FEHB/PSHB exclusion of gender-affirming care takes effect for Plan Year 2026

Institutional complianceOPM

Date
Actor
Office of Personnel Management (with FEHB/PSHB carriers)
Agency
Office of Personnel Management (OPM)
Type
Institutional compliance
Section
2026 DEVELOPMENTS SWEEP (JANUARY–AUGUST 2026)

Summary

Pursuant to OPM's 2025 carrier guidance (technical guidance and an August 15, 2025 carrier letter), all Federal Employees Health Benefits and Postal Service Health Benefits plans exclude coverage of hormonal and surgical gender-affirming care for Plan Year 2026, for enrollees of any age, across programs covering roughly 11 million federal employees, postal workers, retirees, and family members. An exceptions process applies to enrollees already in treatment. (see also sections 6, 2)

Status

In effect for Plan Year 2026.

As recorded in the data of . Check the sources for anything newer.

Sources