Get Federal Employees Health Benefits Program Coverage For Certain

Family members eligible for coverage are the enrollee's: Spouse. Child under age 26, including: Adopted child under age 26. Stepchild under age 26. Foster child under age 26. Disabled child age 26 or older, who is incapable of self-support because of a physical or mental disability that existed before their 26th birthday.

How you obtain coverage or services and pay for them differs depending on the plan. However, benefits available under all plans include hospital care, surgical care, inpatient and outpatient care, obstetrical care, mental health and substance abuse care, and prescription drug coverage.

Most federal employees are eligible for FEHB unless law or regulation excludes their position. Even part-time, intermittent, and seasonal employees may be eligible if they are expected to work 130 hours per month or more for at least 90 days.

To enroll in FEHB coverage, you must be eligible under one of the following categories. Employees. As a Federal employee, you are eligible to elect FEHB coverage, unless your position is excluded by law or regulation. ... Annuitants and Survivor Annuitants. ... Family Members. ... Temporary Continuation of Coverage (TCC)

You must be covered under FEHB program as an employee or under spouse's family enrollment or Self Plus One enrollment if he/she is a federal employee for the five years of service immediately preceding retirement or since first opportunity to enroll AND you must be entitled to retire on an immediate annuity.

How you obtain coverage or services and pay for them differs depending on the plan. However, benefits available under all plans include hospital care, surgical care, inpatient and outpatient care, obstetrical care, mental health and substance abuse care, and prescription drug coverage.

In addition to full-time, permanent employees, the following individuals may also be eligible for FEHB health plans: Family members and dependents of federal employees. Full-time temporary, seasonal, and intermittent federal employees. Civilian employees on active military duty.

Types of Plans. Two types of plans participate in the FEHB Program: fee-for-service plans (FFS) and health maintenance organizations (HMOs).