FEHB SIGNIFICANT PLAN CHANGES

TABLE 1 – PLANS LEAVING THE FEHB PROGRAM

Enrollees in these terminating plans must make a positive election into another FEHB plan during Open Season
or they will be enrolled in GEHA Indemnity Benefit Plan, Elevate Option, 254/256/255 Plan Codes (the
lowest-cost nationwide plan option for 2023 as determined by OPM).

State FEHB Carrier Plan Name 2022 Enrollment Location

Code(s)
(All Counties and/or ZIP codes
affected)
Georgia Blue Cross and Blue Open Access QM1, QM3, QM2 Banks, Barrow, Bartow, Bibb,
Blue Shield of POS Butts, Carroll, Chattahoochee,
Georgia, Inc. Cherokee, Clarke, Clayton, Cobb,
Columbia, Coweta, Crawford,
Dawson, DeKalb, Douglas,
Fayette, Forsyth, Fulton, Gwinnett,
Hall, Haralson, Harris, Heard,
Henry, Houston, Jackson, Lamar,
Madison, McDuffie, Meriwether,
Monroe, Muscogee, Newton,
Oconee, Oglethorpe, Paulding,
Peach, Pickens, Pike, Richmond,
Rockdale, Spalding, Talbot,
Taliaferro, Troup, Upson, Walton
and Wilkes
Virginia HealthKeepers, HealthKeepers 9V1, 9V3, 9V2 Counties of – Accomack,
Inc. Albemarle, Augusta, Caroline,
Charles City, Chesterfield, Clarke,
Culpeper, Dinwiddie, Essex,
Fairfax (west of St. Rt. 123 only),
Fauquier, Fluvanna, Frederick,
Gloucester, Goochland, Greene,
Hanover, Henrico, Isle of Wight,
James City, King and Queen, King
George, King William, Lancaster,
Loudon, Louisa, Madison,
Mathews, Middlesex, New Kent,
Northampton, Northumberland,
Orange, Page, Prince George,
Prince William (west of St. Rt.
123 only), Rappahannock,
Richmond County, Rockingham,
Shenandoah, Southampton,
Spotsylvania, Stafford, Surry,
Sussex, Warren, Westmoreland,
and York and;

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 State FEHB Carrier Plan Name 2022 Enrollment Location
Code(s)
(All Counties and/or ZIP codes
affected)
Cities of - Charlottesville,
Chesapeake, Colonial Heights,
Franklin, Fredericksburg,
Hampton, Hopewell, Manassas,
Manassas Park, Newport News,
Norfolk, Petersburg, Poquoson,
Portsmouth, Richmond, Suffolk,
Virginia Beach, and Williamsburg
New Jersey EmblemHealth EmblemHealth 804, 806, 805 Bergen, Essex, Hudson,
Inc. Plan Middlesex, Monmouth, Morris,
Passaic, Somerset, Sussex, and
Union
New York EmblemHealth EmblemHealth 804, 806, 805 New York City (the Boroughs of
Inc. Plan Manhattan, Brooklyn, Bronx,
Queens, and Staten Island); all of
Nassau, Suffolk, Rockland,
Westchester, Broome, Cayuga,
Chemung, Columbia, Cortland,
Delaware, Dutchess, Franklin,
Greene, Hamilton, Herkimer,
Jefferson, Lewis, Madison,
Oneida, Onondaga, Orange,
Oswego, Otsego, Putnam, St.
Lawrence, Schuyler, Steuben,
Sullivan, Tioga, Tompkins, and
Ulster
Colorado HMO Colorado BlueAdvantage WW1, WW3, Adams, Alamosa, Arapahoe,
Inc. HMO WW2, WW4, Archuleta, Baca, Bent, Boulder,
WW6, WW5 Broomfield, Chaffee, Cheyenne,
Clear Creek, Conejos, Costilla,
Crowley, Custer, Delta, Denver,
Dolores, Douglas, Eagle, Elbert,
El Paso, Fremont, Garfield, Gilpin,
Grand, Gunnison, Hinsdale,
Huerfano, Jackson, Jefferson,
Kiowa, Kit Carson, Lake La Plata,
Las Animas, Larimer, Lincoln,
Logan, Mesa, Mineral, Moffat,
Montezuma, Montrose, Morgan,
Otero, Ouray, Park, Phillips,
Pitkin, Prowers, Pueblo, Rio
Blanco, Rio Grande, Routt,
Saguache, San Juan, San Miguel,
Sedgwick, Summit, Washington,
Weld, and Yuma

2
 State FEHB Carrier Plan Name 2022 Enrollment Location
Code(s)
(All Counties and/or ZIP codes
affected)
Missouri HMO Missouri, Blue Preferred 9G1, 9G3, 9G2, Adair, Audrain, Barry, Barton,
Inc. 9G4, 9G6, 9G5 Bollinger, Boone, Butler,
Callaway, Camden, Cape
Girardeau, Carter, Cedar,
Chariton, Christian, Clark, Cole,
Cooper, Crawford, Dade, Dallas,
Dent, Douglas, Dunklin, Franklin,
Gasconade, Greene, Hickory,
Howard, Howell, Iron, Jasper,
Jefferson, Knox, Laclede,
Lawrence, Lewis, Lincoln, Linn,
Macon, Madison, Maries, Marion,
McDonald, Miller, Mississippi,
Moniteau, Monroe, Montgomery,
Morgan, New Madrid, Newton,
Oregon, Osage, Ozark, Pemiscot,
Perry, Phelps, Pike, Polk, Pulaski,
Putnam, Ralls, Randolph,
Reynolds, Ripley, Schuyler,
Scotland, Scott, Shannon, Shelby,
St. Charles, St. Francois, St. Louis
City, St. Louis County, Ste.
Genevieve, Stoddard, Stone,
Sullivan, Taney, Texas, Warren,
Washington, Wayne, Webster, and
Wright
Illinois HMO Missouri, Blue Preferred 9G1, 9G3, 9G2, Madison, Monroe, and St. Clair
Inc. 9G4, 9G6, 9G5

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TABLE 2 – PLANS ADDING NEW OPTIONS AND ENROLLMENT CODES

State FEHB Plan Name New 2023 Enrollment Location

Carrier Option Codes
(All Counties and/or ZIP
codes affected)
Ohio Medical Medical Mutual of WellFlex F11, F13, F12 Brown, Butler, Clermont,
Mutual of Ohio Greene, Hamilton, Montgomery
Ohio and, Warren
California Health Net Health Net of Standard P64, P66, P65 Kern, Los Angeles, Orange,
of California California and parts of Riverside, San
Bernardino, and San Diego

Riverside: 91752, 92201,

92202, 92203, 92210, 92211,
92220, 92223, 92230, 92234,
92235, 92236, 92240, 92241,
92247, 92248, 92253, 92254,
92255, 92258, 92260, 92261,
92262, 92263, 92264, 92270,
92274, 92276, 92282, 92320,
92501, 92502, 92503, 92504,
92505, 92506, 92507, 92508,
92509, 92513, 92514, 92516,
92517, 92518, 92519, 92521,
92522, 92530, 92531, 92532,
92536, 92539, 92543, 92544,
92545, 92546, 92548, 92549,
92551, 92552, 92553, 92554,
92555, 92556, 92557, 92561,
92562, 92563, 92564, 92567,
92570, 92571, 92572, 92581,
92582, 92583, 92584, 92585,
92586, 92587, 92589, 92590,
92591, 92592, 92593, 92595,
92596, 92599, 92860, 92877,
92878, 92879, 92880, 92881,
92882, and 92883

San Bernadino: 91701, 91708,

91709, 91710, 91729, 91730,
91737, 91739, 91743, 91758,
91759, 91761, 91762, 91763,
91764, 91784, 91785, 91786,
92252, 92256, 92268, 92277,
92278, 92284, 92285, 92286,
92301, 92305, 92307, 92308,
92311, 92312, 92313, 92314,
92315, 92316, 92317, 92318,
92321, 92322, 92324, 92325,
92327, 92329, 92331, 92333,
92334, 92335, 92336, 92337,
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State FEHB Plan Name New 2023 Enrollment Location
Carrier Option Codes
(All Counties and/or ZIP
codes affected)
92339, 92340, 92341, 92342,
92344, 92345, 92346, 92347,
92350, 92352, 92354, 92356,
92357, 92358, 92359, 92365,
92368, 92369, 92371, 92372,
92373, 92374, 92375, 92376,
92377, 92378, 92382, 92385,
92386, 92391, 92392, 92393,
92394, 92395, 92397, 92398,
92399, 92401, 92402, 92403,
92404, 92405, 92406, 92407,
92408, 92410, 92411, 92413,
92415, 92418, 92423, and
92427

San Diego: 91901, 91902,

91903, 91908, 91909, 91910,
91911, 91912, 91913, 91914,
91915, 91917, 91921, 91931,
91932, 91933, 91935, 91941,
91942, 91943, 91944, 91945,
91946, 91948, 91950, 91951,
91976, 91977, 91978, 91979,
92003, 92007, 92008, 92009,
92010, 92011, 92013, 92014,
92018, 92019, 92020, 92021,
92022, 92023, 92024, 92025,
92026, 92027, 92028, 92029,
92030, 92033, 92037, 92038,
92039, 92040, 92046, 92049,
92051, 92052, 92054, 92055,
92056, 92057, 92058, 92059,
92060, 92061, 92064, 92065,
92067, 92068, 92069, 92071,
92072, 92074, 92075, 92078,
92079, 92081, 92082, 92083,
92084, 92085, 92088, 92091,
92092, 92093, 92101, 92102,
92103, 92104, 92105, 92106,
92107, 92108, 92109, 92110,
92111, 92112, 92113, 92114,
92115, 92116, 92117, 92118,
92119, 92120, 92121, 92122,
92123, 92124, 92126, 92127,
92128, 92129, 92130, 92131,
92132, 92134, 92135, 92136,
92137, 92138, 92139, 92140,
92142, 92143, 92145, 92147,

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 State FEHB Plan Name New 2023 Enrollment Location
Carrier Option Codes
(All Counties and/or ZIP
codes affected)
92149, 92150, 92152, 92153,
92154, 92155, 92158, 92159,
92160, 92161, 92163, 92165,
92166, 92167, 92168, 92169,
92170, 92171, 92172, 92173,
92174, 92175, 92176, 92177,
92178, 92179, 92182, 92186,
92187, 92191, 92192, 92193,
92195, 92196, 92197, 92198,
and 92199

TABLE 3 – SERVICE AREA EXPANSIONS WITHOUT NEW ENROLLMENT CODES

State FEHB Carrier Plan Name Plan 2023 Location of Areas

Option Enrollment
(Counties and/or ZIP codes
Codes
affected)
Georgia Humana Humana CDHP AD1, AD3. AD2 Carroll, Chattooga, Dade,
Employers CoverageFirst/Value Plan Haralson, Heard, and Walker
Value AD4, AD6, AD5
Health Plan of
Georgia, Inc.
Georgia Humana Humana HDHP HDHP AR1, AR3, AR2 Carroll, Chattooga, Dade,
Employers Haralson, Heard, and Walker
Health Plan of
Georgia, Inc.
Oregon Kaiser Kaiser Permanente - High 571, 573, 572 ZIP codes of 97321 in Benton
Foundation Northwest County and 97383 in Linn
Standard 574, 576, 575
Health Plan of County
the Northwest Prosper AM1, AM3,
AM2
Texas Scott and Baylor Scott and White Standard *A84, A86, A85 Bexar, Comal, Guadalupe,
White Health Health Plan Option and Houston
Plan

6
State FEHB Carrier Plan Name Plan 2023 Location of Areas
Option Enrollment
(Counties and/or ZIP codes
Codes
affected)
Texas Scott and Baylor Scott and White Standard *P84, P86, P85 Andrews, Armstrong, Bailey,
White Health Health Plan Option Borden, Brewster, Briscoe,
Plan Brown, Callahan, Carson,
Castro, Childress, Cochran,
Collingsworth, Comanche,
Cottle, Crane, Crosby,
Dallam, Dawson, Deaf Smith,
Dickens, Donley, Eastland,
Ector, Fisher, Floyd, Gaines,
Garza, Glasscock, Gray,
Grayson, Hale, Hall,
Hansford, Hartley, Haskell,
Hemphill, Hockley, Howard,
Hutchinson, Jones, Kent,
King, Knox, Lamb,
Lipscomb, Loving, Lubbock,
Lynn, Martin, Midland,
Mitchell, Moore, Motley,
Navarro, Nolan, Ochiltree,
Oldham, Parmer, Pecos,
Potter, Randall, Reeves,
Roberts, Scurry, Shackelford,
Sherman, Stephens,
Stonewall, Swisher, Taylor,
Terry, Throckmorton, Upton,
Ward, Wheeler, Winkler, and
Yoakum
Texas Scott and Baylor Scott and White Basic A81, A83, A82 Austin, Bastrop, Bexar,
White Health Health Plan Option Blanco, Bosque, Burleson,
Plan Caldwell, Coke, Coleman,
Comal, Concho, Crockett,
Falls, Fayette, Freestone,
Grimes, Guadalupe,
Hamilton, Hays, Hill,
Houston, Irion, Kimble, Lee,
Leon, Limestone, Madison,
Mason, McCulloch, Menard,
Mills, Reagan, Robertson,
Runnels, Schleicher, Sterling,
Sutton, Tom Green, Walker,
and Waller

7
 State FEHB Carrier Plan Name Plan 2023 Location of Areas
Option Enrollment
(Counties and/or ZIP codes
Codes
affected)
Texas Scott and Baylor Scott and White Basic *P81, P83, P82 Andrews, Armstrong, Bailey,
White Health Health Plan Option Borden, Brewster, Briscoe,
Plan Brown, Callahan, Carson,
Castro, Childress, Cochran, ,
Collingsworth, Comanche,
Cottle, Crane, Crosby,
Dallam, Dawson, Deaf Smith,
Dickens, Donley, Eastland,
Ector, Erath, Fisher, Floyd,
Gaines, Garza, Glasscock,
Gray, Grayson, Hale, Hall,
Hansford, Hartley, Haskell,
Hemphill, Hockley, Hood,
Howard, Hutchinson, Jones,
Kent, King, Knox, Lamb,
Lipscomb, Loving, Lubbock,
Lynn, Martin, Midland,
Mitchell, Moore, Motley,
Navarro, Nolan, Ochiltree,
Oldham, Parmer, Pecos,
Potter, Randall, Reeves,
Roberts, Scurry, Shackelford,
Sherman, Somervell,
Stephens, Stonewall, Swisher,
Taylor, Terry, Throckmorton,
Upton, Ward, Wheeler,
Winkler, and Yoakum
* See table 8 for service area name changes.

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TABLE 4 – SERVICE AREA EXPANSIONS ADDING NEW ENROLLMENT CODES

State FEHB Carrier Plan Name Plan Option 2023 New Location of Areas
Enrollment
(Counties and/or ZIP
Codes
codes affected)
Kentucky Humana Health Humana HDHP HDHP FW1, FW3, Lexington area:
Plan Inc. FW2 Counties of Anderson,
Bath, Bourbon, Boyle,
Bracken, Clark, Estill,
Fayette, Fleming,
Franklin, Garrard,
Harrison, Jessamine,
Madison, Menifee,
Mercer, Montgomery,
Nicholas, Owen,
Powell, Robertson,
Scott, and Woodford
Kentucky Humana Health Plan Humana HDHP HDHP FZ1, FZ3, FZ2 Louisville area:
Inc. Counties of Bullitt,
Carroll, Green, Hardin,
Henry, Jefferson,
Larue, Meade, Nelson,
Marion, Oldham,
Shelby, Spencer,
Taylor, Trimble, and
Washington
Indiana Humana Health Humana HDHP HDHP FZ1, FZ3, FZ2 Clark, Floyd, Harrison,
Plan Inc. Scott, and Washington

TABLE 5 – NEW PLANS ENTERING THE FEHB PROGRAM

State FEHB Carrier Plan Name Plan 2023 New Location of Areas
Option Enrollment
(Counties and/or ZIP codes
Codes
affected)
Indiana Indiana Indiana High FS1, FS3, FS2 Blackford, Boone, Brown,
University University Carroll, Clinton, Delaware,
Health Plans, Health Plan Fountain, Grant, Hamilton,
Inc. Hendricks, Jay, Johnson,
Lawrence, Marion, Monroe,
Montgomery, Morgan, Orange,
Owen, Putnam, Randolph,
Shelby, Tippecanoe, Tipton,
and White

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TABLE 6 – PLANS CHANGING NAMES

State FEHB Carrier Old Plan Name New Plan Name Plan Codes
Utah SelectHealth, Inc. SelectHealth Plan SelectHealth, Inc. SF, WX

TABLE 7 – PLANS CHANGING NAMES OF EXISTING PLAN OPTIONS

Old Plan Option New Plan

State FEHB Carrier Plan Name Plan Codes
Name Option Name
CareFirst CareFirst Standard Standard
Maryland 2G4, 2G6, 2G5
BlueChoice, Inc. BlueChoice, Inc. HealthyBlue BlueChoice
HealthyBlue BlueChoice
CareFirst CareFirst
Maryland Advantage Advantage B61, B63, B62
BlueChoice, Inc. BlueChoice, Inc.
HDHP HDHP
District of CareFirst CareFirst Standard Standard
2G4, 2G6, 2G5
Columbia BlueChoice, Inc. BlueChoice, Inc. HealthyBlue BlueChoice
HealthyBlue BlueChoice
District of CareFirst CareFirst
Advantage Advantage B61, B63, B62
Columbia BlueChoice, Inc. BlueChoice, Inc.
HDHP HDHP
CareFirst CareFirst Standard Standard
Virginia 2G4, 2G6, 2G5
BlueChoice, Inc. BlueChoice, Inc. HealthyBlue BlueChoice
HealthyBlue BlueChoice
CareFirst CareFirst
Virginia Advantage Advantage B61, B63, B62
BlueChoice, Inc. BlueChoice, Inc.
HDHP HDHP

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TABLE 8 – SERVICE AREA NAME CHANGE

FEHB 2022 Service 2023 Service

State Plan Name Plan Code for 2023
Carrier Area Name Area Name

Scott and Baylor Scott

Central and West
Texas White Health and White **A84, A86, A85 Central Texas
Texas
Plan Health Plan
Scott and Baylor Scott
North and West
Texas White Health and White **P84, P86, P85 North Texas
Texas
Plan Health Plan
Scott and Baylor Scott
North and West
Texas White Health and White **P81, P83, P82 North Texas
Texas
Plan Health Plan
Medical Medical
Ohio Mutual of Mutual of ***644, 646, 645 Northeast Plan Northern Ohio
Ohio Ohio
Medical Medical
Ohio Mutual of Mutual of ***UX1, UX3, UX2 Northeast Plan Northern Ohio
Ohio Ohio
**Please see table 3 for service area expansion for these service areas.
*** Please see Table 9 for code merger details.

TABLE 9 – ENROLLMENT CODE MERGER WITH TERMINATING ENROLLMENT CODE

The payroll office must automatically move enrollees into their new FEHB plan’s 2023 codes unless the
enrollees select another FEHB plan during Open Season.

State FEHB Plan Name Plan Option Terminating Merging into 2023
Enrollment Codes Existing Enrollment
(end of 2022) Codes
Ohio Medical Mutual of Standard X64, X66, X65 644, 646, 645
Ohio
Ohio Medical Mutual of Basic X61, X63, X62 UX1, UX3, UX2
Ohio

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