New FECP Benefits You Might Not Know About: If you’re a federal employee or retiree enrolled in the Federal Employees Health Benefits (FEHB) Program, you may be leaving valuable benefits on the table. In 2025, FEHB has introduced several new offerings and updates designed to improve your health, reduce costs, and offer greater convenience—yet many eligible members are still unaware of these changes. This comprehensive guide will walk you through everything you need to know about the new FEHB benefits for 2025, breaking down complex terms and policies in a clear, easy-to-follow format.
New FECP Benefits You Might Not Know About
The FEHB updates for 2025 are more than just policy changes—they’re meaningful upgrades that improve access, reduce costs, and offer practical health tools for federal employees and their families. By understanding and utilizing these new benefits, you’re not just protecting your health—you’re making the most of a valuable employment resource.
| Benefit | Description |
|---|---|
| Telehealth Services | All Teladoc Health® virtual visits are now free. |
| Livongo Weight Management | Digital weight management program available to members 13+ who meet clinical criteria. |
| Family Planning and Maternity | Enhanced benefits include more free breast pump kits and full coverage for fallopian tube removal. |
| Preventive Care Updates | RSV and monkeypox (Mpox) vaccines are now fully covered. |
| Overseas Cost Sharing Waived | No cost-sharing for primary care, specialty, and emergency room visits overseas. |
| Updated Copays and Out-of-Pocket Costs | Changes to copays and cost-sharing for hospital, ER, urgent care, and specialty visits. |
| New Specialty Drug Tiers | Tier 4 and Tier 5 copay structures introduced for specialty medications. |
| Out-of-Pocket Maximums | $7,500 for Self Only and $15,000 for Self + One and Self & Family. |
What Is the FEHB Program?
The Federal Employees Health Benefits Program (FEHB) is the largest employer-sponsored health insurance program in the U.S., serving over 8 million federal employees, retirees, and their families. It offers a range of plan options through Blue Cross Blue Shield and other carriers, allowing members to choose plans that best meet their medical and financial needs.
What’s New FECP Benefits You Might Not Know About?
Let’s explore the key changes and what they mean for you.
1. Telehealth Services Now Free
All Teladoc Health® visits are now free, making it easier and more cost-effective to access care from the comfort of your home. This includes general medical, dermatology, and mental health services.
Why it matters:
Virtual care is especially valuable for rural employees or those with mobility challenges.
Pro Tip: Download the Teladoc Health® app and complete your profile in advance to streamline future visits.
2. Livongo Weight Management Program
A new benefit offered through Livongo®, this digital platform provides tools and coaching for members aged 13+ who meet clinical requirements.
What’s included:
- Smart scale and connected app
- Personalized coaching
- Educational content and progress tracking
Eligibility: Must meet BMI or other health risk criteria.
3. Expanded Family Planning Benefits
FEHB now provides:
- Additional free breast pump kits
- Full coverage for salpingectomy (fallopian tube removal)
These updates promote better maternal care and long-term family planning options.
Real-World Example: A working mom now has easier access to two breast pump kits—one for work and one for home.
4. Preventive Vaccines Now Covered
- RSV vaccine for adults aged 60+
- Mpox (monkeypox) vaccine for at-risk members
Both vaccines are now part of your preventive care and come at no additional cost.
Data Point: The CDC recommends the RSV vaccine for seniors to prevent severe respiratory illness.
5. Better Overseas Coverage
Cost-sharing for overseas services is now waived, including:
- Primary care
- Specialist visits
- Outpatient emergency room
Tip for Expats: Ensure you’re seeing FECP-approved providers abroad for full coverage.
6. Adjusted Copays and Coinsurance
Hospitalization Costs:
- Inpatient hospital care: $350/day (max $1,750 per admission)
- Outpatient hospital care: $250/day per facility
- Outpatient emergency room: $350 copay
Other Updates:
- Urgent Care Visit: $50 copay
- Specialist Visit: $50 copay
- Outpatient diagnostic testing: $250 copay
These changes help FEHB better manage costs while still offering comprehensive coverage.
7. Pharmacy Benefits: New Specialty Drug Tiers
Specialty Drugs Copays:
- Tier 4 (Preferred Specialty): $120 (30-day supply)
- Tier 5 (Non-Preferred Specialty): $200 (30-day supply)
Preferred Brand-Name (Tier 2): $75 for 30-day supply
Pro Tip: Use mail-order options to save on maintenance medications.
8. Out-of-Pocket Maximums Increased
Your annual maximum out-of-pocket limits:
- Self Only: $7,500
- Self + One / Self & Family: $15,000
Why it matters: Knowing your max helps with budgeting and planning for large medical events.
How to Maximize Your FEHB Benefits?
- Review your 2025 plan brochure. You can find it on the OPM website.
- Log into your Blue Cross Blue Shield (FEP Blue) account. Get personalized coverage info and telehealth access.
- Set up preventive care appointments now. Vaccines and screenings are covered—take advantage.
- Check specialty drug tiers. Ask your pharmacist if a lower-cost tier is available for your medication.
Maximizing Your FECP Benefits: Tips for Federal Workers
FAQs About New FECP Benefits You Might Not Know About
What is the FEHB Program?
The FEHB Program is a federal health insurance program for employees, retirees, and eligible family members, offering a wide variety of health plans.
Are all FEHB plans affected by these updates?
Most major carriers like Blue Cross Blue Shield (FEP Blue) incorporate these updates, but plan features may vary. Always check your specific plan brochure.
How do I access Teladoc Health® services?
Visit teladoc.com or download the app, register using your FEHB information, and begin scheduling free visits.
Who qualifies for the new weight management program?
Eligible members aged 13 and over with a qualifying BMI or health risk factor can access the Livongo® program.
How can I get a second breast pump?
Contact your FEHB plan provider. In 2025, many plans now allow more than one breast pump per pregnancy.
