Non-FEHB benefits avaliable to Plan members

The benefits on this page are not part of the FEHB contract or premium, and you cannot file an FEHB disputed claim about them. Fees you pay for these services do not count toward FEHB deductibles or catastrophic protection out-of-pocket maximums. These programs and materials are the responsibility of the Plan, and all appeals must follow their guidelines. For additional information contact the Plan at 1-800/638-6589 or 301/984-1440 (for TDD, use 301/984-4155) or visit their website at www.SambaPlans.com.

Dependent Children Health Benefit Plan Your child's coverage under your Federal Employees Health Benefits Program (FEHBP) plan generally terminates 31 days after your child turns 22, even if your child is a full-time student. Available only to members who are enrolled in the SAMBA Health Benefit Plan, SAMBA offers you an affordable health plan for your unmarried children ages 22 to 27. Your child does not have to be a student to be eligible, just wholly dependent upon you for support and maintenance.
SAMBA's Other Group Insurance Plans Below is a brief description of other group insurance plans available through SAMBA. Plan provisions, certain exclusions, eligibility requirements and underwriting guidelines apply for each plan. For more details, contact SAMBA toll-free at 1-800/638-6589 or visit our website at www.SambaPlans.com.
Group Term Life This plan allows you to provide financial protection for your family in the event of an untimely death. Insurance protection is available for you and your spouse with coverage amounts ranging from $25,000 to $600,000. You can even elect to enroll your child (children) for $10,000 in coverage. Plus, the plan includes an accidental death benefit that doubles your coverage amount in the event the covered death was caused by an accident. And, you may continue your enrollment even if you should no longer be employed by a federal agency.

Want even more coverage? SAMBA offers Personal Accident Insurance with coverage up to $500,000. This low-cost coverage provides around-the-clock protection that will pay a lump-sum benefit in the event you or your dependents experience an accidental bodily injury that results in death or the loss of hands, feet or eyesight. In addition to the base benefit that is paid, there are additional benefits provided for mortgage payments, tuition reimbursement for your spouse and dependent children, plus many others.
Dental and Vision Care Plan SAMBA offers you and your family a choice of two comprehensive Dental and Vision Care Programs: 1) The DMO Dental Plan, for which you select a Primary Care dentist and receive a broad range of coverage and savings, or 2) The Alternate Dental Plan, which provides flexibility to receive coverage for care from any licensed dentist. Both plans provide coverage for a wide range of dental procedures from basic dental care to oral surgery, dentures and orthodontia, and include vision care benefits for eye examinations, frames, and lenses (or contact lenses).
Disability Income Protection In the event of a long-term illness or disability, this plan provides much-needed income for you and your family. The plan pays up to 65% of your covered salary, tax-free. In addition, the plan pays 70% of your covered salary for each day you or your spouse are hospitalized and 35% for hospitalized children.
Long Term Care Our customized plans help you cover the high cost of long term care. Members, spouses, parents, parents-in-law and children qualify for benefits that help pay for nursing home care, home health care, adult day care, and respite care.
LegalRx® Plan SAMBA offers the LegalRx® Plan to help protect you from expenses and worries that life's unexpected legal situations can trigger. The Plan includes personal wills for you and your spouse. In addition, you have access to unlimited, toll-free consultations with network attorneys who can answer questions and review or draft basic legal documents. The legal fees are either discounted or paid for you in full by the plan.

The above is a brief description of the non-FEHB plans available. All Plan benefits are subject to the definitions, limitations and exclusions set forth in the official Plan documents.