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Postal baby planner: your plan, your premiums, your dates

Updated November 1, 2026 · By Larry Cannon · How we check facts · All federal employee tools · Before you decide
Not a government website. Educational information only, not official advice. StandWatch is independent and does not act for any agency. For any decision, the official source is the final authority: your plan's brochure and the HR Shared Service Center. Full disclosures
You and your plan
The bills we start with

National averages, not quotes. They only matter on plans that charge a percent. Where they come from.

What the year might cost

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Other life events: the life event planner. Looking for the federal employee version?

The short answer: you don't have to move to Self and Family before the baby comes. Whether waiting saves money depends on the plan: on some plans Self Plus One costs the same as or more than Self and Family.
THE RULES
  • The window. You may enroll, move up, or change plans from 31 days before to 60 days after the birth, through the HR Shared Service Center, 877-477-3273.
  • When it starts. OPM: a change because of a birth takes effect the first day of the pay period in which the child becomes a family member.
  • Already Self and Family? The newborn is covered from birth, with no form to file. Tell your plan.
  • On Self Plus One? You can't swap who is covered. To cover your spouse and the baby, move up to Self and Family, and compare both premiums first.
  • Open Season. You can also change plans November 9 to December 14, 2026, for January.

OPM: new family member · OPM: enrollment · OPM: PSHB enrollment

HOW WE GOT THESE NUMBERS

Premiums are OPM's 2027 employee rates, with paychecks counted from January 10. Care uses OPM's two maternity lines, each copay once, any stated maximum, and the deductible where it applies, up to the in-network limit. A daily hospital copay is priced at two days, from AHRQ's 2.2-day average for a vaginal birth (2011); a C-section stay runs longer. Plans with a percent plus a daily copay, or their own hospital deductible, are not priced. It leaves out the baby's own care, HSA and HRA money, later postpartum visits, and out-of-network care.

The starting bills are national averages under employer plans, not FEHB or PSHB figures. Delivery: $13,393, the Health Care Cost Institute average for 2020 ($11,453 vaginal, $17,103 C-section). Prenatal and postpartum: $7,023, the KFF average of $20,416 for 2021 to 2023 minus that delivery figure. FAIR Health national medians run $15,728 to $19,911 and count some care outside the delivery stay. Prices vary widely by state.

Before you decide

WHAT THIS PAGE IS, AND IS NOT

Your plan decides coverage and claims under its brochure, and the HR Shared Service Center, 877-477-3273 handles eligibility and enrollment, so confirm every date with them. This page can't tell you who is in network: use the plan's own search. OPM's files and plan brochures don't always match, and we do our best to catch the differences. StandWatch is independent, is not affiliated with the U.S. Postal Service, and does not act for OPM or any agency, and it never files anything for you. Full disclosures

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Larry Cannon
WHO BUILT THIS
Larry Cannon · Founder, StandWatch

Former active-duty infantryman. Worked at a mutual fund firm through the 08 collapse, then years of mental health and suicide prevention outreach for fellow combat veterans.

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