Home blue cross and blue shields federal employee program. Family coverage, each eligible family member is also entitled to these benefits. No verbal statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Standard option benefits chart blue cross and blue. All benefits are subject to the definitions, limitations and exclusions set forth in the 2014 brochure. If you cancel your federal dentalblue coverage to enroll in a dental plan other than the national fep.
January 1, 2014, unless those benefits are also shown in this brochure. You may also request or view the most current directory via our website at. Get a convenient summary of these coverage options. Wrap benefits give you access to additional benefits not covered in core or noncore.
Blue cross blue shield federal employee program fep. Premera blue cross complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. This document provides a general overview of your plans coverage. For example, as of 2014 members of the united states congress and their staff are. The drugs covered in each tier for standard option, basic option and fep blue focus vary. Get to know your benefits posted on july 11, 2015 august 15, 2018 by casey holliman over my last couple years as a massage therapist, and with the help from an experienced medical biller, i have learned a lot about the ways different insurance companies treat massage therapists. Additional information about 2015 benefits is available on feps newly redesigned website at. Rates are shown on the back cover of this brochure. Washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, announced 2017 benefits for federal workers and retirees in the federal employees health benefits fehb program. Your blue cross and blue shield service benefit plan team. You do not have a right to benefits that were available before january 1, 2014, unless those benefits are also shown in this brochure. My wife turned 65 last year and was enrolled in medicare parts a and b paying the part b out of her social security check. Benefit changes are effective january 1, 2014, and changes are summarized on pages 1517. Benefit changes are effective january 1, 2015, and changes are summarized on pages.
As of 2014, members of congress and designated congressional staff can no. Now, get started exploring and learning what can do for you and your family. For customer service assistance, visit our web site. Coinsurance is your share of the costs of a covered service, calculated as a percent of the allowed amount for the service. The federal employees health benefits fehb program is a system of managed competition. Fep 5 tier managed rx drug formulary 807 basic option. Available to members with medicare part b primary only retail pharmacy program. The address for the blue cross and blue shield service.
I read the entire benefits book last year to decide between bcbs. Please be aware that the fep bluevision network is different from the network of your health plan. These include things such as maternity care and physical therapy. Fep bluedental has about 290,000 access points nationwide to receive innetwork services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. The pregnancy care incentive program is valid for the 2020 benefit year. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual member. Surgery for morbid obesity see the service benefit plan brochure for specific presurgical criteria that must be met outpatient intensity modulated radiation therapy imrt except related to treatment of head, neck, breast, prostate and anal cancer brain cancer is not considered a form of head or neck cancer, therefore. Obstetrical care performed by a physician or nurse midwife, such as prenatal care including ultrasound, lab and diagnostic tests, delivery, postpartum care you pay nothing for delivery and pre and postnatal care. Aug 28, 2012 i am 61 and a federal employee with fepblue. The protection of your privacy will be governed by the privacy. If you take advantage of service benefit plan dental benefits, you will need to complete and file a claim form for reimbursement.
Blue cross and blue shield federal employee program fep keeps medical premiums stable while expanding plan offerings for 2019 new choices include the fep blue focus plan that costs less than. Dental insurance coverage for federal employees humana. Four surgeries in 2014 and may or may not have hit the max out of pocket for bcbs. Both standard and basic option cover preferred and nonpreferred drugs, while fep blue focus only covers preferred drugs. If you have a lot of prescriptions, you like the option of receiving your drugs by mail, you take brand name drugs andor you take drugs to treat complex. Understanding your dental benefits understanding your fep bluedental coverage is the key to making the most of your benefits, keeping your smile healthy and protecting your overall health. Review the new 2014 federal employees group life insurance fegli handbook.
For your best healthcare options, make the decision to depend on blue. Starting october 20, 2014, members can call the open season information center at 1800411blue 2583 for additional benefits information. For customer service assistance, visit our website. The federal dentalblue benefits are based on yearlong premiums. For more information on these options, please visit. Before making a final decision, please read the 2014 blue cross and blue shield service benefit plan brochure ri 71005. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Pursuant to section 1557 fep bluedental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or. It is your responsibility to be informed about your health care benefits. For all noncore benefits, you pay 30% of our allowance after you meet your calendar year deductible.
Blue cross and blue shield federal employee program fep expands financial incentives for federal workers to live healthier washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, announced 2016 benefits for federal workers and retirees in the federal. This fep bluevision plan and all other fedvip plans are not a part of the federal employees health benefits fehb program. Cri is an independent company which is responsible. A health maintenance organization high option important rates. In 2017, fep will continue to offer comprehensive benefits including medical, dental and visionwhile keeping rates for 2017 in.
Blue cross and blue shield federal employee program home. A feeforservice plan standard and basic option with a preferred provider organization. You will be going to a new website, operated on behalf of the blue cross and blue shield service benefit plan by a third party. Benefits for generic prescription drugs are different if you have medicare part b as your primary coverage. Get an ataglance overview of your fep blue focus plan. Before making a final decision, please read the plans federal brochures standard option and basic option. For federal employees hired in the middle of a calendar year, the enrollment period and total premium liability are determined based on the effective date of enrollment. Address where payment should be remitted city, state, zip 18. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. Please see section 10 of the 2014 blue cross and blue shield service benefit plan brochure. Your costs for generic prescription drugs are lower if you have medicare part b as your primary coverage. You will be going to a new web site, operated on behalf of the blue cross and blue shield service benefit plan by a third party. Signed patient, or parent if minor date signed insured person date 16. The policies contained in the fep medical policy manual are developed to assist in administering contractual benefits and do not constitute medical advice.
This is a summary of the features of the blue cross and blue shield service benefit plan. Benefit plans blue cross and blue shields federal employee. A helpful booklet on various topics, including how to. Fep 5 tier rx drug formulary 607 standard option effective november 26, 2019. Your eob will break down the service you received at the doctors office, the cost and what you might have to pay. The blue cross and blue shield association is the carrier of the plan. Claim forms and brochures for service benefit plan members. Blue cross and blue shield service benefit plan opm.
Fep bluevision is responsible for the selection of innetwork providers in your area. Precertification requirements federal employee benefit plan fep. You can also learn more about our 2015 benefits and valueadded programs on our website. If you signed up for a myblue account recently, it may take up to 72 hours before you can access information about your myblue wellness card. Go home anytime you can tap the federal employee program logo to go back to the homepage at any time. The protection of your privacy will be governed by the privacy policy of that site. Open season online will be available for the next open season early november. We want you to be informed so that you can get the most appropriate and costeffective care. An eob is a notice you get when a health care benefits claim is processed by your health plan. Premera blue cross is an independent licensee of the blue cross blue shield association serving businesses and residents of alaska and washington state, excluding clark county. An explanation of your explanation of benefits eob. Our health benefit plans, dental plans, vision plans, life and supplemental plans, workplace voluntary benefit products, long term disability plans, and short term disability plans may have waiting periods, exclusions and limitations and terms under which the coverage.
All fehb plans offer self only, self plus one, and self and family enrollment types. From prenatal to postpartum, your benefits are designed to support you through each stage of your pregnancy. Simple, youll get your explanation of benefits eob. If you have questions, you can call our open season information center at 1800411blue 2583 beginning october 20 through december 19, 2014. I recently took a csrs retirement class that stated that part b is a total waste of money because in our situation, medicare is not only secondary to fehb which i knew, but. You do not have a right to benefits that were available before january 1, 2015, unless those benefits are also shown in this brochure.
If you are in a special enrollment category, contact the agency or tribal employer that manages your health benefits enrollment. Basic option does not generally provide benefits for services rendered by nonpreferred providers. Page 69 this plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Opm negotiates benefits and rates with each plan annually. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. Before making a final decision, please read the plans federal brochure ri 71005. Tier 2 preferred generic specialty, and preferred brand specialty.
The blue cross and blue shield service benefit plan has selected alegeus technologies, an independent company, to administer the myblue wellness card program. Choosing the right coverage with benefits and rates that meet your familys healthcare needs is important. In addition to the benefit brochure, you can access a summary of benefits and coverage document by logging into your account at and clicking the summary of benefits and coverage link, or by calling the customer service number on the back of your blues id card. Pursuant to section 1557 fep bluedental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex including pregnancy and gender identity. If you would like to talk to someone about your questions, you can call our open season information center at 1800411blue beginning october 21. Benefit changes are effective january 1, 20, and changes are summarized on pages 14. Here is more about fep bluedentals value and offerings. A feefor service plan standard and basic option with a preferred provider organization. You can also learn more about our 2014 benefits and valueadded programs on our website. Benefit changes are effective january 1, 2014, and changes are. The charts below provide information on biweekly and monthly premiums, including the total premiums, the amount the government pays, and the change in the enrollees portion of the premium compared to last year.
Benefit changes are effective january 1, 2016, and changes are summarized on pages. Fep bluedental complies with all applicable federal civil rights laws, to include both title vii and section 1557 of the aca. Blue cross and blue shield federal employee program, washington d. Benefit changes are effective january 1, 2015, and changes are. The address for the blue cross and blue shield service benefit. Fep 5 tier managed rx drug formulary 807 basic option effective november 26, 2019. Federal employee healthcare program blue cross and blue.
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