2025 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
2025 Rate Information for the Blue Cross and Blue Shield Service Benefit Plan
2025 Rate Information for the Blue Cross and Blue Shield Service Benefit Plan
2025 Rate Information for the Blue Cross and Blue Shield Service Benefit Plan
To compare your PSHB health plan options please go to https://health-benefits.opm.gov/PSHB/.
To review premium rates for all PSHB health plan options please go to https://www.opm.gov/healthcare-insurance/pshb/premiums/.
To review premium rates for all PSHB health plan options please go to https://www.opm.gov/healthcare-insurance/pshb/premiums/.
Standard Option, Self Only, Enrollment Code 33D:
Premium Rate
Biweekly government share: $286.09
Biweekly your share: $174.13
Monthly government share: $619.86
Monthly your share: $377.28
Standard Option, Self Plus One, Enrollment Code 33F:
Premium Rate
Biweekly government share: $618.40
Biweekly your share: $388.04
Monthly government share: $1,339.87
Monthly your share: $840.75
Standard Option, Self and Family, Enrollment Code 33E:
Premium Rate
Biweekly government share: $672.95
Biweekly your share: $435.43
Monthly government share: $1,458.06
Monthly your share: $943.43
Basic Option, Self Only, Enrollment Code 33A:
Premium Rate
Biweekly government share: $286.09
Biweekly your share: $114.12
Monthly government share: $619.86
Monthly your share: $247.26
Basic Option, Self Plus One, Enrollment Code 33C:
Premium Rate
Biweekly government share: $618.40
Biweekly your share: $280.99
Monthly government share: $1,339.87
Monthly your share: $608.81
Basic Option, Self and Family, Enrollment Code 33B:
Premium Rate
Biweekly government share: $672.95
Biweekly your share: $317.62
Monthly government share: $1,458.06
Monthly your share: $688.18
Premium Rate
Biweekly government share: $286.09
Biweekly your share: $174.13
Monthly government share: $619.86
Monthly your share: $377.28
Standard Option, Self Plus One, Enrollment Code 33F:
Premium Rate
Biweekly government share: $618.40
Biweekly your share: $388.04
Monthly government share: $1,339.87
Monthly your share: $840.75
Standard Option, Self and Family, Enrollment Code 33E:
Premium Rate
Biweekly government share: $672.95
Biweekly your share: $435.43
Monthly government share: $1,458.06
Monthly your share: $943.43
Basic Option, Self Only, Enrollment Code 33A:
Premium Rate
Biweekly government share: $286.09
Biweekly your share: $114.12
Monthly government share: $619.86
Monthly your share: $247.26
Basic Option, Self Plus One, Enrollment Code 33C:
Premium Rate
Biweekly government share: $618.40
Biweekly your share: $280.99
Monthly government share: $1,339.87
Monthly your share: $608.81
Basic Option, Self and Family, Enrollment Code 33B:
Premium Rate
Biweekly government share: $672.95
Biweekly your share: $317.62
Monthly government share: $1,458.06
Monthly your share: $688.18