# OPM Updates 2027 FEHB Coverage Rules

A third-party comparison of OPM-published rate and benefits files for the 2027 Federal Employees Health Benefits (FEHB) program reports a 5.9% median premium change among plans offered in both 2026 and 2027, while OPM’s enrollment-weighted figures show employees’ share rising 10.9% and total premiums increasing 9.3%. The comparison also identifies higher cost-sharing in some plans, 15 plan exits, one new plan, and 2027 GLP-1 coverage requirements. This is benefits-market intelligence, not a solicitation or contract award; agencies and carriers should verify plan-specific information against OPM’s official materials and plan brochures.

- The different median and enrollment-weighted figures show why agencies and carriers should assess changes by plan and enrollment, rather than rely on a single market-wide premium measure.
- Carriers may find that plan exits, the new Sharp Health Plan Basic Option, and differences in premiums and cost-sharing affect competition and enrollee choices for 2027.
- Plans must address the stated 2027 GLP-1 coverage conditions, including participation in an intensive behavioral therapy program; stakeholders should confirm the details in official OPM materials and plan brochures.

**Jurisdictions:** federal
**Industries:** Healthcare
**Topics:** Regulatory Compliance
**Published:** October 26, 2026

### Government Entities
- U.S. Office of Personnel Management (OPM)
- United States Postal Service (USPS)
- Internal Revenue Service (IRS)

### Vendors
- TakeCare Insurance Company, Inc. (FEHB plan carrier)
- Kaiser Permanente (FEHB plan carrier)
- Aetna (FEHB plan carrier)
- Blue Cross and Blue Shield (FEHB plan carrier)
- Sharp Health Plan (FEHB plan carrier; offers a new Basic Option for 2027)

### Key Quotes
> Starting in 2027, OPM also requires plans to confirm you are taking part in an intensive behavioral therapy program ... before you start the medication and while you take it.
> — Original poster

### Sources
- [OPM's Comparison Tool for Healthcare Plans](https://www.reddit.com/r/FedEmployees/comments/1xgc7m9/opms_comparison_tool_for_healthcare_plans) - reddit-fedemployees