If you want to take advantage of all the benefit choices available to you and your family, you have much to think about during the current Federal Employee Health Benefits Program Open Season that ends at midnight (EST) on Mon., Dec. 9. This week, I'd like to review the ways that, by making the right choices, you can save money and enjoy excellent coverage for you and your family in the new year.
Hopefully, you have begun to review your health insurance coverage FEHB program or the new Postal Service Health Benefits program. Next year marks the launch of the PSHB, a new health benefits program established by the Postal Service Reform Act of 2022 for eligible postal service employees and annuitants, and includes eligible family members.
If you are currently enrolled in a FEHB plan, you will be transitioned to a new PSHB plan automatically on Jan. 1, 2025. According to OPM, more than 90% of USPS members will be automatically enrolled into the corresponding PSHB plan that most closely resembles their current FEHB plan, if the FEHB carrier is offering that plan in PSHB. If you like that plan, you do not have to do anything further during this year's open season. If you wish to choose a new plan, you can do so during open season just as you would under the FEHB program.
Start by reviewing your plan choices for FEHB plans and PSHB plans (2025 premiums). You can also contact the PSHB Helpline at (844) 451-1261 for assistance.
Federal Couples
Sometimes it's less expensive for married federal employees or retirees without dependent children to carry two individual self only plans. Keep in mind that employees do not have to pay income tax on premiums for health benefits, but retirees do. Because of this, if one spouse retires before the other, consider having the spouse who remains employed carry self and family coverage. In addition, if you or your spouse is 65 or older, Medicare Part B enrollment can be delayed without incurring a late enrollment penalty if you are covered by health insurance through current employment (if the employer has 20 or more employees). This can be another benefit for the spouse who is employed to carry the coverage for a federal couple.
If you have changed your coverage from a self plus one or self and family enrollment under your spouse to a self only enrollment and you are within five years of retirement, be sure to let your retirement specialist at your agency know that you were under your spouse's self and family plan. To continue FEHBP coverage into retirement, you must have been continuously covered by an FEHBP enrollment for the five years immediately preceding your retirement. This includes time you are covered as a family member under another person's enrollment. Acceptable evidence of coverage under a family member's FEHB is a copy of the family member's SF 2809 or a statement of coverage letter from the FEHB insurance carrier
If your spouse is eligible for his or her own CSRS or FERS annuity, it is not necessary to leave a survivor's benefit for your spouse to carry health benefits. If you die while in a self and family plan, your CSRS or FERS spouse may continue coverage through their own federal salary or retirement benefit. They must enroll within 31 days of the date of your death.
High Deductible Health Plans with a Health Savings Account
HDHPs are a great way to lower your taxable income for those who are eligible to have a HSA. Although there is a "higher" deductible, the premiums for HDHP plans are generally less expensive than many other plans as these plans tend to attract many younger enrollees who may have less need for expensive health care – one of the drivers that increase the premiums. The minimum deductible for a health plan to be considered an HDHP in 2025 is $1,650 for self-only enrollment and $3,300 for a +1 or family enrollment. If you choose to enroll in an HDHP for the 2025 plan year, be sure to take full advantage of your ability to contribute tax-free dollars to the HSA.
In addition, the HDHP plans in the FEHB program all provide a "premium pass-through" which funds your HSA with money that can be used to meet your deductible and is included in the IRS contribution limits. If the money in your HSA is not spent, it stays in the account. This money belongs to you and earns interest. If you leave the HDHP, you may continue to maintain the HSA account but will not be permitted to make additional contributions.
The maximum that can be contributed to your HSA is an annual combination of HDHP "premium pass through" and your contribution funds, which when combined, do not exceed the maximum contribution amount set by the IRS of $4,300 for an individual and $8,550 for Self Plus One or Self and Family in 2025. HSA users aged 55 and older can make an extra $1,000 contribution to their HSAs. This amount will remain unchanged in 2025. If you are contributing to an HSA in 2024, you have until April 15, 2025, to make 2024 contributions to your account. To determine the amount you may contribute, subtract the amount the Plan will contribute to your account for the year from the maximum allowable contribution.