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2023 Summary of Benefits and Coverage (SBC)

The Summary of Benefits and Coverage document is only a summary. Please read the FEHB Plan brochure (RI 71-009) that contains the complete terms of this plan. All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB Plan brochure. Benefits may vary if you have other coverage, such as Medicare. Our FEHB Plan brochure is available on our website or by calling 888-636-6252.
 
2023 High Option Summary of Benefits and Coverage (SBC)
2023 CDHP Summary of Benefits and Coverage (SBC)
2023 Value Option Summary of Benefits and Coverage (SBC)