MHBP
MHBP — MHBP Standard Option
PSHB Offered in 2027|MHBP|Traditional|PPO
Premium
biweekly · employee paysSelf Only
$137.78biweekly · employee pays
vs 2026+$45.69 +49.6%
Lowest$82.22 (2025)
Highest$137.78 (2027)
Since 2025+67.6%
Self Plus One
$395.93biweekly · employee pays
vs 2026+$183.96 +86.8%
Lowest$189.26 (2025)
Highest$395.93 (2027)
Since 2025+109.2%
Self & Family
$372.83biweekly · employee pays
vs 2026+$158.83 +74.2%
Lowest$191.07 (2025)
Highest$372.83 (2027)
Since 2025+95.1%
Premium history
SharePeriodRate type
Year by year
follows the chart's share, period and rate-type selection| Year | Self Only | Δ | Self Plus One | Δ | Self & Family | Δ | Listed as |
|---|
Changelog
- 2025First appears in OPM rate tablesNew plan option for 2025.
- 2027Largest increase: +49.6%Self Only employee share went from $92.09 to $137.78.
Full rate schedule
Plan yearIn-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | $500 | $1,000 | $1,000 |
| Medical account contribution | Not applicable | Not applicable | Not 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 Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | $1,000 | $2,000 | $2,000 |
| Medical account contribution | Not applicable | Not applicable | Not 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 over time
| Year | States / areas listed |
|---|---|
| 2027 | Nationwide |
| 2026 | Nationwide |
| 2025 | Nationwide |