The blue cross and blue shield service benefit plan, usually called the federal employee program or fep, is the largest private health insurance contract in the nation. If you make a comparison of blue cross blue shield basic vs standardbenefit options, you will. Important notice from the blue cross and blue shield service benefit plan about. Blue cross blue shield fep offers three plans so you can choose the one thats right for you and your family. The blue cross and blue shield service benefit plan is the number one health insurance choice for federal employees, retirees and their families. Service benefit plan blue cross blue shield of michigan. It happens to everyone, and it can be a good time to reflect on where you can improve. If you are deaf, hard of hearing, or have a speech disability, dial 711 for tty relay services. Certain cost sharing amounts do not apply if medicare is your primary coverage for medical services it pays first. Blue cross and blue shield service benefit plan fep. Federal employee program fep quick reference guide updated august 28, 2019 a division of health care service corporation, a mutual legal reserve company, an independent licensee of the blue cross and blue shield association page 2 of 2. Thank you for taking time to learn more about the blue cross and blue shield service benefit plan. 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.
Blue cross blue shield vision insurance bcbs vision benefits. To read fep s full official statement regarding covid19, please click here. Make an appointment online instantly with psychologists that accept blue cross blue shield federal employee program insurance. It continues to be the most popular choice of federal employees and retirees. Also this year, some uniformed service members and their dependents are eligible to enroll in. Please note, this is a summary of changes to the blue cross and blue shield service benefit plan in 2020. A feeforservice plan fep blue focus with a preferred provider. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features. For purposes of this program, a bluecard provider is an innetwork provider. The information youll find here is designed to help you make informed healthcare decisions about our federal benefit plans. Additional visits will be covered under your mental health benefits. Benefit plans brochures and forms blue cross and blue shields. If providers do not contract with the plan, they are considered to be nonparticipating or nonmember.
The best way to get your blue cross blue shield vision benefit is to buy eyeglasses online at, and then submit our receipt to blue cross blue. Information about the pharmacy program and its procedures can be found in the service benefit plan brochure and in the 2016 pharmacy benefit summary book. Sm mark of blue cross and blue shield of north carolina. Home blue cross and blue shield s federal employee program. There are two types of professional contracting providers, preferred and participating and two types of contracting facilities, preferred or member. If the provider does not resolve the matter, call the fep fraud hotline at 1. This website does not display all qualified health plans available through the health insurance marketplace website. Compare benefit options for 2020 blue cross and blue. Member handbooks horizon blue cross blue shield of new. Fep pharmacy program and formulary information horizon. The blue cross and blue shield association is the carrier of the plan. Your bluecard ppo benefit booklet horizon blue cross. Follow these icons throughout the book to identify which plans include which benefits.
Health care benefit plans and member identification cards. This is a summary of the features of the blue cross and blue shield service. Blue cross blue shield of massachusetts is an independent licensee of the blue cross and blue shield association. Download the 2020 blue cross and blue shield service benefit plan brochure standard and basic options. See the 2020 blue cross and blue shield service benefit plan brochures for information on supply and refill limits preferred retail pharmacy 3. Below are links to the interactive versions of the brochures. Specialty pharmaceutical pharmacy benefit specialty pharmaceutical pharmacy benefit. Alaska blue cross and blue shields federal employee program. We want you to be informed so that you can get the most appropriate and costeffective care.
They are grouped, however, into the blue cross blue shield association. Blue cross and blue shield federal employee program home. For federal employee program fep members, eligibility and benefits can be obtained by calling 8007223. Blue cross and blue shields federal employee program. Claims filing information for services in hawaii, please submit claims on a cms1500 or ub04 form, as appropriate, to the federal employee program fep of blue cross blue shield of hawaii. For 58 years, weve been the number one health insurance choice for federal employees and. If you have any questions about your benefits, you can the national information center at 1800411 blue 2583, weekdays from 8 a. Each local blue cross and blue shield plan can contract with providers in its service area. This program offers a variety of health plans for eligible federal employees and retirees. Before making a final decision, please read the plans federal brochures standard option and basic option. Blue cross and blue shield service benefit plan fep blue. Page 166 this plans health coverage qualifies as minimum essential coverage.
If you fill your specialty medications at a retail pharmacy, you must use a pharmacy participating in this network in order for your prescriptions to be covered. Benefit plans blue cross and blue shields federal employee. Best blue cross blue shield federal employee program. Specialty pharmacy network to help keep prescription drug costs affordable for our members, blue cross nc has implemented a specialty pharmacy network. Blue cross blue shield medicare supplement plans boomer. Blue cross and blue shield federal employee program fep. Azblue blue cross blue shield of arizona for brokers. Fehb is the federal employees health benefits program. Employees who are enrolled in the service benefit plan can find more information by visiting. Eligibility and benefits blue cross and blue shield of. Federal employees fep bluecross blueshield of south. However, there are some things the plan doesnt cover. Please see section 10 of the 2014 blue cross and blue shield service benefit plan brochure.
Blue cross blue shield companies are independent and operated locally in dozens of markets across the u. The address for the blue cross and blue shield service benefit plan administrative office is. For more information on specialty drugs and those participating. Calling fep bluedental at 1855504blue 2583, dial 711 for tty relay services. Blue cross and blue shield service benefit plan brochures. This website is operated by horizon blue cross blue shield of new jersey and is not the health insurance marketplace website. This is a summary of the features of the blue cross and blue shield service benefit plan. Basic option and fep blue focus members can only use preferred providers. Compare benefit options for 2020 blue cross and blue shields. Basic option benefits chart blue cross and blue shields federal. Blue care network blue cross blue shield of michigan. Opm has determined that the blue cross and blue shield service benefit plans prescription drug coverage is, on average, expected to pay out as much as the standard medicare prescription drug coverage will pay for all plan participants and is considered creditable coverage.
Blue cross and blue shield federal employee program. If you are still not sure about which benefit plan to choose, here is something you can do. Myblue offers online tools, resources and services for blue cross blue shield of arizona members, contracted brokersconsultants, healthcare professionals, and group benefit administrators. A provider, not in new jersey, which has a written agreement with another blue cross andor blue shield plan to provide care to both that plans subscribers and other blue cross and or blue shield plans subscribers. These include dental care, nonpreferred drugs, skilled nursing facility care, hearing aids and longterm care. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. This is a feeforservice plan with a preferred provider organization ppo sponsored and administered by the blue cross and blue shield association and participating blue cross and blue shield plans such as florida blue. Our standard option provides benefits for in and outofnetwork. To order a printed brochure call 1800411 blue 2583. Contact your local blue cross and blue shield company.
Federal employee program blue cross and blue shield service benefit plan. Book blue blue cross and blue shield of north carolina. For nearly 60 years, weve been committed to offering individuals like you the best healthcare coverage in the u. For most people, vision benefits plans are a bad deal. Fep blue focus members will be covered in full for up to four visits for pregnancyrelated depression.
1325 102 315 449 398 1573 1101 1221 537 763 614 1606 1170 710 1006 1356 54 1381 453 967 1150 541 1088 1521 812 1355 650 1281 1230 739 965 136 271 14 1475 931