What The Program Offers You
- An opportunity within 31 days from the date of your
appointment (or from the date you become eligible), to
enroll in a health benefits plan with group-rated
premiums and benefits.
- An annual opportunity during Open Season, to enroll in a
health benefits plan if you are not already enrolled or,
if you are enrolled, to change to another plan or option.
- A choice of plans and options so that you can get the
kind and amount of protection best suited to your
personal health needs and finances.
- Guaranteed protection that can't be canceled by the plan.
- Coverage without medical examination or restrictions
because of age, current health or pre-existing medical
conditions. (Plans may limit benefits for dentistry or
cosmetic surgery to conditions arising after the
effective date of coverage.)
- Coverage without waiting periods after the effective date
of enrollment.
- Catastrophic protection against unusually large medical
bills. (Fee-for-service plans limit the amount of covered
expenses you would have to pay out-of-pocket for yourself
and your family; prepaid plans provide or arrange
for all necessary care.)
- A Government contribution toward the cost of your plan.
- The payroll deduction method of making premium
payments
- Extended protection for 31 days without cost to you after
your enrollment or coverage of a family member ends
(unless you voluntarily cancel).
- Under certain circumstances, an opportunity for temporary
continuation of group coverage or conversion
to nongroup coverage if your enrollment ends or a covered
family member loses eligibility for coverage.
- If you meet certain requirements, continued protection
for you and eligible family members after your retirement
or while you are receiving compensation from the Office
of Workers' Compensation Programs for a work-related
injury.
- If certain conditions are met, continued protection for
your eligible family members after your death.