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Medical Benefits

Healthcare at your fingertips.

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Coverage is provided by the Federal Employees Health Benefits (FEHB) Program for medical and prescription drug coverage. Here are some details on the FEHB Program, eligibility, enrollment, plan information, premium rates, and more.

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What you should consider when choosing a plan:

  • What benefits does the plan cover? Make sure the plan covers the services or supplies that are important to you and know its limitations and exclusions. 

  • What are my out-of-pocket costs? Does the plan have a deductible to meet?

  • Are my doctors, hospitals and other care providers in the plan's network? Your costs are lower with in- network providers.

How well does my plan provide quality care?

Quality care varies with plans. Please use the three sources below for reviewing quality.​​​

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  1. Evaluations by current plan members are posted in the Heath Plan Comparison Tool. Enter your zip code at www.opm.gov/healthcare-insurance/healthcare/plan-information/compare-plans/​​

    • Zip Code: 98516​

    • Enrollment Type: Tribal Employee

    • Summary of Benefits and Coverage: Select Plans, select Compare at bottom of page, select Summary of Benefits link                                                                                                                      

  2. ​ Effectiveness of Care- How a plan performs in preventing or treating common conditions found at https://www.opm.gov/healthcare-insurance/healthcare/plan-information/compare-plans/quality              

  3. ​Accreditation- Evaluations of health plans by independent accrediting organizations. Go to http://reportcard.ncqa.org/plan/external/plansearch.aspx

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*Please refer to Employee Navigator for rates and Summary of Benefits. 

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