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U.S. Office of Personnel Management - Recruiting, Retaining and Honoring a World-Class Workforce to Serve the American People


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http://www.opm.gov/insure/health/tribes/index.asp

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Health

Tribal Health Benefits

Welcome to the Tribal Federal Employees Health Benefits (FEHB) Program website. This site provides details on the FEHB Program, eligibility, enrollment, plan information, premium rates, and more.

The FEHB Program offers a wide variety of plans and coverage to help you meet your health care needs. The Program is now available to eligible employees of entitled tribes, tribal organizations, and urban Indian organizations (under the Affordable Care Act's incorporation of the Indian Health Care Improvement Reauthorization and Extension Act of 2009). It also covers eligible family members of such employees. The FEHB Program is administered by the Office of Personnel Management (OPM).

An important hallmark of the FEHB Program is providing choice and competition. The Program is open to every eligible employee regardless of health status. There are no pre-existing condition limitations or waiting periods in the FEHB Program. Every employee has the opportunity to choose the plan that best suits the employee's individual needs. On average, an employee can choose from at least 10 health plans.

The FEHB Program offers a wide selection of health plans for eligible employees and their eligible family members. Eligible employees may choose from:

  • Fee-for-Service (FFS) plans and their Preferred Provider Organizations (PPOs);
  • Health Maintenance Organizations (HMOs) for those who live within the geographic area serviced by the plan; and
  • Consumer-Driven and High Deductible health plans that offer catastrophic risk protection with higher deductibles, health savings/reimbursement accounts, and lower premiums.

Use this site to compare the costs, benefits, and features of different plans. OPM chose the different benefit categories based on enrollee requests, differences among plans, and simplicity. When choosing a health plan, OPM urges you to consider the total benefit package including the premium, covered benefits, out-of-pocket costs, and plan provider (PPO or HMO) availability.

The plan brochures show you what services and supplies are covered and the level of coverage. Review the brochures carefully. The brochures are formatted to ensure they are all organized alike. You can get brochures from the health plans or your tribal employer. Be informed when it comes to your health care.

Health Information Technology (HIT) and Transparency Leaders

Health Information Technology and Transparency ReportAdobe Acrobat Version [149 KB]

Health information technology, based on broadly accepted standards, will allow patients, health care providers, and payers (insurance carriers) to share information securely, driving down costs by avoiding duplicate procedures and manual transactions. More importantly, HIT will reduce medical errors; for instance, from misread, handwritten prescriptions and emergency care medical decisions made without complete and accurate information. Since privacy and security considerations are central to Federal HIT implementation plans, patient records will be protected from inappropriate disclosure.