MHBP

MHBP Consumer Option

FEHB Not offered after 2026|MHBP|HDHP|PPO
Also listed as: MHBP - Consumer Option

Premium

biweekly · employee pays
Self Only 2026
$95.99biweekly · employee pays
vs 2025+$11.79 +14.0%
Lowest$62.03 (2013)
Highest$95.99 (2026)
Since 2013+54.7%
Self Plus One 2026
$212.42biweekly · employee pays
vs 2025+$26.09 +14.0%
Lowest$143.51 (2019)
Highest$212.42 (2026)
Since 2016+48.0%
Self & Family 2026
$223.04biweekly · employee pays
vs 2025+$27.39 +14.0%
Lowest$140.56 (2013)
Highest$223.04 (2026)
Since 2013+58.7%

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
    Self Plus One enrollment added
    OPM introduced the Self Plus One enrollment type government-wide in 2016.
  • 2018
    Largest decrease: -1.0%
    Self Only employee share went from $66.16 to $65.50.
  • 2020
    Renamed
    “MHBP - Consumer Option” → “MHBP Consumer Option”
  • 2026
    Largest increase: +14.0%
    Self Only employee share went from $84.20 to $95.99.
  • 2026
    Option label changed
    “HDHP” → “Consumer Option”
  • 2027
    No longer offered
    Not present in OPM rate tables for 2027.

Full rate schedule

Plan year

In-network

2026 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductible$2,000$4,000$4,000
Medical account contribution$1,200$2,400$2,400
Net deductible$800$1,600$1,600
Annual out-of-pocket maximum$6,500$13,000$13,000
  • Type of accountHealth Savings Account
  • Deductible waiver (with Medicare Part A as Primary)No
  • Deductible waiver (with Medicare Part B as Primary)No
  • Deductible waiver (with Medicare Parts A and B as Primary)Deductible waived
  • Out-of-pocket maximum (with Medicare Parts A and B as Primary)$6,500
  • Primary care physician office visit (with Medicare Part B as Primary)Member Pays Nothing
  • Specialty office physician visit (with Medicare Part B as Primary)Member Pays Nothing
  • Inpatient Hospital Services (with Medicare Part A as Primary)Member Pays Nothing
  • Outpatient hospital services (with Medicare Part A as Primary)Member Pays Nothing
  • Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
  • Part B Premium Reimbursement (with Medicare as Primary)No
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver (with Medicare Advantage Part C as Primary)Not applicable
  • Out-of-Pocket Maximum (with Medicare Advantage Part C as Primary)$6,500
  • Primary Care Physician Office Visit (with Medicare Advantage Part C as Primary)$15 Copayment
  • Specialty Physician Office Visit (with Medicare Advantage Part C as Primary)$15 Copayment
  • Inpatient Hospital Services (with Medicare Advantage Part C as Primary)$75 Copayment
  • Outpatient Hospital Facility Services (with Medicare Advantage Part C as Primary)$75 Copayment
  • Outpatient physician services (with Medicare Advantage Part C as Primary)$15 Copayment
  • Part B Premium Reimbursement (with Medicare Advantage Part C as Primary)No
  • Medicare Part D EGWP Prescription Drug Deductible WaiverDeductible waived
  • Medicare Part D EGWP Prescription Drug Out-of-Pocket Maximum$2,000
  • Medicare Part D EGWP Tier 0Member Pays Nothing
  • Medicare Part D EGWP Tier 1$8 Copayment
  • Medicare Part D EGWP Tier 2$45 Copayment
  • Medicare Part D EGWP Tier 3$70 Copayment
  • Medicare Part D EGWP Tier 425% Coinsurance
  • Medicare Part D EGWP Tier 5Not applicable
  • Medicare Part D EGWP Tier 6Not applicable
  • Preventive CareMember Pays Nothing
  • Primary Care Office Visit$15 Copayment
  • Specialist Office Visit$15 Copayment
  • Emergency Care$150 Copayment
  • Urgent Care$50 Copayment
  • Doctor Costs for Inpatient SurgeryMember Pays Nothing
  • Hospital Inpatient Cost Per Admission$75 Copayment
  • Hospital Room CostsMember Pays Nothing
  • Other Inpatient Hospital CostsMember Pays Nothing
  • Doctor Costs for Outpatient SurgeryMember Pays Nothing
  • Other Outpatient Surgery Costs$150 Copayment
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)$15 Copayment
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)$15 Copayment
  • Enhanced Lab NetworkMember Pays Nothing
  • Annual Out-of-Pocket Maximum for PrescriptionsNot applicable
  • Tier 0Member Pays Nothing
  • Tier 1$10 Copayment
  • Tier 230% Coinsurance
  • Tier 350% Coinsurance
  • Tier 430% Coinsurance
  • Tier 530% Coinsurance
  • Tier 630% Coinsurance
  • Mail Service Pharmacy Benefit (Prescription Drugs)Yes
  • Mail Order Pharmacy Restriction (Prescription Drugs)Yes
  • Specialty Pharmacy Restriction (Prescription Drugs)Yes
  • Applied Behavioral Analysis (ABA)$15 Copayment
  • Chiropractic$15 Copayment
  • Occupational Therapy$15 Copayment
  • Physical Therapy$15 Copayment
  • Speech Therapy$15 Copayment
  • Professional Services (Mental Health and Substance Use Disorder)$15 Copayment
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)$75 Copayment
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)$15 Copayment
  • Diagnosis and Treatment (Infertility Services)$15 Copayment
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)$15 Copayment
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)$15 Copayment
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
  • Surgical ProceduresMember Pays Nothing
  • Reconstructive SurgeryMember Pays Nothing
  • Hearing Services$15 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)Member Pays Nothing
  • Hospice Care$5 Copayment
  • Home Health Services (Skilled Nursing Care)$15 Copayment
  • Durable Medical EquipmentMember Pays Nothing
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)$75 Copayment
  • Diabetes EducationMember Pays Nothing
  • 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
  • Acupuncture$15 Copayment
  • Chronic Disease Management: Heart DiseaseCovered
  • Chronic Disease Management: ObesityCovered
  • Chronic Disease Management: HypertensionCovered
  • Chronic Disease Management: AsthmaCovered

Out-of-network

2026 plan benefits file
Self OnlySelf Plus OneSelf & Family
Annual deductible$3,000$6,000$6,000
Medical account contribution$1,200$2,400$2,400
Net deductible$1,800$3,600$3,600
Annual out-of-pocket maximum$10,000$20,000$20,000
  • Type of accountHealth Savings Account
  • Deductible waiver (with Medicare Part A as Primary)No
  • Deductible waiver (with Medicare Part B as Primary)No
  • Deductible waiver (with Medicare Parts A and B as Primary)Deductible waived
  • Out-of-pocket maximum (with Medicare Parts A and B as Primary)$10,000
  • Primary care physician office visit (with Medicare Part B as Primary)Member Pays Nothing
  • Specialty office physician visit (with Medicare Part B as Primary)Member Pays Nothing
  • Inpatient Hospital Services (with Medicare Part A as Primary)Member Pays Nothing
  • Outpatient hospital services (with Medicare Part A as Primary)Member Pays Nothing
  • Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
  • Part B Premium Reimbursement (with Medicare as Primary)No
  • Requirement for Part B ReimbursementNot applicable
  • Deductible Waiver (with Medicare Advantage Part C as Primary)Not applicable
  • Out-of-Pocket Maximum (with Medicare Advantage Part C as Primary)$10,000
  • Primary Care Physician Office Visit (with Medicare Advantage Part C as Primary)40% Coinsurance
  • Specialty Physician Office Visit (with Medicare Advantage Part C as Primary)40% Coinsurance
  • Inpatient Hospital Services (with Medicare Advantage Part C as Primary)40% Coinsurance
  • Outpatient Hospital Facility Services (with Medicare Advantage Part C as Primary)40% Coinsurance
  • Outpatient physician services (with Medicare Advantage Part C as Primary)40% Coinsurance
  • Part B Premium Reimbursement (with Medicare Advantage Part C as Primary)No
  • Medicare Part D EGWP Prescription Drug Deductible WaiverDeductible waived
  • Medicare Part D EGWP Prescription Drug Out-of-Pocket Maximum$2,000
  • Medicare Part D EGWP Tier 0$0 Copayment
  • Medicare Part D EGWP Tier 1$8 Copayment
  • Medicare Part D EGWP Tier 2$45 Copayment
  • Medicare Part D EGWP Tier 3$70 Copayment
  • Medicare Part D EGWP Tier 425% Coinsurance
  • Medicare Part D EGWP Tier 5Not applicable
  • Medicare Part D EGWP Tier 6Not applicable
  • Preventive Care40% Coinsurance
  • Primary Care Office Visit40% Coinsurance
  • Specialist Office Visit40% Coinsurance
  • Emergency Care$150 Copayment
  • Urgent Care$50 Copayment
  • Doctor Costs for Inpatient Surgery40% Coinsurance
  • Hospital Inpatient Cost Per Admission40% Coinsurance
  • Hospital Room Costs40% Coinsurance
  • Other Inpatient Hospital Costs40% Coinsurance
  • Doctor Costs for Outpatient Surgery40% Coinsurance
  • Other Outpatient Surgery Costs40% Coinsurance
  • Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)40% Coinsurance
  • Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)40% Coinsurance
  • Enhanced Lab NetworkNot applicable
  • Annual Out-of-Pocket Maximum for PrescriptionsNot applicable
  • Tier 0Member Pays All Charges
  • Tier 1Member Pays All Charges
  • Tier 2Member Pays All Charges
  • Tier 3Member Pays All Charges
  • Tier 4Member Pays All Charges
  • Tier 5Member Pays All Charges
  • Tier 6Member Pays All Charges
  • Mail Service Pharmacy Benefit (Prescription Drugs)No
  • Mail Order Pharmacy Restriction (Prescription Drugs)Not applicable
  • Specialty Pharmacy Restriction (Prescription Drugs)Not applicable
  • Applied Behavioral Analysis (ABA)40% Coinsurance
  • Chiropractic40% Coinsurance
  • Occupational Therapy40% Coinsurance
  • Physical Therapy40% Coinsurance
  • Speech Therapy40% Coinsurance
  • Professional Services (Mental Health and Substance Use Disorder)40% Coinsurance
  • Inpatient Hospital (Mental Health and Substance Use Disorder Services)40% Coinsurance
  • Outpatient Hospital (Mental Health and Substance Use Disorder Services)40% Coinsurance
  • Diagnosis and Treatment (Infertility Services)40% Coinsurance
  • Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)40% Coinsurance
  • Artificial Insemination Services (e.g. ICI, IVI, IUI)40% Coinsurance
  • Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
  • Surgical Procedures40% Coinsurance
  • Reconstructive Surgery40% Coinsurance
  • Hearing Services40% Coinsurance
  • Hearing Aids (external)Covered
  • Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)40% Coinsurance
  • Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)$40 Copayment
  • Hospice Care10% Coinsurance
  • Home Health Services (Skilled Nursing Care)40% Coinsurance
  • Durable Medical Equipment40% Coinsurance
  • Outpatient Rehabilitation (Skilled Nursing Care Facility)40% Coinsurance
  • Diabetes EducationMember Pays All Charges
  • Nutritional Counseling40% 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
  • Acupuncture40% 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
2026Nationwide
2025Nationwide
2024Nationwide
2023Nationwide
2022Nationwide
2021Nationwide
2020Nationwide
2019Nationwide
2018Nationwide
2017Nationwide
2016Nationwide