regular share of the premium. Instead, employees receive a pro rata amount based on

  • What Federal Employees Need to Know About FEHB Premium Conversion

    Federal employees shelter their share of the FEHB plan premium from income taxes through what is called "Premium Conversion." Employees have the right to opt out of this program. This increases very

  • How to Get FEHB Plan Information

    The OPM website has plan brochures and a great deal of other useful information. There are three additional ways to get brochures: Attend health fairs Call the plan Visit the plan website You change

  • What Federal Annuitants Need to Know about Medicare Part D for 2024

    Federal annuitants will have higher healthcare costs in 2024. The enrollee share for FEHB premiums is rising 7.7%, and the standard Medicare Part B premium is increasing 5.9%, or $9.80, to

  • What You Need to Know About Dental Care in the FEHB Program

    Plans' dental benefits differ widely in details, and many of the brochures use technical terminology such as "gingival" (gum, in English), "alveolar" (the part of the jawbone that holds teeth in

  • Are Consumer Driven Health Plans the Right FEHB Plan Type for You?

    Consumer Driven Health Plans (CDHPs) have been around for a while, but we still get a lot of questions about them. Here’s why they’re one of the lowest-cost plans in FEHB. How CDHPs work CDHPs have

  • A Closer Look at 2024 FEHB Premiums

    Federal employees and annuitants will, on average, pay 7.7% more in FEHB premiums next year. OPM cites increased cost and use of prescription drugs, emergency room care, and outpatient care as the

  • Medicare and Provider Selection

    We rate plan costs based on the assumption that you will always or almost always want to use preferred providers, also known as staying in network. However, network problems largely disappear if you

  • Prenatal and Postpartum Care

    Do pregnant women receive care in the first trimester?

  • Our Methods and Data Sources

    We compare plans in terms of their likely dollar cost to you, including both the “for sure” expense of the premium and the out-of-pocket (OOP) expenses you face for costs the plan does not pay. We

  • Hearing Aids Child and Adult

    Many plans only cover children, not adults. And the age limit for children also differs among plans. We show you the age limit for a child, if present, the coverage amount, and replacement frequency.

  • Should I Join an HMO in the FEHB Program?

    HMO plans provide not just insurance, but also a different approach to health care delivery from traditional fee-for-service medicine. Therefore, although cost and benefit comparisons are the key

  • Deductibles, Copayments, and Coinsurance in the FEHB Program

    You can use cost sharing details to assist you in choosing a plan by pinpointing strengths and weaknesses for items of particular importance. If you are especially concerned about a broad area of

  • What's the Difference Between a HSA and a HRA?

    There are two different savings accounts associated with HDHP and CDHP plans, HSA and HRA. Here's how they compare:

  • Weight Loss Drug Coverage from FEHB Plans and Medicare

    Weight-loss drug popularity has skyrocketed. Between 2020 to 2022, the number of prescriptions has risen to around 9 million in the U.S. With celebrity attention, positive clinical trials, and even

  • How to Save Money on FEHB Coverage and Healthcare Costs

    With the average enrollee share of FEHB premium increasing 7.7% next year, most federal employees will pay more for health insurance in 2024. We’ll analyze this premium hike and walk you through

  • Should I suspend FEHB coverage and just have Medicare Advantage?

    If you join a commercial MA plan, not FEHB Medicare Advantage plans, you can temporarily suspend your FEHB enrollment and stop paying two sets of premiums. Under the suspend option, you pay the Part

  • How to Choose the Best FEHB Plan For You and Your Family

    There are three important steps to follow to narrow down the selection of plans: Use the Guide's yearly cost comparisons, which are personalized based on the information you tell us, to find the

  • Big Changes in How Federal Annuitants Receive Prescription Drug Benefits in 2024 and Beyond

    Major Medicare Part D reforms were enacted in the Inflation Reduction Act of 2022 (IRA). Some of the legislation’s provisions seek to lower prescription drug costs for both Medicare beneficiaries and

  • Why Every Federal Employee Should Consider a Health Savings Account

    High Deductible Health Plans (HDHP), which include Health Savings Accounts (HSA), are one of the cheapest health plan options available to federal employees. With an increase in HSA contributions for

  • FEHB Tax Savings for Federal Employees

    There are major tax advantages for health insurance. The employer share of health insurance—paid by agencies for employees and by OPM for retirees—is part of employee compensation but by law is

  • Should Federal Annuitants Stay Enrolled in the FEHB program after Age 65?

    You could drop FEHB coverage once you enroll in Parts A and B. But this would be a bad decision. Medicare Part B requires you to pay 20 percent of the cost of doctors’ fees, and deductibles, with no

  • Why FEHB Premiums Vary

    The General Schedule (GS) employee and retiree share of the annual premium varies widely among plans. In national plans it ranges from about $1,400 to almost $4,000 for individuals, and from about

  • Surgical Procedures & Disease Management

    If someone is going to have major surgery, say a hysterectomy, is there a better plan for this and managing any care/complications? In the case of planned surgery, we recommend four things. First, if

  • Doctors

    My doctors are not preferred providers in any plan. What should I do? Set up an FSA account for about half the amount you expect to spend on those doctors. Then pick one of the top ranked plans that

  • How Retired Couples Can Save Money by Choosing Self-Only FEHB Enrollment

    For a husband and wife who are both Federal annuitants and who have no dependent children, it is possible to save on premium costs by enrolling separately as self only rather than together as self

  • Should I Purchase a FEDVIP Dental or Vision Plan?

    The Federal government offers standalone "FEDVIP" dental and vision plans, separate and distinct from the FEHB program. The FEDVIP program shares the same Open Season dates as the FEHB program, but

  • FEHB Plan Benefits

    I need good psychiatric benefits. What plan is best? The mental health parity requirement—which theoretically allows unlimited mental health services at the same cost as physical health

  • Spousal Insurance

    My husband is retiring and we are trying to decide if he should be put on my insurance plan. My concern is, if I were to pass away would he still be covered or would he have to find his own? Any

  • Why Every Federal Employee Should Have a Flexible Spending Account (FSA)

    Flexible Spending Accounts (FSAs) provide a way to shelter even more health care spending from taxes. FSAs allow you to shelter the out-of-pocket costs that you incur for copayments, coinsurance,

  • How Health Insurance Works

    Individuals and families buy automobile, life, fire, and health insurance policies to protect themselves from catastrophic financial harm from rare events. No one buys "food insurance" because food

  • Expect to see Improved Fertility Coverage from FEHB Plans in 2024

    OPM released their annual carrier call letter that outlines the goals and initiatives federal employees can see from FEHB plans in 2024. One of the biggest changes is fertility coverage. From the OPM

  • Flexible Spending Accounts

    For most employees, Health Care Flexible Spending Accounts (FSAs) provide a way to shelter even more health care spending from taxes. FSAs allow you to shelter the out-of-pocket costs for copayments,

  • How the FEHB Program Works

    The Federal Employees Health Benefits Program (FEHB) is an unconventional government program. Instead of giving you one "take it or leave it" choice, the government authorizes plans to compete for

  • 2024 FEHB Program Changes

    The average 2024 premium will increase 7.7% for enrollees. This is considerably higher than historical experience in the FEHB, but is similar to most private employer cost increases and largely

  • Miscellaneous

    I'm not very healthy and could easily have expenses of many thousands of dollars next year. So I don't think that your rankings based on average costs are what I should use. What should I do? A good

  • 13 FEHB Open Season Tips

    Getting "Free" Health Insurance—Some Consumer-Driven and High Deductible FEHB plans provide you a savings account larger than your actual premium cost after taxes. You can end the year with more

  • What the End of the COVID-19 Public Health Emergency Means for FEHB Coverage

    On May 11, 2023, the Department of Health and Human Services ended the COVID-19 Public Health Emergency (PHE). As a result, some FEHB benefit provisions enacted by OPM will change going forward. OPM

  • How to Balance Risk When Choosing a FEHB Plan

    Since you do not know in advance how high your medical bills will be, there is no way to know which plan will leave you with the lowest total cost. You must gamble just as you do with any insurance,

  • Medicare

    I'm a retired Federal employee with FEHB health insurance. My insurer is telling me I have to use Medicare part A. I don't want to use it because that's taxpayers money. I paid for insurance coverage

  • Should I Use Preferred Providers With My FEHB Plan?

    We rate plan costs based on the assumption that you will always or almost always want to use preferred providers, also known as staying in network. Your cost is always lower, usually far lower, when

  • Nursing Care Benefits in the FEHB Program

    There are four kinds of nursing care: Skilled care while in a hospital. Skilled care in a special extended or skilled care facility. Care in your own home provided by visiting nurses. Custodial care

  • Should I Join a High Deductible Plan in the FEHB Program?

    Over a dozen national and some local carriers offer High Deductible plans (HDHP), with at least two or three of these plans available to most enrollees. HDHPs offer spectacular savings opportunities