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  FEHBP

email: reimburse@cochlear.org




The Federal Employee Health Benefit Plan was created by Congress in 1959. It offers roughly 180 competing private plans to active and retired Members of Congress and congressional staff, as well as active and retired federal and postal workers and their families -- altogether almost 9 million people.

Enrollees can choose from a variety of health plans, including traditional fee for service plans, insurance plans sponsored by employee organizations or unions, or managed care plans.

FEHBP plans may not impose waiting periods or limitations and exclusions from coverage for pre-existing medical conditions, nor can they base premiums on medical risk.

FEHBP is under the jurisdiction of the United States Office of Personnel Management (OPM). OPM imposes minimal standards for plans, however they do not mandate a standardized benefits package. They also do not impose fee schedules or payment levels.

Since OPM only mandates types of coverage (i.e. prosthetic devices, inpatient care, etc.), coverage of individual items and services is often left to negotiation between OPM and plans choosing to become part of FEHBP.

Most FEHBP plans traditionally have provided cochlear implant services. However, some do not. AvMed Health Plan is one example.


  • BCBS FEP
    Blue Cross and Blue Shield Federal Employee Program