Ppo benefits standard option, basic option, fep blue focus. The blue cross and blue shield service benefit plan complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Contact us federal employee program blue cross and blue. The homepage for federal employee health benefits plans fehb plans from. All plan and rate information available on this site is applicable to current fedvip eligible federal civilian employees and retirees. Fep bluevision 711 troy schenectady road, suite 301 latham, new york 12110 1888550blue 2583 tty. 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. Then youll have access to our suite of online health tools, including the blue health assessment bha. This is a summary of the many features and benefits of fep bluedental. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.
Standard and basic options we now provide benefits for. Federal employees health benefits plan blue care network. The blue cross and blue shield association is the carrier of the plan. This brochure describes the benefits of fep bluevision under the blue cross and blue shield associations contract opm01fedvip01ap7 with opm, as authorized by the fedvip law. Federal employee program fep coverage of rehabilitation. Except for an emergency condition, there are no outofnetwork benefits for. This is a summary of the features of the blue cross and blue shield service benefit plan. Choosing blue care network gives you the confidence you need. As a uk employee, you have the opportunity to enroll a family member in the family education program through uk. Information on member benefits and claims status is also available on hhin or by calling the federal employee program fep of blue cross blue shield of hawaii. I had a major emergency hospitalization under bcbs basic and everythingeveryone was innetwork except the surgeon. At first they bounced the entirety of his 10k bill, then after an appeal letter from me pointing out it was an emergency and i had no choice and was in a network hospital they paid in full.
A feeforservice plan standard and basic option with a preferred. Fep blue focus precertification requirements all fep plans have precertification requirements for certain services. Blue cross and blue shields federal employee program. However, there are some things the plan doesnt cover. Please note the following corrections to the brochure. Federal employee program service benefit plan blue cross nc. Federal employee program fep coverage of rehabilitation therapy differs from other hmsa plans under the benefit guidelines set by the federal employee program fep, coverage for rehabilitation services differs from coverage under hmsas private business plans.
Standard option membership information held at the blue cross blue shield operations center in washington dc is now accessible via the new. Skilled nursing facility snf benefit change for federal employee plan fep members. The blue cross and blue shield words and symbols and fep bluedental are all trademarks owned by blue cross blue shield association. Discounts on certain goods and services may not be provided directly by blue cross and blue shield of north carolina bcbsnc, but may instead be arranged by bcbsnc for member convenience.
Skilled nursing facility snf benefit change for federal. Self only, self plus one or self and family plan type. To verify benefits please contact 855 504blue or 8555042583 or visit benefits summary high option benefits innetwork member responsibility. Fep requires precertification prior to your inpatient admission.
Federal employee plans carefirst bluecross blueshield. Also this year, some uniformed service members and their dependents are eligible to enroll in fep. Fep 5 tier managed rx drug formulary 807 basic option. Basic option only we now offer a high deductible health plan hdhp as a sub option called basic consumer option, for members who live in certain geographic service areas tennessee, ohio, minnesota, kansas and missouri. American well is an independent company that provides online health care for blue cross blue shield of michigan and blue care network members. We have divided the benefits under fep blue focus into three basic categories. Sample fep member id card basic option front sample fep member id card basic option back precertification. Florida blue is the servicing agent for the federal employee service benefit plan. Except for an emergency condition, there are no outofnetwork benefits for fep blue focus features of fep blue focus include. Washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, announced 2018 benefits for federal workers and retirees in the federal employees health benefits fehb program. Fep bluedental complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Fep blue focus has different precertification requirements from the basic and standard products. Fep 5 tier managed rx drug formulary 807 basic option effective april 7, 2020 v2. 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.
Fep blue focus covers certain drugsmainly generics and some preferred brand name and specialty drugs. At first they bounced the entirety of his 10k bill, then after an appeal letter from me pointing out it was an emergency and i had no. Basic i have been doing research to determine the best way forward for me with health care coverage when i am eligible for medicare and have found an interesting item. Key features to know about fep blue focus blue cross blue shield. Federal dentalblue basic an affordable dental coverage supplement for basic option members as a federal employee, you are aware that your basic option benefits cover many dental procedures. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochure.
Washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, introduced fep blue focussm, a new coverage option for the federal workforce and retirees in the federal employees health benefits fehb program. The sbc shows you how you and the plan would share the cost for covered health care services. Choosing outofnetwork providers will result in a reduction of benefits and a greater outofpocket cost to the member. This brochure describes the benefits of the blue cross and blue shield service benefit plan fep blue standard and fep blue basic options under our contract cs 1039 with the united states office of personnel management, as authorized by the federal employees health benefits law. For nearly 60 years, weve been committed to offering individuals like you the best healthcare coverage in the u. Stepbystep facility guide for the fep skilled nursing. Must use ppo network providers to receive comprehensive benefits. Blue cross and blue shield federal employee program fep. Family education program fep enrollment form uk human. Fep 5 tier managed rx drug formulary 807 basic option effective november 26, 2019. No matter where you are on the site you can always go back to the home page by clicking on the federal employee program logo in the upper left of the page. Coinsurance is your share of the costs of a covered service, calculated as a percent of the allowed amount for the service.
This brochure describes the benefits of fep bluedental under the blue cross and blue shield associations contract opm01fedvip01ap6 with opm, as authorized by the fedvip law. Blue cross and blue shield service benefit plan brochures below are links to the interactive versions of the brochures. Ppo 1 of 7 the summary of benefits and coverage sbc document will help you choose a health plan. To order a printed brochure call 1800411 blue 2583. The blue cross and blue shield words and symbols, federal employee program and fep are all trademarks owned by blue cross blue shield association. Blue cross and blue shield service benefit plan fep. The blue cross and blue shield fep customer service representatives are ready to assist you with your health benefit needs. These include dental care, nonpreferred drugs, skilled nursing facility care, hearing aids and longterm care. Blue cross and blue shield service benefit plan opm. For up to a 30day supply benefits at a glance fep blue.
I have had bcbs fep standard since the beginning of. Benefit plans blue cross and blue shields federal employee. Now, get started exploring and learning what can do for you and your family. Monthly premium rates premiums are billed directly to the subscriber and are payable monthly.
A major difference is feps requirement that a plan of care be. Blue cross and blue shield service benefit plan 10 g street, nw, suite 900 washington, dc 20005 this brochure is the official statement of benefits. Blue cross blue shield of michigan and blue care network dont control the content of the amwell website. Blue cross and blue shield service benefit plan fep blue. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features. The members card will be identified with fep bluedental at the top of the id card, along with the claims submission address and customer service number on. This brochure describes the benefits of fep bluedental under the blue cross and. Stepbystep facility guide for the fep skilled nursing facility inpatient benefit as of january 1, 2018, blue cross blue shield of massachusetts will provide benefits for inpatient skilled nursing facility snf care for members of the federal employee program fep standard option plan who do not have medicare part a. Blue cross and blue shield service benefit plan 10 g street nw, suite 900 washington, dc 20005 this brochure is the official statement of benefits. Standard and basic options we now provide benefits for set up of portable xray equipment. Root canal therapy is limited to once per tooth per lifetime.
All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. To verify benefits please contact 855 504 blue or 8555042583 or visit benefits summary high option benefits innetwork member responsibility. Quick guide to blue cross and blue shield member id. If you are covered under the fep medical basic option and fep bluedental, you are. Blue cross and blue shield of illinois bcbsil network and. By participating in your local blue cross and blue shield plan you will now have access to fep bluedental members. The blue cross and blue shield service benefit plan, also known as the bcbs federal employee program bcbs fep, has been part of the federal employees health benefits program fehbp since its inception in 1960. Our experienced staff of representatives is trained to handle your questions about. The address for the blue cross and blue shield service benefit plan administrative office is. Stepbystep facility guide for the fep skilled nursing facility inpatient benefit as of january 1, 2018, blue cross blue shield of massachusetts will provide benefits for inpatient skilled nursing facility snf care for members of the federal employee program fep standard option plan who do. Federal employee program fep basic option enrollment. October 25, 2018 2019 federal employee program fep prior approvalprecertification list for fep blue focus please note. Federal dentalblue basic blue cross blue shield association.
Ppo 1 of 6 the summary of benefits and coverage sbc document will help you choose a health plan. Any discounts are outside your health plan benefits. Introduction this brochure describes the benefits of the blue cross and blue shield service benefit plan under our contract cs 1039 with the united states office of personnel management, as authorized by the federal employees health benefits law. Blue cross and blue shield of oklahoma now has a dental supplement plan for basic option members, so you can make your dental coverage even better. Before making a final decision, please read the plans federal brochures standard option and basic option. The blue cross and blue shield service benefit plan is the number one health insurance choice for federal employees, retirees and their families. Dental blue healthy supplement enhances service benefit plan members dental coverage by supplementing the dental benefits included in the standard option and basic option, plus it provides fitness and weight loss benefits. This preauthorization list includes services and supplies that require preauthorization or notification for fep basic plan and standard plan members. Below is an example of an fep basic id card with the r highlighted. A feeforservice plan standard and basic option with a preferred provider organization. Benefits summary fep bluedental members have two options while choosing benefits during open enrollment, high option or the standard option. In accordance with the blue cross blue shield service benefit plan, the fep blue focus product will.