In this report
Overview
Good plans and bad plans
The Wild West of insurance
What you can do
7 signs the plan is junk
Does your plan match the federal standard?
The wrong coverage can be devastating
What regulators need to do next
Also in This Issue
This article was featured in the May 2009 issue of Consumer Reports magazine.

Want better coverage? Try running for Congress

Last reviewed: May 2009

This article is the archived version of a report that appeared in the May 2009 Consumer Reports Magazine.

President Barack Obama says Americans should have access to the kind of health benefits Congress gets. We detail them below. Members of Congress and other U.S. government employees can receive care through the Federal Employees Health Benefits Program. Employees choose from hundreds of plans, but the most popular is a national Blue Cross and Blue Shield Preferred Provider Organization plan. Employee contributions for that plan are $152 per person, or $357 per family, per month.

Plan features Covered services
  • No annual or lifetime limits for major services

  • Deductible of $300 per person and $600 per family

  • Out-of-pocket limit of $5,000 per year with preferred providers, which includes most deductibles, co-insurance, and co-payments
  • Inpatient and outpatient hospital care

  • Inpatient and outpatient doctor visits

  • Prescription drugs

  • Diagnostic tests

  • Preventive care, including routine immunizations

  • Chemotherapy and radiation therapy

  • Maternity care
  • Family planning

  • Durable medical equipment, orthopedic devices, and artificial limbs

  • Organ and tissue transplants

  • Inpatient and outpatient surgery

  • Physical, occupational, and speech therapy

  • Outpatient and inpatient mental-health care