Compass Rose Health Plan, Standard Option: 2027 FEHB premiums and benefits
| Enrollment | Employee, biweekly | Employee, monthly | Annuitant, monthly | Change in your share vs 2026 | Employee, per year (26 periods) |
|---|---|---|---|---|---|
| Self Only code 424 | $69.04 gov $207.11 | $149.58 | $149.58 | +$7.40 biweekly | $1,795 |
| Self Plus One code 426 | $151.89 gov $455.66 | $329.09 | $329.09 | +$16.28 biweekly | $3,949 |
| Self and Family code 425 | $165.69 gov $497.09 | $359.00 | $359.00 | +$17.75 biweekly | $4,308 |
Traditional, EPO network. Offered nationwide: anyone eligible for FEHB can enroll, in any state. The government share is the lesser of 72% of the program-wide average premium or 75% of this plan's premium (5 U.S.C. 8906).
Educational information only; StandWatch is not acting for OPM, and the brochure and your agency's benefits office are the final authority. Same code and assumptions as the comparison page: worst year is exact (premiums plus the in-network out-of-pocket maximum, minus an HSA deposit); the other three are estimates under stated usage profiles, each labeled copays only, has coinsurance, or not priced.
Deductibles and limits
| Self Only | Self Plus One | Self and Family | |
|---|---|---|---|
| Deductible | $500 out of network Not applicable | $1,000 out of network Not applicable | $1,000 out of network Not applicable |
| Out-of-pocket maximum | $9,000 out of network Not applicable | $18,000 out of network Not applicable | $18,000 out of network Not applicable |
What you pay for care, in and out of network
| Service | In network | Out of network |
|---|---|---|
| VISITS | ||
| Preventive care | Member Pays Nothing | Member Pays All Charges |
| Primary care visit | $10 Copayment Tier 1 Provider | Member Pays All Charges |
| Specialist visit | $30 Copayment Tier 1 Provider | Member Pays All Charges |
| Urgent care | $50 Copayment | Member Pays All Charges |
| Emergency room | 30% Coinsurance $500 Calendar Year Deductible | 30% Coinsurance $500 Calendar Year Deductible |
| Labs and X-rays | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| CT, MRI, PET | 30% Coinsurance $500 Calendar Year Deductible + $250 per occurrence copay if not freestanding for CT, CTA, MRI, MRA | Member Pays All Charges |
| Hospital stay, per admission | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Hospital room | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Surgeon, inpatient | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Outpatient surgery | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Mental health, office | $10 Copayment | Member Pays All Charges |
| Mental health, inpatient | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Physical therapy | $40 Copayment 25 combined visits OT/PT/ST | Member Pays All Charges |
| Chiropractic | $40 Copayment 12 visit maximum | Member Pays All Charges |
| Acupuncture | $40 Copayment 12 visit maximum | Member Pays All Charges |
| Maternity care | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Maternity hospital stay | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Infertility diagnosis and treatment | 30% Coinsurance $500 Calendar Year Deductible; $1,000 maximum per calendar year | 30% Coinsurance $500 Calendar Year Deductible; $1,000 maximum; + Difference between our allowance and the billed amount |
| IVF and assisted reproduction | Member Pays All Charges | Member Pays All Charges |
| Hearing aids | Not Covered | Not Covered |
| Durable medical equipment | 30% Coinsurance $500 Calendar Year Deductible | Member Pays All Charges |
| Home health | 30% Coinsurance $500 Calendar Year Deductible; 25 visit maximum | Member Pays All Charges |
| Adult dental exams | Covered $39 twice per year | Covered $39 twice per year |
| Children's dental exams | Covered $39 twice per year | Covered $39 twice per year |
| Routine eye exam | Covered $100 annual allowance combined maximum | Covered $100 annual allowance combined maximum |
| Eyeglasses | Covered $100 annual allowance combined maximum | Covered $100 annual allowance total |
| PRESCRIPTIONS | ||
| Tier 1 (usually generic) | $5 Copayment | Not applicable |
| Tier 2 | 40% Coinsurance | Not applicable |
| Tier 3 | 100% Coinsurance | Not applicable |
| Tier 4 | Not applicable | Not applicable |
| Mail order | Yes | Yes |
| Prescription out-of-pocket maximum, Self | None only combined OOPM applies | Not listed |
| Prescription out-of-pocket maximum, family | None only combined OOPM applies | Not listed |
| WITH MEDICARE | ||
OPM's summary of the plan's cost sharing. The small print under a figure is OPM's own wording and usually carries the real terms: per-day charges, caps, and whether the deductible applies. The brochure is the official statement of benefits.
Official pages
Compass Rose Health Plan plan site · Summary of Benefits and Coverage · OPM plan comparison and brochure RI 71-028 · 888-438-9135
Before you enroll
Not the official statement of benefits. This plan's brochure is the only contractual statement of what it covers, excludes, and limits. Where this page and the brochure disagree, the brochure governs. Read it before you enroll.
Estimates, under published assumptions. Premiums, deductibles, and out-of-pocket maximums are OPM's figures. The year-cost figures are estimates under the usage profiles and assumed charges published on the comparison page, labeled exact, copays only, has coinsurance, or not priced. They are not predictions of what you will spend.
What the model leaves out. Out-of-network care and balance billing, whether your own doctors take this plan, whether your medications are on its formulary and at which tier, referral and prior-authorization rules, mail-order and specialty pharmacy pricing, FEDVIP dental and vision, and Medicare coordination at 65 beyond the rows shown. Postal Service employees and annuitants are in a separate program and are not covered.
No affiliation. StandWatch is not affiliated with, endorsed by, or acting for the Office of Personnel Management or any federal agency. The plan data is OPM's; the arrangement is ours. StandWatch is not a health plan, a broker, or an insurer, and nothing here is a recommendation to select, keep, or drop any plan, or medical, insurance, financial, tax, or legal advice. The full educational-purpose statement.
Source: OPM FEHB Public Use Files, plan year 2027 (rates, plan key, plan benefits, service area), and the OPM premium charts for the change from 2026.
