Before making a final decision, please read the plan s federal brochure ri 71005. For nearly 60 years, weve been committed to offering. These include dental care, nonpreferred drugs, skilled nursing facility care, hearing aids and longterm care. You, and your family members, do not have a right to benefits that were available before january 1, 2017 unless those benefits are also shown in this brochure. Get the most from your plan and manage your health priorities by taking advantage of these services.
Geha supplemental benefits are neither offered nor guaranteed under contract with the fehb, but are made available to all enrollees and family members who become members of a geha medical plan. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. The address for the blue cross and blue shield service benefit plan administrative office is. For services received in alaska or washington, consult the claims washington claims submission map to determine the mailing address for correspondence. All benefits are subject to the definitions, limitations, and exclusions set forth in the fehb plan brochure. The information youll find here is designed to help you make informed healthcare decisions about our federal benefit plans. Signing up for medicare part a and part b pages 1924 mp3, 25. Additional visits will be covered under your mental health benefits. Office of personnel management ri 75 revised july 2008 previous editions are usable. Federal employee health benefits fehb kaiser permanente. With comprehensive care, this medical plan is the one you know and trust, with familiar benefits and coverage. It is your responsibility to be informed about your benefits.
Download the 2020 blue cross and blue shield service benefit plan brochure standard and basic options. Watch health insurance 101 for easytounderstand definitions and explanations. Page 166 this plan s health coverage qualifies as minimum essential coverage. If a tasty meal makes you feel better, it might not be your imagination. Most plans limit reimbursement for most of the following services. This brochure is the official statement of benefits.
If you are enrolled in this plan, you are entitled to the benefits described in this brochure. This is a summary of the features of the blue cross and blue shield service benefit plan. Below is an overview of available benefits for basic option members using a preferred provider. Family members family members eligible for coverage employing office responsibilities. All plan and rate information available on this site is applicable to current fedvip eligible federal civilian employees and retirees. Blue cross blue shield fep offers three plans so you can choose the one thats right for you and your family.
How much you pay outofpocket for prescription drugs is determined by whether your medication is on the list. Find out if medicare covers your test, service, or item pages 2528 mp3, 2. If the carrier of your health benefits plan has any questions about whether someone is an eligible family member, it may ask you or your employing office for more information. Prescription drug lists blue cross and blue shield of. Ask your physician if there is a generic drug available to treat your condition. Contact your local blue cross and blue shield company. All plans cover routine hearing testing for children. Hearing aid benefits in the fehb program consumers checkbook. Please note, this is a summary of changes to the blue cross and blue shield service benefit plan in 2020.
Summary of benefits and coverage glossary this glossary provides common health care term definitions to help you better understand and evaluate plan choices. Benefits may vary if you have other coverage, such as medicare. Those standalone plans charge a premium but offer stronger benefits. 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.
This includes the bluecross blueshield federal employee program standard, sambacigna, geha, united, aetna, aetna foreign service benefit plan, and apwu. There are advantages to researching your fehb plan benefits when enrolled in medicare. Blue cross and blue shield federal employee program home. Signing up for medicare part a and part b pages 1519 mp3, 7. Pay nothing for online doctor visits with access to certified doctors, including dermatologists, and licensed therapists through mdlive. It continues to be the most popular choice of federal employees and retirees. 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. Service benefit plan employees who are enrolled in the service benefit plan can find more information by visiting. However, there are some things the plan doesnt cover.
For information on yearround savings for geha dental members, visit savings for geha dental members. 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. Blue cross and blue shield service benefit plan brochure 2020. Large nationwide dentist network over 300,000 access points to receive innetwork services. Our standard option provides benefits for in and outofnetwork. Blue cross and blue shield federal employee program fep. Other than to fulfill a request from you and to provide the bcbs service benefit plan with member participation and rewards updates, we will not share any personallyidentifiable information you provide without your consent. Blue cross and blue shield service benefit plan fep. Nonetheless, our ratings show that for most people joining an fehb plan with modest dental benefits is a lowcost option. This document provides a general overview of your plans coverage. Your employing office is responsible for making decisions about whether a family member is eligible for coverage. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features. Employees who are enrolled in the service benefit plan can find more information by visiting.
Fep blue focus formulary 907 effective november 26, 2019. Dental insurance coverage for federal employees humana. Click here for faqs or call customer service at 18776922468. Information for federal civilian employees on the federal employees health benefits program. For purposes of this program, a bluecard provider is an innetwork provider. Also this year, some uniformed service members and their dependents are eligible to enroll in fep. Review pharmacy benefits for our coverage of these vaccines when provided by pharmacies in the vaccine network. This program provides temporary benefits, including routine services, through another.
Benefits for federal employees at transformational acupuncture. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Premium deductions will start with the first full pay period beginning onafter january 1, 2019. All plans cover medical problems, such as infections, that affect any part of your body, including your ears. If you share our content on facebook, twitter, or other social media accounts, we may track what medicare. Before making a final decision, please read the plan s federal brochures standard option and basic option. This plan provides for no outofpocket costs for select services, choices on where and how you get care and access to a network of more than 40,000 carefirst bluechoice providers in maryland, washington d. Blue cross and blue shield service benefit plan opm. Blue cross and blue shield federal employee program. Please read the fehb plan brochure ri 71005 that contains the complete terms of this plan. A feeforservice plan fep blue focus with a preferred provider. Standard and basic options click on a link below to view the corresponding brochure content. 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.
If you are enrolled in this plan, you are entitled to. Blue cross and blue shield service benefit plan brochures below are links to the interactive versions of the brochures. If you are an annuitant and you cancel your fehb coverage, you may not reenroll in the fehb program. Hearing aid benefits in the fehb program consumers. Fehb program handbook introduction general overview. Stem cell transplant benefits are available for treatment of scleroderma without being in a clinical trial. For standard and basic option and fep blue focus plans. If you sign up for a dental andor vision plan during the 2018 open season, your coverage will begin on january 1, 2019. Below are links to the interactive versions of the brochures. This plans health coverage qualifies as minimum essential coverage. A preventive telehealth benefit for nutritional counseling is available with our preferred telehealth provider. Fep blue focus covers certain drugsmainly generics and some preferred brand name and specialty drugs. Federal employees fep bluecross blueshield of south carolina.
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. Benefit summary book 2020 blue cross and blue shield service benefit plan fepblue. Mix more of these herbs and spices into your diet for added health benefits. Blue cross and blue shield federal employee program, washington d. This is a summary of the features of the kaiser permanente health plan. For customer service assistance, visit our website. It is the largest employersponsored group health insurance program in the world, covering over 8 million federal employees, retirees, former employees, family members, and former spouses. The federal employees dental and vision insurance program fedvip has expanded eligibility to include certain tricare eligible individuals. The federal employees health benefits fehb program became effective in 1960. This plans health coverage qualifies as minimum essential coverage and meets the minimum. Almost all will pay most of the cost for hearingrelated medical procedures, such as cochlear implants. This program offers a variety of health plans for eligible federal employees and retirees. Dental carewe indicate which health insurance plans pay for routine and accidental dental expenses and show the better benefits with a yes.
Oct 02, 2019 the blue cross and blue shield service benefit plan, also known as the federal employee program fep, has been part of the federal employees health benefits program fehbp since its inception. Vision care all plans pay for medically necessary care of your eyes, such as cataract surgery. Cross andor blue shield plan to provide care to both that plans subscribers and other blue cross and or blue shield plans subscribers. Federal employees fep bluecross blueshield of south. It is the largest employersponsored group health insurance program in the world, covering over 8 million federal employees, retirees. See costs for typical services when you use preferred providers.
Fep bluedental po box 75 minneapolis, mn 554400075 18555042583. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. The blue cross and blue shield association is the carrier of the plan. A drug list, is a list of drugs available to blue cross and blue shield of illinois bcbsil members. Federal health care plans that cover acupuncturegood news for federal employees here in the dc area. Please note that you must be the contract holder or spouse, 18 or older, on your plan to earn incentive rewards. Current employees can cover any of them through a flexible spending account. Blue cross and blue shield service benefit plan fep blue. 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. 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. Information about carefirsts healthyblue standard option plan for federal employees.
Well use these icons for each of our plans throughout this booklet. For outofnetwork benefits, see the 2019 geha plan brochure, ri 71006 high and standard, or the 2019 hdhp plan brochure, ri 71014. Spices like turmeric can pack serious health benefits. Were excited to offer a third plan with our existing standard and basic option plans. Aug 28, 2012 i am 61 and a federal employee with fepblue. Other than to fulfill a request from you and to provide the bcbs service benefit plan with member participation and rewards updates, we will not share any personallyidentifiable information you. 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. Fep blue focus members will be covered in full for up to four visits for pregnancyrelated depression.
Cri maintains high standards for the protection of your privacy at our website the site. Important notice from the blue cross and blue shield service benefit plan about. Some examples of the changes as they apply to each plan are noted below. Before making a final decision, please read the plans federal brochure 73003. You may use your benefits as soon as your enrollment is confirmed. Check out the most commonly asked questions pertaining to the humana dental federal advantage plan. Overseas benefits standard option members will have no deductible for all overseas services. Updated 2020 plan information and rates will be available in october. 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. Health care benefits are available to federal employees, retirees, surviving spouses and eligible dependents. Please refer to the 2020 bluechoice brochure for a complete description of benefits. Federal employees health benefits plan service benefit plan.