Postal Service Health Benefits Program
Medical Mutual offers great healthcare coverage for postal service employees and annuitants who live or work in the following northern Ohio counties: Allen, Ashland, Ashtabula, Auglaize, Columbiana, Cuyahoga, Defiance, Erie, Fulton, Geauga, Henry, Huron, Lake, Lorain, Lucas, Mahoning, Medina, Mercer, Ottawa, Portage, Putnam, Richland, Sandusky, Seneca, Stark, Summit, Trumbull, Wayne, Williams and Wood.
If you are a PSHB annuitant, please click here to access more benefit information.
Plan Highlights for 2025
For Employees
- Standard and Basic Plan Options: Both featuring our MedFlex™ provider network.
- Walgreens Advantage Pharmacy Network: You will continue to have access to the Walgreens Advantage Pharmacy Network for retail prescriptions in 2025. The Walgreens Advantage Pharmacy Network provides access to most chain and independent pharmacies in Ohio.
- No-Cost Preventive Medications: In addition to medications covered on the formulary, when you fill a prescription for a medicine on the Standard Preventive Medications list at a network pharmacy, you will pay $0 out of pocket. The medicines on this list are typically taken to maintain good health and prevent illness.
- Drug Formulary: Please take time to review the 2025 Prescription Drug Formulary.
- Emergency Services Copay: The copay for emergency care will increase from $300/visit to $325/visit. The copay will be waived if the member is admitted directly to the hospital as an inpatient.
To review prescription drug information, click here.
How to Enroll in a PSHB Plan
Employees and annuitants can enroll online. Visit https://health-benefits.opm.gov/PSHB. Employees and annuitants can call 1-844-451-1261 if they need assistance with the enrollment process.
If you have specific questions regarding the available plan options, please contact Medical Mutual Customer Care at 1-800-315-3144.
PSHB Plans and Enrollment Codes
| Plan | Category | Type of Enrollment | Enrollment Code |
|---|---|---|---|
| Standard Option | Employee | Self | D3D |
| Standard Option | Employee | Self Plus One | D3F |
| Standard Option | Employee | Self and Family | D3E |
| Basic Option | Employee | Self | D3A |
| Basic Option | Employee | Self Plus One | D3C |
| Basic Option | Employee | Self and Family | D3B |
2025 Plan Documents
- 2025 PSHB Plan Brochure (RI: 73-928) — Our plan brochure gives you an in-depth description of what is covered by our plans.
- 2025 PSHB Plan Guide
- 2025 Standard Plus Preventive Medications List (Generics Only) - For Employees Only
- Select Home Delivery Active Choice Program - For Employees Only
- Bariatric Surgery
- Gender Affirming Surgery
- Infertility Services
- Iatrogenic Infertility
- Over-the-Counter (OTC) COVID-19 Test Reimbursement Claim Form
- Over-the-Counter (OTC) COVID-19 Tests Reimbursement Process Flyer
Summary of Benefits and Coverage (SBC) and Uniform Glossary
- 2025 Summary of Benefits and Coverage (SBC) for Basic Option Plan - For Employees Only
- 2025 Summary of Benefits and Coverage (SBC) for Standard Option Plan - For Employees Only
- Uniform Glossary — Find a list of commonly used healthcare terms and definitions designed to be used with an SBC
Additional Information
Find a Provider
See what providers are in your plan's network:
Wellness Programs
We offer a variety of programs and tools that promote a healthy lifestyle. Learn more about our resources and how they can help you reach your wellness goals.
MedMutual Part B Reimbursement Account
Find out if you're eligible for Medicare Part B premium reimbursement.
Telehealth (Telemedicine)
Connect with your provider via computer, tablet or smart phone from the comfort of home.
Primary Care Provider (PCP) Visit Checklist
It is important to visit your PCP at least once a year. To help you make the most of your visit, we've created a checklist with important tips and helpful reminders of what to discuss with your provider.
Infertility Services Information
Learn about the infertility services and infertility drugs that are covered on your plan.
MedMutual Part B Reimbursement Account - Annuitants Only
Find out if you're eligible for Medicare Part B premium reimbursement.
Disputed Claims Process
We have provided information in this section regarding the PSHB disputed claims process for your review. You can obtain additional information and assistance with this process by calling Medical Mutual Customer Care team at 800-315-3144. (TTY: 711).
The Disputed Claims Process information is described in your PSHB plan brochure:
- Section 8 – The Disputed Claims Process – (for Employees)
- Section 8(a) – Medicare PDP EGWP Disputed Claims Process (for Annuitants)
Date: PSHB 11/10/2024
Need Help?
Please call Medical Mutual Customer Care for PSHB employees/annuitants at 1-800-315-3144 (TTY 711 for hearing impaired).
Monday – Thursday: 7:30 a.m. to 7:30 p.m. EST
Friday: 7:30 a.m. to 6 p.m. EST
Saturday: 9 a.m. to 1 p.m. EST