1 

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 

Code(s)

Location

(All Counties and/or ZIP codes 

affected)

Georgia Blue Cross and 

Blue Shield of 

Georgia, Inc.

Blue Open Access 

POS

QM1, QM3, QM2 Banks, Barrow, Bartow, Bibb, 

Butts, Carroll, Chattahoochee, 

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, 

Inc.

HealthKeepers 9V1, 9V3, 9V2 Counties of – Accomack, 

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;
2 

State FEHB Carrier Plan Name 2022 Enrollment 

Code(s)

Location

(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 

Inc.

EmblemHealth 

Plan

804, 806, 805 Bergen, Essex, Hudson, 

Middlesex, Monmouth, Morris, 

Passaic, Somerset, Sussex, and 

Union

New York EmblemHealth 

Inc.

EmblemHealth 

Plan

804, 806, 805 New York City (the Boroughs of 

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 

Inc.

BlueAdvantage 

HMO

WW1, WW3, 

WW2, WW4, 

WW6, WW5

Adams, Alamosa, Arapahoe, 

Archuleta, Baca, Bent, Boulder, 

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
3 

State FEHB Carrier Plan Name 2022 Enrollment 

Code(s)

Location

(All Counties and/or ZIP codes 

affected)

Missouri HMO Missouri, 

Inc.

Blue Preferred 9G1, 9G3, 9G2, 

9G4, 9G6, 9G5

 Adair, Audrain, Barry, Barton, 

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, 

Inc.

Blue Preferred 9G1, 9G3, 9G2, 

9G4, 9G6, 9G5

Madison, Monroe, and St. Clair
4 

TABLE 2 – PLANS ADDING NEW OPTIONS AND ENROLLMENT CODES

State FEHB 

Carrier

Plan Name New 

Option

2023 Enrollment 

Codes

Location

(All Counties and/or ZIP 

codes affected)

Ohio Medical 

Mutual of 

Ohio

Medical Mutual of 

Ohio

WellFlex F11, F13, F12 Brown, Butler, Clermont, 

Greene, Hamilton, Montgomery 

and, Warren

California Health Net 

of California

Health Net of 

California

Standard P64, P66, P65 Kern, Los Angeles, Orange, 

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, 
5 

State FEHB 

Carrier

Plan Name New 

Option

2023 Enrollment 

Codes

Location

(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, 
6 

State FEHB 

Carrier

Plan Name New 

Option

2023 Enrollment 

Codes

Location

(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

Option

2023 

Enrollment 

Codes

Location of Areas

(Counties and/or ZIP codes 

affected)

Georgia Humana 

Employers 

Health Plan of 

Georgia, Inc. 

Humana 

CoverageFirst/Value Plan

CDHP

Value

AD1, AD3. AD2

AD4, AD6, AD5

Carroll, Chattooga, Dade, 

Haralson, Heard, and Walker

Georgia Humana 

Employers 

Health Plan of 

Georgia, Inc. 

Humana HDHP HDHP AR1, AR3, AR2 Carroll, Chattooga, Dade, 

Haralson, Heard, and Walker

Oregon Kaiser 

Foundation 

Health Plan of 

the Northwest

Kaiser Permanente - 

Northwest

High

Standard

Prosper

571, 573, 572

574, 576, 575

AM1, AM3, 

AM2

ZIP codes of 97321 in Benton 

County and 97383 in Linn 

County

Texas Scott and 

White Health 

Plan

Baylor Scott and White 

Health Plan

Standard 

Option 

*A84, A86, A85 Bexar, Comal, Guadalupe, 

and Houston
7 

State FEHB Carrier Plan Name Plan

Option

2023 

Enrollment 

Codes

Location of Areas

(Counties and/or ZIP codes 

affected)

Texas Scott and 

White Health 

Plan

Baylor Scott and White 

Health Plan

Standard 

Option 

*P84, P86, P85 Andrews, Armstrong, Bailey, 

Borden, Brewster, Briscoe, 

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 

White Health 

Plan

Baylor Scott and White 

Health Plan

Basic 

Option

 A81, A83, A82 Austin, Bastrop, Bexar, 

Blanco, Bosque, Burleson, 

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
8 

State FEHB Carrier Plan Name Plan

Option

2023 

Enrollment 

Codes

Location of Areas

(Counties and/or ZIP codes 

affected)

Texas Scott and 

White Health 

Plan

Baylor Scott and White 

Health Plan

Basic 

Option 

*P81, P83, P82 Andrews, Armstrong, Bailey, 

Borden, Brewster, Briscoe, 

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.
9 

TABLE 4 – SERVICE AREA EXPANSIONS ADDING NEW ENROLLMENT CODES

State FEHB Carrier Plan Name Plan Option 2023 New 

Enrollment 

Codes

Location of Areas

(Counties and/or ZIP 

codes affected)

Kentucky Humana Health 

Plan Inc.

Humana HDHP HDHP FW1, FW3, 

FW2

Lexington area: 

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 

Inc.

Humana HDHP HDHP FZ1, FZ3, FZ2 Louisville area: 

Counties of Bullitt, 

Carroll, Green, Hardin, 

Henry, Jefferson, 

Larue, Meade, Nelson, 

Marion, Oldham, 

Shelby, Spencer, 

Taylor, Trimble, and 

Washington

Indiana Humana Health 

Plan Inc.

Humana HDHP HDHP FZ1, FZ3, FZ2 Clark, Floyd, Harrison, 

Scott, and Washington

TABLE 5 – NEW PLANS ENTERING THE FEHB PROGRAM

State FEHB Carrier Plan Name Plan 

Option

2023 New 

Enrollment 

Codes

Location of Areas

(Counties and/or ZIP codes 

affected)

Indiana Indiana 

University 

Health Plans, 

Inc.

Indiana 

University 

Health Plan

High FS1, FS3, FS2 Blackford, Boone, Brown, 

Carroll, Clinton, Delaware, 

Fountain, Grant, Hamilton, 

Hendricks, Jay, Johnson, 

Lawrence, Marion, Monroe, 

Montgomery, Morgan, Orange, 

Owen, Putnam, Randolph, 

Shelby, Tippecanoe, Tipton, 

and White 
10 

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

State FEHB Carrier Plan Name Old Plan Option 

Name

New Plan 

Option Name Plan Codes

Maryland CareFirst 

BlueChoice, Inc. 

CareFirst 

BlueChoice, Inc. 

Standard 

HealthyBlue 

Standard 

BlueChoice 2G4, 2G6, 2G5 

Maryland CareFirst 

BlueChoice, Inc. 

CareFirst 

BlueChoice, Inc. 

HealthyBlue 

Advantage 

HDHP

BlueChoice 

Advantage 

HDHP

B61, B63, B62 

District of 

Columbia 

CareFirst 

BlueChoice, Inc. 

CareFirst 

BlueChoice, Inc. 

Standard 

HealthyBlue 

Standard 

BlueChoice 2G4, 2G6, 2G5 

District of 

Columbia 

CareFirst 

BlueChoice, Inc. 

CareFirst 

BlueChoice, Inc. 

HealthyBlue 

Advantage 

HDHP

BlueChoice 

Advantage 

HDHP

B61, B63, B62 

Virginia CareFirst 

BlueChoice, Inc. 

CareFirst 

BlueChoice, Inc. 

Standard 

HealthyBlue 

Standard 

BlueChoice 2G4, 2G6, 2G5 

Virginia CareFirst 

BlueChoice, Inc. 

CareFirst 

BlueChoice, Inc. 

HealthyBlue 

Advantage 

HDHP

BlueChoice 

Advantage 

HDHP

B61, B63, B62 
11 

TABLE 8 – SERVICE AREA NAME CHANGE 

State FEHB 

Carrier Plan Name Plan Code for 2023 2022 Service Area Name

2023 Service 

Area Name 

Texas

Scott and 

White Health 

Plan

Baylor Scott 

and White 

Health Plan

**A84, A86, A85 Central and West 

Texas Central Texas

Texas

Scott and 

White Health 

Plan

Baylor Scott 

and White 

Health Plan

**P84, P86, P85 North Texas North and West 

Texas

Texas

Scott and 

White Health 

Plan

Baylor Scott 

and White 

Health Plan

**P81, P83, P82 North Texas North and West 

Texas

Ohio

Medical 

Mutual of 

Ohio

Medical 

Mutual of 

Ohio

***644, 646, 645 Northeast Plan Northern Ohio 

Ohio

Medical 

Mutual of 

Ohio

Medical 

Mutual of 

Ohio

***UX1, UX3, UX2 Northeast Plan Northern 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

Enrollment Codes

(end of 2022)

Merging into 2023 

Existing Enrollment

Codes

Ohio Medical Mutual of 

Ohio

Standard X64, X66, X65 644, 646, 645 

Ohio Medical Mutual of 

Ohio

Basic X61, X63, X62 UX1, UX3, UX2