HMSA Plan for Postal Service Employees is the plan for employees who are eligible to participate in the Postal Service Health Benefits (PSHB) Program.
Learn more about the services your plan pays for.
2027 Plan Rates [PDF]
See a summary of rates for the 2027 plan year.
2027 Member Booklet [PDF]
Member booklet for open season.
2027 Plan Brochure [PDF]
View benefits and services included in your plan.
View on opm.gov
| High Option Plan | Standard Option Plan |
|---|---|
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Plan Documents |
Plan Documents |
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Annual Medical Out-of-pocket Maximum $3,000 per person (Some costs can’t be applied to your maximum.) |
Annual Medical Out-of-pocket Maximum $5,000 per person (Some costs can’t be applied to your maximum.) |
Medical BenefitsPhysician visit $15 No charge
20% of eligible charges
$15 copayment
$200 copayment
|
Medical BenefitsPhysician visit* $20 30% of eligible charges
$20 copayment
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HMSA Medicare Postal Prescription Drug Plan |
HMSA Medicare Postal Prescription Drug Plan |
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Annual Drug Deductible The Medicare Part D calendar year deductible for your primary plan is: $700 per person. Your secondary plan offers an enhanced benefit of a $0 calendar year deductible for drugs that are covered on both the primary and secondary plans. You may be subject to deductible cost for any drug not covered on your secondary plan. |
Annual Drug Deductible The Medicare Part D calendar year deductible for your primary plan is: $700 per person. Your secondary plan offers an enhanced benefit of a $0 calendar year deductible for drugs that are covered on both the primary and secondary plans. You may be subject to deductible cost for any drug not covered on your secondary plan. |
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Annual Drug Out-of-pocket Maximum $2,400 per person (The annual drug out-of-pocket maximum accumulates towards the medical out-of-pocket maximum.) |
Annual Drug Out-of-pocket Maximum $2,400 per person (The annual drug out-of-pocket maximum accumulates towards the medical out-of-pocket maximum.) |
Drug BenefitsSecondary Coverage Note: High Option and Standard Option members have the same coverage and formulary on their primary Medicare plan. Cost shares differ on Secondary coverage. See the benefits table below for cost-shares specific to your plan. Primary Coverage: Medicare Part D Drug Plan (High Option and Standard Option) Plan Pharmacy: Retail 25% of the eligible charges and any difference between our eligible charge and the actual charge 30-day supply from retail pharmacies
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Drug BenefitsSecondary Coverage Note: High Option and Standard Option members have the same coverage and formulary on their primary Medicare plan. Cost shares differ on Secondary coverage. See the benefits table below for cost-shares specific to your plan. Primary Coverage: Medicare Part D Drug Plan (High Option and Standard Option) Plan Pharmacy: Retail 25% of the eligible charges and any difference between our eligible charge and the actual charge 30-day supply from retail pharmacies
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Dental BenefitsNo charge
30% of eligible charges
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Dental Benefits30% of eligible charges for Accidental Injury benefits only. |
Vision Benefits220% of eligible charges
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Vision Benefits230% of eligible charges
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Infertility Benefits20% of eligible charges |
Infertility Benefits30% of eligible charges |
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Infertility definition Infertility is the failure to achieve a successful pregnancy after regular, unprotected intercourse or artificial insemination for 12 months or more (6 months for individuals over age 35). Infertility may also be established through an evaluation based on medical history and diagnostic testing. Diagnosis and treatment of infertility specific to:
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More resources
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In-network emergency room visit and follow up care
Services included in example event
EXAMPLE Simple fracture cost: $2,800
| Plan | High Plan | Standard Plan |
|---|---|---|
| You pay deductible: | $0 | $150 |
| Copayments: | $80 | $100 |
| Coinsurance: | $200 | $600 |
| What isn’t covered (Limits or exclusions): | $0 | $0 |
| Your total out-of-pocket: | $280 | $850 |
| Plan | High Plan |
|---|---|
| You pay deductible: | $0 |
| Copayments: | $80 |
| Coinsurance: | $200 |
| What isn't covered (Limits or exclusions): | $0 |
| Your total out-of-pocket: | $280 |
| Plan | Standard Plan |
|---|---|
| You pay deductible: | $150 |
| Copayments: | $100 |
| Coinsurance: | $600 |
| What isn't covered (Limits or exclusions): | $0 |
| Your total out-of-pocket: | $850 |
This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors.
A year of routine in-network care of a well-controlled condition
Services included in example event
EXAMPLE Managing type 2 diabetes cost: $5,600
| Plan | High Plan | Standard Plan |
|---|---|---|
| You pay deductible: | $0 | $150 |
| Copayments: | $400 | $400 |
| Coinsurance: | $200 | $200 |
| What isn’t covered (Limits or exclusions): | $20 | $20 |
| Your total out-of-pocket: | $620 | $770 |
| Plan | High Plan |
|---|---|
| You pay deductible: | $0 |
| Copayments: | $400 |
| Coinsurance: | $200 |
| What isn't covered (Limits or exclusions): | $20 |
| Your total out-of-pocket: | $620 |
| Plan | Standard Plan |
|---|---|
| You pay deductible: | $150 |
| Copayments: | $400 |
| Coinsurance: | $200 |
| What isn't covered (Limits or exclusions): | $20 |
| Your total out-of-pocket: | $770 |
This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors.
9 months of in-network pre-natal care and a routine hospital delivery
Services included in example event
EXAMPLE Maternity Care cost: $12,700
| Plan | High Plan | Standard Plan |
|---|---|---|
| You pay deductible: | $0 | $150 |
| Copayments: | $200 | $30 |
| Coinsurance: | $70 | $2,500 |
| What isn’t covered (Limits or exclusions): | $60 | $60 |
| Your total out-of-pocket: | $330 | $2,740 |
| Plan | High Plan |
|---|---|
| You pay deductible: | $0 |
| Copayments: | $200 |
| Coinsurance: | $70 |
| What isn't covered (Limits or exclusions): | $60 |
| Your total out-of-pocket: | $330 |
| Plan | Standard Plan |
|---|---|
| You pay deductible: | $150 |
| Copayments: | $30 |
| Coinsurance: | $2,500 |
| What isn't covered (Limits or exclusions): | $60 |
| Your total out-of-pocket: | $2,740 |
This is not a cost estimator. Treatments shown are just examples of how this plan might cover medical care. Your actual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors.
A deductible is the fixed dollar amount you must pay each calendar year for certain services and products before your health plan pays.
The out-of-pocket maximum is the most you'll have to pay per calendar year for covered health care services. Once you reach this amount, your plan pays 100 percent of the allowed amount for covered services excluding taxes.
There's a maximum for each person on the plan and a maximum for everyone on the plan.
