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MHBP

MHBP Standard Option

FEHB Offered in 2027|MHBP|Traditional|PPO
Also listed as: MHBP - Std

Premium

biweekly · employee pays
Self Only
$153.11biweekly · employee pays
vs 2026+$59.22 +63.1%
Lowest$65.87 (2020)
Highest$153.11 (2027)
Since 2013+58.5%
Self Plus One
$442.77biweekly · employee pays
vs 2026+$226.65 +104.9%
Lowest$151.62 (2020)
Highest$442.77 (2027)
Since 2016+150.5%
Self & Family
$400.78biweekly · employee pays
vs 2026+$182.58 +83.7%
Lowest$153.07 (2020)
Highest$400.78 (2027)
Since 2013+72.1%

Premium history

Share
Period
Rate type

Year by year

follows the chart's share, period and rate-type selection
YearSelf OnlyΔSelf Plus OneΔSelf & FamilyΔListed as

Changelog

  • 2012
    Tracked since 2012
    Earliest plan year in the data set.
  • 2016
    Largest decrease: -24.5%
    Self Only employee share went from $92.65 to $69.98.
  • 2016
    Self Plus One enrollment added
    OPM introduced the Self Plus One enrollment type government-wide in 2016.
  • 2020
    Renamed
    “MHBP - Std” → “MHBP Standard Option”
  • 2027
    Largest increase: +63.1%
    Self Only employee share went from $93.89 to $153.11.

Full rate schedule

Plan year

In-network

2027 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductible$500$1,000$1,000
Medical account contributionNot applicableNot applicableNot applicable
Net deductible$500$1,000$1,000
Annual out-of-pocket maximum$8,000$16,000$16,000
  • Type of accountNot Applicable
  • Medicare Part D EGWP Prescription Drug Out-of-Pocket Maximum per enrollee$2,400
  • Total Annual Part B Premium Reimbursement Amount Per Enrollee (MAPD)$900
  • Tier 0$0 Copayment
  • Tier 1$5 Copayment
  • Tier 230% Coinsurance
  • Tier 350% Coinsurance
  • Tier 430% Coinsurance
  • Tier 530% Coinsurance
  • Tier 650% Coinsurance
  • Mail Order PharmacyYes
  • Deductible waiver (with Medicare Part A as Primary)No
  • Deductible waiver (with Medicare Part B as Primary)No
  • Deductible Waiver with Parts A & BDeductible waived
  • Out-of-Pocket Maximum with Parts A & B$8,000
  • Primary Care Physician Office Visit with Medicare A & B PrimaryMember Pays Nothing
  • Specialty Physician Office Visit with Parts A & BMember Pays Nothing
  • Inpatient Hospital Services with Parts A & BMember Pays Nothing
  • Outpatient Hospital Services with Part AMember Pays Nothing
  • Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
  • Part B Premium Reimbursement with Parts A & BNo
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver with Part CDeductible waived
  • Out-of-Pocket Maximum with Part C$2,400
  • Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryMember Pays Nothing
  • Specialty Physician Office Visit with Part CMember Pays Nothing
  • Inpatient Hospital Services with Part CMember Pays Nothing
  • Outpatient Hospital Services with Part CMember Pays Nothing
  • Outpatient physician services (with Medicare Advantage Part C as Primary)Member Pays Nothing
  • Part B Premium Reimbursement with Part C$900
  • Preventive CareMember Pays Nothing
  • Primary Care Office Visit$35 Copayment
  • Specialist Office Visit$50 Copayment
  • Emergency Care10% Coinsurance
  • Urgent Care$50 Copayment
  • Doctor Costs for Inpatient Surgery10% Coinsurance
  • Hospital Inpatient Cost Per Admission10% Coinsurance
  • Hospital Room Costs10% Coinsurance
  • Other Inpatient Hospital Costs10% Coinsurance
  • Doctor Costs for Outpatient Surgery10% Coinsurance
  • Other Outpatient Surgery Costs10% Coinsurance
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)10% Coinsurance
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)10% Coinsurance
  • Enhanced Lab NetworkMember Pays Nothing
  • Applied Behavioral Analysis (ABA)10% Coinsurance
  • Chiropractic$50 Copayment
  • Occupational Therapy10% Coinsurance
  • Physical Therapy10% Coinsurance
  • Speech Therapy10% Coinsurance
  • Professional Services (Mental Health and Substance Use Disorder)$35 Copayment
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)10% Coinsurance
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)10% Coinsurance
  • Diagnosis and Treatment (Infertility Services)10% Coinsurance
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)10% Coinsurance
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)10% Coinsurance
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
  • Surgical Procedures10% Coinsurance
  • Reconstructive Surgery10% Coinsurance
  • Hearing Services$50 Copayment
  • Hearing Aids (external)Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays Nothing
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)10% Coinsurance
  • Hospice Care10% Coinsurance
  • Home Health Services (Skilled Nursing Care)10% Coinsurance
  • Durable Medical Equipment10% Coinsurance
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)10% Coinsurance
  • Diabetes Education10% Coinsurance
  • Nutritional CounselingMember Pays Nothing
  • Routine Dental Exams and Cleaning for AdultsNot Covered
  • Routine Dental Exams and Cleaning for ChildrenNot Covered
  • Routine Eye ExamsNot Covered
  • Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
  • EyeglassesCovered
  • Contact LensesCovered
  • Acupuncture10% Coinsurance
  • Chronic Disease Management: Heart DiseaseCovered
  • Chronic Disease Management: ObesityCovered
  • Chronic Disease Management: HypertensionCovered
  • Chronic Disease Management: AsthmaCovered

Out-of-network

2027 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductible$1,000$2,000$2,000
Medical account contributionNot applicableNot applicableNot applicable
Net deductible$1,000$2,000$2,000
Annual out-of-pocket maximum$10,000$20,000$20,000
  • Type of accountNot Applicable
  • Tier 0$0 Copayment
  • Tier 1$5 Copayment
  • Tier 230% Coinsurance
  • Tier 350% Coinsurance
  • Tier 4100% Coinsurance
  • Tier 5100% Coinsurance
  • Tier 6100% Coinsurance
  • Mail Order PharmacyYes
  • Deductible waiver (with Medicare Part A as Primary)No
  • Deductible waiver (with Medicare Part B as Primary)No
  • Deductible Waiver with Parts A & BDeductible waived
  • Out-of-Pocket Maximum with Parts A & B$10,000
  • Primary Care Physician Office Visit with Medicare A & B PrimaryMember Pays Nothing
  • Specialty Physician Office Visit with Parts A & BMember Pays Nothing
  • Inpatient Hospital Services with Parts A & BMember Pays Nothing
  • Outpatient Hospital Services with Part AMember Pays Nothing
  • Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
  • Part B Premium Reimbursement with Parts A & BNo
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver with Part CDeductible waived
  • Out-of-Pocket Maximum with Part C$2,400
  • Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryMember Pays Nothing
  • Specialty Physician Office Visit with Part CMember Pays Nothing
  • Inpatient Hospital Services with Part CMember Pays Nothing
  • Outpatient Hospital Services with Part CMember Pays Nothing
  • Outpatient physician services (with Medicare Advantage Part C as Primary)Member Pays Nothing
  • Part B Premium Reimbursement with Part C$900
  • Preventive Care30% Coinsurance
  • Primary Care Office Visit30% Coinsurance
  • Specialist Office Visit30% Coinsurance
  • Emergency Care10% Coinsurance
  • Urgent Care30% Coinsurance
  • Doctor Costs for Inpatient Surgery30% Coinsurance
  • Hospital Inpatient Cost Per Admission30% Coinsurance
  • Hospital Room Costs30% Coinsurance
  • Other Inpatient Hospital Costs30% Coinsurance
  • Doctor Costs for Outpatient Surgery30% Coinsurance
  • Other Outpatient Surgery Costs30% Coinsurance
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)30% Coinsurance
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)30% Coinsurance
  • Enhanced Lab NetworkNot applicable
  • Applied Behavioral Analysis (ABA)30% Coinsurance
  • Chiropractic30% Coinsurance
  • Occupational Therapy30% Coinsurance
  • Physical Therapy30% Coinsurance
  • Speech Therapy30% Coinsurance
  • Professional Services (Mental Health and Substance Use Disorder)30% Coinsurance
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)30% Coinsurance
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)30% Coinsurance
  • Diagnosis and Treatment (Infertility Services)30% Coinsurance
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)30% Coinsurance
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)30% Coinsurance
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
  • Surgical Procedures30% Coinsurance
  • Reconstructive Surgery30% Coinsurance
  • Hearing Services30% Coinsurance
  • Hearing Aids (external)Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)30% Coinsurance
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)30% Coinsurance
  • Hospice Care30% Coinsurance
  • Home Health Services (Skilled Nursing Care)30% Coinsurance
  • Durable Medical Equipment30% Coinsurance
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)30% Coinsurance
  • Diabetes EducationMember Pays All Charges
  • Nutritional Counseling30% Coinsurance
  • Routine Dental Exams and Cleaning for AdultsNot Covered
  • Routine Dental Exams and Cleaning for ChildrenNot Covered
  • Routine Eye ExamsNot Covered
  • Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
  • EyeglassesCovered
  • Contact LensesCovered
  • Acupuncture30% Coinsurance
  • Chronic Disease Management: Heart DiseaseCovered
  • Chronic Disease Management: ObesityCovered
  • Chronic Disease Management: HypertensionCovered
  • Chronic Disease Management: AsthmaCovered
Offered nationwide.

Service area description

StateDescription
NationwideNationwide

Service area over time

YearStates / areas listed
2027Nationwide
2026Nationwide
2025Nationwide
2024Nationwide
2023Nationwide
2022Nationwide
2021Nationwide
2020Nationwide
2019Nationwide
2018Nationwide
2017Nationwide
2016Nationwide