as the industry standard default. FEHBP is the largest group medical plan in the United States and is
reviewed annually for adequacy.
In situations where clinical guidelines or recommendations conflicted, the Benefits Advisory Board
reviewed the original documents and developed their own “expert opinion” statement.
Review
The Plan Benefit Model was reviewed by the Benefits Advisory Board. In addition, an ad-hoc
committee of 20 individuals and organizations reviewed the model and submitted comments and
corrections. These external reviewers provided additional expertise and guidance. Reviewers included
primary care providers; academic researchers; maternal and child health policy experts; patient and
family advocates; and ancillary service providers, including dentists, dieticians, vision providers, and
others. A full list of external reviewers is provided in the acknowledgements section on page A-iii.
Figure 2A: Organizations Cited in the Plan Benefit Model
Advisory Committee on Immunization Practices (ACIP)
Agency for Healthcare Research and Quality (AHRQ)
American Academy of Family Physicians (AAFP)
American Academy of Ophthalmology (AAO)
American Academy of Pediatric Dentistry (AAPD)
American Academy of Pediatrics (AAP)
American Association for Pediatric Ophthalmology and Strabismus (AAPOS)
American Association of Certified Orthoptists (AACO)
American College of Obstetricians and Gynecologists (ACOG)
American Dental Association (ADA)
American Dietetic Association (ADA)
American Medical Association (AMA)
American Psychological Association (APA)
American Speech-Language-Hearing Association (ASHA)
Bright Futures Guidelines
California Healthcare Foundation (CHCF)
Center for Medicare and Medicaid Services (CMHS)
Centers for Disease Control and Prevention (CDC)
Eye Med
Federal Employee Health Benefit Plan (FEHBP)
Hospice Foundation of America (HFA)
Kaiser Family Foundation (KFF)
National Academy of Neuropsychology (NAN)
National Hospice and Palliative Care Organization
U.S. Armed Services Health Care Services (TriCare)
U.S. Breastfeeding Committee (USBC)
U.S. Department of Health and Human Services, Bureau of Health Professionals (HRSA-BHP)
U.S. Preventive Services Task Force (USPSTF)