Rates are shown on the back cover of this brochure. Benefit plans blue cross and blue shields federal employee. All fehb plans offer self only, self plus one, and self and family enrollment types. Fep 5 tier managed rx drug formulary 807 basic option. 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. Benefit changes are effective january 1, 2016, and changes are summarized on pages. If you cancel your federal dentalblue coverage to enroll in a dental plan other than the national fep. 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. Wrap benefits give you access to additional benefits not covered in core or noncore. You do not have a right to benefits that were available before january 1, 2014, unless those benefits are also shown in this brochure. Now, get started exploring and learning what can do for you and your family.
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. A feeforservice plan standard and basic option with a preferred provider organization. Fep bluevision is responsible for the selection of innetwork providers in your area. Before making a final decision, please read the 2014 blue cross and blue shield service benefit plan brochure ri 71005. Medicare part a and b dont include prescription drug coverage, but your service benefit plan coverage does. It is your responsibility to be informed about your health care benefits. The address for the blue cross and blue shield service. Blue cross and blue shield service benefit plan opm. Standard option benefits chart blue cross and blue. Your costs for generic prescription drugs are lower if you have medicare part b as your primary coverage. 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 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. 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. Blue cross and blue shield federal employee program, washington d.
Address where payment should be remitted city, state, zip 18. Precertification requirements federal employee benefit plan fep. The policies contained in the fep medical policy manual are developed to assist in administering contractual benefits and do not constitute medical advice. 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. If you have questions, you can call our open season information center at 1800411blue 2583 beginning october 20 through december 19, 2014. Simple, youll get your explanation of benefits eob. 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. We want you to be informed so that you can get the most appropriate and costeffective care.
Before making a final decision, please read the plans federal brochures standard option and basic option. From prenatal to postpartum, your benefits are designed to support you through each stage of your pregnancy. The blue cross and blue shield service benefit plan has selected alegeus technologies, an independent company, to administer the myblue wellness card program. 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. Benefit changes are effective january 1, 2015, and changes are. You can also learn more about our 2015 benefits and valueadded programs on our website. The protection of your privacy will be governed by the privacy policy of that site. Your blue cross and blue shield service benefit plan team. 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. 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. You may also request or view the most current directory via our website at. Benefits for generic prescription drugs are different if you have medicare part b as your primary coverage.
Benefit changes are effective january 1, 20, and changes are summarized on pages 14. This fep bluevision plan and all other fedvip plans are not a part of the federal employees health benefits fehb program. 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. The blue cross and blue shield association is the carrier of the plan. Benefit changes are effective january 1, 20, and changes are. 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.
Fep 5 tier managed rx drug formulary 807 basic option effective november 26, 2019. This brochure is the official statement of benefits. 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. You do not have a right to benefits that were available before january 1, 2015, unless those benefits are also shown in this brochure. Opm negotiates benefits and rates with each plan annually. A helpful booklet on various topics, including how to. Before making a final decision, please read the plans federal brochure ri 71005. The protection of your privacy will be governed by the privacy. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. 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. Family coverage, each eligible family member is also entitled to these benefits. Both standard and basic option cover preferred and nonpreferred drugs, while fep blue focus only covers preferred drugs. Cri is an independent company which is responsible. 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.
Available to members with medicare part b primary only retail pharmacy program. Starting october 20, 2014, members can call the open season information center at 1800411blue 2583 for additional benefits information. Benefit changes are effective january 1, 2015, and changes are summarized on pages. Claim forms and brochures for service benefit plan members. The address for the blue cross and blue shield service benefit. If you are in a special enrollment category, contact the agency or tribal employer that manages your health benefits enrollment. Please see section 10 of the 2014 blue cross and blue shield service benefit plan brochure. For all noncore benefits, you pay 30% of our allowance after you meet your calendar year deductible. If you would like to talk to someone about your questions, you can call our open season information center at 1800411blue beginning october 21. 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. You can also learn more about our 2014 benefits and valueadded programs on our website. Coinsurance is your share of the costs of a covered service, calculated as a percent of the allowed amount for the service. Four surgeries in 2014 and may or may not have hit the max out of pocket for bcbs. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures.
Additional information about 2015 benefits is available on feps newly redesigned website at. Basic option does not generally provide benefits for services rendered by nonpreferred providers. Blue cross blue shield federal employee program fep. 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. 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. These include things such as maternity care and physical therapy.
Review the new 2014 federal employees group life insurance fegli handbook. Choosing the right coverage with benefits and rates that meet your familys healthcare needs is important. How are you going to know when your claim is filed and finalized. A feefor service plan standard and basic option with a preferred provider organization. Fep 5 tier rx drug formulary 607 standard option effective november 26, 2019. For customer service assistance, visit our website. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Get an ataglance overview of your fep blue focus plan. Your eob will break down the service you received at the doctors office, the cost and what you might have to pay. Benefit changes are effective january 1, 2014, and changes are summarized on pages 1517.
Tier 2 preferred generic specialty, and preferred brand specialty. Please be aware that the fep bluevision network is different from the network of your health plan. Home blue cross and blue shields federal employee program. The drugs covered in each tier for standard option, basic option and fep blue focus vary. We want you to know that protecting the confidentiality of your individually identifiable health information is of the utmost. For customer service assistance, visit our web site.
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. Dental insurance coverage for federal employees humana. January 1, 2014, unless those benefits are also shown in this brochure. All benefits are subject to the definitions, limitations and exclusions set forth in the 2014 brochure. Benefit changes are effective january 1, 2014, and changes are.
Federal employees health benefits program wikipedia. The pregnancy care incentive program is valid for the 2020 benefit year. Federal employee healthcare program blue cross and blue. An eob is a notice you get when a health care benefits claim is processed by your health plan. This document provides a general overview of your plans coverage. Aug 28, 2012 i am 61 and a federal employee with fepblue. For more information on these options, please visit. The federal employees health benefits fehb program is a system of managed competition. 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.
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 fep. If you take advantage of service benefit plan dental benefits, you will need to complete and file a claim form for reimbursement. Page 69 this plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides.
A health maintenance organization high option important rates. 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. An explanation of your explanation of benefits eob. Get a convenient summary of these coverage options.
These include things such as maternity care and physical. Open season online will be available for the next open season early november. 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. Blue cross and blue shield federal employee program home. For your best healthcare options, make the decision to depend on blue. No verbal statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Go home anytime you can tap the federal employee program logo to go back to the homepage at any time. Here is more about fep bluedentals value and offerings. For example, as of 2014 members of the united states congress and their staff are. As of 2014, members of congress and designated congressional staff can no. In 2017, fep will continue to offer comprehensive benefits including medical, dental and visionwhile keeping rates for 2017 in. I read the entire benefits book last year to decide between bcbs. This is a summary of the features of the blue cross and blue shield service benefit plan.
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