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Text of FEHB Program Carrier Letter 2025-01b: Chemical and Surgical Sex-Trait Modification Services for Plan Year 2026 Proposals (PDF)
U.S. Office of Personnel Management [OPM] Link to more items from this source
[Official Guidance]
Aug. 19, 2025

"For Plan Year 2026, chemical and surgical modification of an individual's sex traits through medical interventions (to include 'gender transition' services) will no longer be covered under the FEHB or PSHB Programs. This exclusion expands upon Carrier Letter 2025-01a and applies regardless of age.... [C]ounseling services for possible or diagnosed gender dysphoria must still be covered. Covered counseling services must be provided by a licensed mental health provider and may include those who provide faith-based counseling."  MORE >>

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