Reply to Federal Employee Health Insurance Open Enrollment

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]i think much of it comes down to med cost. if two family members are on ozempic, for example, and GEHA makes you pay $650/mo each and BCBS standard makes you pay $120/quarter each, then that $90/pp "savings" to switch plans gets curb-stomped by the $1140/mo more you are spending on ozempic.

if you don't take any expensive medications and don't usually need doctors then switching to a HDHP and contributing to an HSA is a great financial move. [/quote]

I know you didn't say these were actual rx costs, but fyi for next year the differential is lopsided in the other direction. GEHA has a specialty rx max of $250, whereas for BCBS I think Wegovy etc are going to be $600 or 700+ a month. 
[/quote]

the cost calculators says $665 for 3 months for GEHA vs $40 for BCBS Standard for the 8mg ozempic. i know wegovy has changed classes. anyway, my point is, you need to check the formularies and cost calculators carefully[/quote]

You also need to check to make sure you are looking at the calculator and formulary for 2025....which shows something very different than the above.[/quote]

er. i am. maybe they are giving out inconsistent answers?

https://www.fepblue.org/pilot/rx-cost-tool/results?med=169477212&defaultUY=false&isChosenUY=true&benefitYear=2025&drug_name=OZEMPIC&dist=5&zip=20001&pharmId=0905200&pharmName=CVS%20PHARMACY%2010685&isPostal=false&drugStrength=8MG%2F3ML&drugForm=INJ

[/quote]

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