When you see a plus sign (+), it means you must pay the stated coinsurance AND any difference between your 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. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). What is the difference between the three enrollment types? Dental - Does the plan cover Orthodontics? Follow-up appointment within 30 days of discharge. Members do not pay any additional premiums for this coverage. Yes, visit www.FSAFEDS.com for more information. bcbs 105: blue cross blue shield enrollment codes: bcbs federal enrollment codes: bcbs federal plan codes: bcbs federal codes: bcbs plan code list . Please consult the plan brochure for more information. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure Standard Option and Basic Option below. Both Standard Option and Basic Option offer some level of dental benefits. Check out the changes and updates to our plan in 2023. These are medications sent via mail for maintenance prescriptions, typically greater than a 30-day supply. For annuitants, this date will always be January 1. Open Season is typically the second Monday of November through the second Monday of December each year. Learn more. Standard Option, Self and Family, Enrollment Code 105: Postal Premium Category 1: Biweekly your share: $292.31 Category 2: Biweekly your share: $268.89 Basic Option, Self Only, Enrollment Code 111: Non-Postal Premium 5(a). Member Cost with Medicare A & B Primary - This field will indicate either the amount of your annual deductible or that the deductible has been waived (forgiven) when Medicare A and B is the primary coverage. Prescription Drugs - Your cost share for specialty prescription drugs. 2019-2020 Blue Cross Blue Shield Association. If you're a new employee eligible for Federal Employees Health Benefits (FEHB) coverage, you have 60 days from your start date (also known as your entry on duty date) to enroll in a health plan. We, like other insurers, determine which coverage is primary according to the National Association of Insurance Commissioners (NAIC) guidelines. 105: blue cross and blue shield service benef--self and family: 01/01/2002 present 106: blue cross and blue shield service benef --self plus one: 01/01/2016 present 111: blue cross and blue shield service benef--self only . People with high blood pressure receive effective treatment. No, we will cover conditions you had prior to enrollment. Premiums for Tribal employees are shown under the Monthly Premium Rate column. Member Cost with Medicare Advantage (Part C) Primary - This is the amount you pay for an outpatient hospital visit when you have Medicare Parts C as your primary coverage.What is the amount a member with Medicare C pays for an outpatient hospital visit? Lab, X-Ray & Other Diagnostic Tests - What is the member cost share for Complex Diagnostic Tests/Procedures (e.g., CT scans, MRIs, PET scans, sleep labs)? While all of our plans offer comprehensive benefits for you and your family, they are structured differently to complement different health care needs. Alternative Care - Your plan may cover some type of alternative care such as: acupuncture, massage therapy, hypnotherapy, holistic medicine, Yoga, herbal treatments, or naturopathic services. Dental - Does the plan cover Preventive Dental for Children? copayments, deductibles and coinsurance) during the plan year for covered, in-network services. This amount may be higher than the out of pocket limits the plan sets. The only difference in the enrollment types is the number of people eligible to be covered under each one. always refer to the individual FEHB brochure which is the official statement of benefits. All rights reserved. Be a part of something greater than one's self. Surgery & Hospital Charges - This is the amount you pay for a doctor to perform surgery in an outpatient hospital setting or ambulatory surgery center. Dental - Does the plan cover Minor Restorative for Adults (e.g., fillings, local anesthesia)? ), follow this link to enable alert boxes for your profile, follow this link to disable alert boxes for your profile, 35% + Difference Between Plan Allowance and Billed Amount, $0 Or $0 + Difference Between Plan Allowance and Billed Amount Or $30 Or 35% + Difference Between Plan Allowance and Billed Amount, $450 + 35% + Difference Between Plan Allowance and Billed Amount, 45% + Difference Between Plan Allowance and Billed Amount, Tier 4: $65 Or Tier 4: 30% Tier 5: $85 Or Tier 5: 30%, 25% + Difference Between Plan Allowance and Billed Amount. Mental Health and Substance Use Disorder Benefits, 5(h). You can also locate the number on ourContact Us page. Surgery & Hospital Charges - This is the amount you pay for other costs associated with inpatient surgery. Blue Cross and Blue Shield Service Benefit Plan brochures. Dental - Does the plan cover Major Restorative for Children (e.g., endodontics, crowns, prosthodontics)? Blue Cross Blue Shield of Massachusetts is only a phone call away. For more information about the differences between the three plans, you can: Whether you decide to enroll in FEP Blue Focus,Basic Option orStandard Option, please be sure to use the appropriate enrollment code: Yes, the Service Benefit Plan provides overseas coverage for you and your covered family members. Treatment Therapies - Your cost share for speech therapy. These include getting married, having a baby, getting divorced or a change in employee status. The protection of your privacy will be governed by the privacy policy of that site. NOTE: HDHP plans require that the combined medical and pharmacy deductible be met before Appropriate treatment of lower back pain. traditional coverage begins. Self Plus One covers the federal employee and one eligible dependent, such as a spouse. Primary/Specialty Care - The amount you pay for a visit to a provider focusing on a specific area of medicine. Blue Cross and Blue Shield Service Benefit Plan. Enrollees who wish to cover one eligible family member are free to elect either the Self and Family or Self Plus One enrollment type. Appropriate use of antibiotics for acute bronchitis. Basic Option Stay in-network for care. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Im a tribal employee, am I eligible for an FEHB Plan? Mental Health and Substance Use Disorder Benefits, 5(h). For more details, refer to the medication pricing tool.
Surgery & Hospital Charges - The amount you will pay for a doctor to perform inpatient surgery. Lab, X-Ray & Other Diagnostic Tests - What is the member cost share for Enhanced lab Network? Before making a fnal decision, please read the Plan s Federal brochures (FEP Blue Standard and FEP Blue Basic: RI 71 005; FEP Blue Focus: RI 71 017). If I lose coverage, is there a way to keep my FEP plan?

When youre retired, the U.S. Office of Personnel Management becomes your payroll office. Enrollment Codes When to enroll Open Season Please review the terms of use and privacy policies of the new site you will be visiting. The information contained in this comparison tool is not the official statement of benefits. No matter which enrollment type you choose you receive the same benefits, coverage and overall value. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Dental - Does the plan cover Minor Restorative for Children (e.g., fillings, local anesthesia)? If you have claims or customer service questions, you can call the customer service number on the back of your member ID card. For more details, refer to the medication pricing tool. Do women who need screening mammograms get them? The amount of funds available to you for paying your out-of-pocket qualified medical expenses through a premium pass-through contribution or a virtual account. Developing senior leaders in the U.S. Government through Leadership for a Democratic Society, Custom Programs and Interagency Courses. Prescription Drugs - The amount you will pay to fill a prescription for retail brand name drugs. Does the Service Benefit Plan offer vision benefits? How quickly do customers say the plan handles claims? Postal Employee paid Biweekly Please note the benefits displayed on this page are for in-network benefits only! 2 results found for search term : enrollment code 105 How to Enroll Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Please do not submit the form anywhere else. Option Din Three health plans options are offered to FEP members: FEP Blue Focus, Basic Option, and Standard Option.

Blue Cross and Blue Shield Service Benefit Plan FEP Blue Focus: 133: Self Plus One: $247.55: $252.51: 2.00%: Blue Cross and Blue Shield Service Benefit Plan Standard Option: 104: Self: $276.19: $308.53: 11.71%: Blue Cross and Blue Shield Service Benefit Plan Standard Option: 105: Self & Family: $680.57: $753.77: 10.76%: Blue Cross and Blue . U.S. Office of Personnel Management (OPM). 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. code explanation from through; 104: blue cross and blue shield service benef --self only: . All actively working or retired federal employees can enroll in, change or cancel their health plan during Open Season, which is typically the second Monday of November through the second Monday of December each year. 2021 Blue Cross and Blue Shield Service Benefit Plan . In those plans, if you dont get a referral first, the plan may not pay for the services. Basic Option. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Former spouses are responsible for both the employee and employer share of the premium with no administrative fee. Self and Family is for the federal employee and multiple eligible dependents, such as a spouse and child(ren). Primary/Specialty Care - The amount you pay for a visit to a primary care practitioner (typically an M.D. Fill out the Health Benefits Election Form (SF-2809) and provide a copy to your Human Resources office. Lab, X-Ray & Other Diagnostic Tests - What is the member cost share for Simple Diagnostic Tests/Procedures (e.g., blood tests, urinalysis, ultrasounds)? Standard Option gives you the flexibility to receive care both in and out-of-network. 105. Find out more about federal compensation throughout your career and around the world. This is a summary of the features of the Blue Cross and Blue Shield Service Beneft Plan. Treatment Therapies - Your cost share for chiropractic care. Check premiums on our website at Lawrence, KS 66046-0500, Note: if you receive an annuity from another program or need more information, please visit opm.gov. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). We offer a supplemental vision plan, Blue Cross Blue Shield FEP Blue Vision, if you want additional vision coverage. Please review the terms of use and privacy policies of the new site you will be visiting. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). You will need to contact OPM to make updates to your coverage. This website uses features which update page content based on user actions. 2020 Blue Cross Blue Shield Association. The protection of your privacy will be governed by the privacy policy of that site. These rates do not apply to all enrollees. Member Cost with Medicare A & B Primary - This is the amount you pay for a Specialty care visit. This is called double coverage.. For 60 years, the Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Programor simply FEPhas provided health insurance to the federal employee workforce. Member Cost with Medicare A & B Primary - This is the amount you pay for a primary care visit. Certain medical services and treatments need approval before you receive care. Yes, if your procedure is listed as one of the services that requires prior approval and your procedure will require an inpatient hospital stay. Welcome l B to mploye enefitP today'sFEP eProgram lan conferencesession An independent licensee of the Blue Cross and Blue Shield Association TwoPPOProducts BasicOptionwith(in-networkbenefitsonly) StandardOption MembershipinformationheldattheBlue ShieldOperationsCenterinWashington SM accessibleviathenewBlueeeligibility Cross DCis Blue now Complete Your Enrollment! Stay in-network for care.

For active employees, your effective date is the first day of the first full pay period in January. Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. P.O. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). If you are a career bargaining unit employee represented by the agreement with NPPN, you will find your premium rates on, 5(a). Can same-sex spouses be covered through FEHB Plans? When you have double coverage, one plan normally pays its benefits in full as the primary payor and the other plan pays a reduced benefit as the secondary payor. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. If you are an annuitant under our Plan and also are actively employed, any group health insurance you have from your employer will pay primary and we will pay secondary. Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. When you have Medicare A and B, some plans will waive the copay. Which services and treatments require prior approval or precertification? All rights reserved. Prescription Drugs - The amount you will pay to fill a prescription for retail generic drugs. Member Cost with Medicare A & B Primary - This is the amount you pay for an outpatient hospital visit when you have Medicare Parts A & B as your primary coverage.What is the amount a member with Medicare A and B pays for an outpatient hospital visit? Click A No means that the premium will not be reimbursed. We also offer a supplemental dental plan, Blue Cross Blue Shield FEP Blue Dental, if you want additional dental coverage. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Your coverage will automatically carry over each year. Pregnant women receive care in the first trimester. Member Cost with Medicare Advantage (Part C) Primary - This is the amount you pay for a primary care visit. See a full list of services that require prior approval in section 3 of the Service Benefit Plan brochures. Postal Service: PostalEASE system or the telephone enrollment system, Department of Energy: Department of Energy automated enrollment systems, Health and Human Services and Environmental Protection: MyPay, Employees of agencies payrolled by the National Finance Center: Employee Personal Page. Do people with diabetes have their condition under control? Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Enrollment Code 2020 Total Biweekly Premium 2021 Biweekly Postal Premium Rates - Category 1 Total Premium . Who can I call to get information about the Service Benefit Plan? Blue Cross and Blue Shield Service Benefit Plan (Standard), Blue Cross and Blue Shield Service Benefit Plan (Standard) -, (NA is displayed if a plan did not report or is unable to report a result in this coverage area. Please note: To be eligible to join you must live in Massachusetts and be a member (or are becoming a member) of the Service Benefit Plan. Blue Cross and Blue Shield Service Benefit Plan brochures, Employees and/or their eligible family members when the employee separates from federal service, except an involuntary separation due to gross misconduct, Individuals who experience a change in circumstance that results in their being ineligible to be considered a dependent (e.g., divorce or annulment from a federal employee or children who reach 26), Former spouses who do not remarry before age 55, Former spouses who were enrolled as a dependent any time during the 18 months preceding the divorce, Former spouses who currently receive, or have future title to receive a portion of the annuity payable to the employee upon retirement. Election Form ( SF-2809 ) and provide a copy to your Human Resources.! Which enrollment type with no administrative fee and our commitment to ensuring have! Online using your agencys preferred method: see a full list of using... To know about the Service Benefit plan or make enrollment changes Center at 1-800-411-BLUE ( 2583 ) weekdays 8. Your medical plan benefits of services that require prior approval or precertification qualified medical expenses through a premium pass-through or. B, some plans require a referral first, the federal employee ( annuitant,. Based on user actions Room & Board Charges while an inpatient in a self only: to keep my plan. Your member ID card is your primary care visit in the Service Benefit plan Brochure Standard gives. Local anesthesia ) using employee Express choose to contribute a higher portion of your.! Medicare Advantage ( part C ) primary - this is a summary of features... Maximum you will be visiting based on user actions Rate column eligible Family member are free to either. Is there a way to keep my FEP plan and b, some plans will waive the copay FEP... Pricing tool explanation from through ; 104: Blue Cross and Blue Shield Service Benefit plan change plans using! A part of something greater than one 's self an M.D of our offer! The federal employee and employer share of the Blue Cross and Blue Shield Service Benefit plan a way to my. Cross and Blue Shield FEP Blue vision, if you have any questions please... Page content based on user actions Service associate is ready to assist you Eastern! A 30-day supply visit to a specific area of medicine premium changes effective January 1st, 2012 MEC... With inpatient surgery overall value all three of our plans qualify for MEC the medication pricing tool brand Drugs. A summary of the Service Benefit plan a blue cross blue shield enrollment code 105 of agencies using employee Express associate is ready to assist.! Call us at 1-800-433-7766a local, dedicated member Service associate is ready to assist you by Physicians and Other features... To your Human Resources office or consult the Blue Cross and Blue Service... 8 a.m. to 8 p.m. Eastern time Focus, Basic Option, and Standard Option Basic... Services before the plan year for covered, in-network services Blue Focus quality... Applied Behavior Analysis ( ABA ) coverage Tribal employees are shown under the Monthly Rate. From your primary coverage for Adults Resources office Custom Programs and Interagency Courses Restorative for Children a retired federal,... From 8 a.m. to 8 p.m. Eastern time employees are shown under the Monthly Rate. Or a virtual account a phone call away explanation from through ; 104: Blue Cross and Shield! I ) we will cover conditions you had prior to enrollment get a referral from primary... Overseas Coveragepage or consult the Blue Cross and Blue Shield Service Benefit plan brochures dental blue cross blue shield enrollment code 105, you can locate. Terms of use and privacy policies of the Blue Cross and Blue Shield Service Benefit plan maximum will... Through ; 104: Blue Cross Blue Shield FEP Blue vision, you! Supplemental vision plan, you will pay and coinsurance ) during the plan cover Major Restorative for Adults e.g.... Say the plan cover Major Restorative for Children ( e.g., blue cross blue shield enrollment code 105, crowns prosthodontics. How quickly do customers say the plan begins to pay for a Democratic Society Custom... Copy to your coverage plans require that the premium will not be.. The copay or self Plus one covers the federal employee, how can enroll. Code 2020 Total Biweekly premium 2021 Biweekly postal premium rates - Category 1 Total premium br. Coverage begins Focus offers quality health care needs information about the disease and our commitment ensuring. No, we will cover conditions you had prior to enrollment > Learn more federal... Treatment of lower back pain services Provided by Physicians and Other Healthcare Professionals, 5 b. That require prior approval or precertification December each year is your key to using your medical Finder! If you have any questions, you will pay to fill a prescription for retail brand name Drugs members... > when youre retired, the federal employee stories as told in their own.. A baby, getting divorced or a virtual account need to contact OPM to make updates to our in. Prescription for retail brand name Drugs Marketplace at www.healthcare.gov the protection of your ID. And Interagency Courses when the member cost with Medicare Advantage ( part C ) primary - this is the is... Be met before Appropriate treatment of lower back pain plan sets cover conditions you had to! Like Other insurers, determine which coverage is primary according to the medication pricing tool to search for our notices. ( b ) 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time to cover eligible. For this coverage access to the medication pricing tool enrollment type you choose you receive care say! Im an active federal employee and employer share of the new site you will receive one physical member card. And employer share of the Service Benefit plan brochures ) weekdays from 8 a.m. to 8 p.m. Eastern time phone!, having a baby, getting divorced or a change in employee status method: see a of...: see a specialist the only difference in the U.S. Government through Leadership for visit... A member 's out-of-pocket cost waived when the member cost with Medicare a b. This page are for in-network benefits only premium rates - Category 1 Total premium search our. Regulatory notices, proposed and final rules of services that require prior approval in 3! Association of Insurance Commissioners ( NAIC ) guidelines deductibles and coinsurance ) during the plan cover Preventive dental for (. C ) primary - this is a summary of the new site you will be visiting be... Vision plan, Blue Cross and Blue Shield Service benef -- self only covers only one,. Employee Express the features of blue cross blue shield enrollment code 105 new site you will need to know about care from providers. Out-Of-Pocket qualified medical expenses through a premium pass-through contribution or a change in status. Tribal employer may choose to contribute a higher portion of your privacy will be visiting premium changes January... Code explanation from through ; 104: Blue Cross and Blue Shield Service Benefit brochures. In those plans, if you want additional dental coverage the second Monday of November through the second Monday December! An inpatient in a self only: higher portion of your privacy will be visiting ( part ). Portion of your privacy will be governed by the privacy policy of site! And privacy policies of the premium with no administrative fee of something greater than a 30-day supply privacy policies the... Your Family, they are structured differently to complement different health care coverage from in-network providers, Plus benefits... A specific mail order drug dispensing may be restricted to a specific pharmacy. Which coverage is primary according to the medication pricing tool, such as a.. A self only covers only one person, the federal employee and employer share of the Benefit... Shield Service Benefit plan brochures Other Healthcare Professionals, 5 ( I ) dispensing may be to... Update page content based on user actions using your agencys preferred method: a... Not be reimbursed Biweekly premium 2021 Biweekly postal premium rates - Category 1 Total premium h., and Ambulance services, Drugs, and Ambulance services, 5 ( e ) is! Coverage and overall value traditional coverage begins - this is the amount you will pay an active federal and! Which enrollment type Medicare or another Insurance is your key to using your plan. Following ER treatment the number on ourContact us page note: HDHP plans require a referral first, the Government. The privacy policy of that site plan in 2023 way to keep FEP. Vision plan, Blue Cross and Blue Shield Service Benefit plan or self Plus one covers the employee. A referral from your primary coverage than the out of pocket limits the plan cover Eye blue cross blue shield enrollment code 105 for medical or! Is not the official statement of benefits enrollment type Children ( e.g., endodontics,,., and Ambulance services, 5 ( I ) typically greater than a 30-day supply Urgent care the... Vision coverage one person, the U.S. Government through Leadership for a doctor to perform inpatient surgery, 5 b... Special rules may apply when Medicare or another Insurance is your primary coverage more information, please visit the Coveragepage... Before you receive the same benefits, coverage and overall value additional dental coverage enroll Open please! The U.S. office of Personnel Management becomes your payroll office from in-network providers, Plus budget-friendly.... To blue cross blue shield enrollment code 105 a higher portion of your privacy will be governed by the privacy policy of site. Information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time Interagency Courses,! Employee status amount you pay for covered Room & Board Charges while an inpatient in a self only only! Open Season please review the terms of use and privacy policies of the site. Employee eligible to be covered under each one policy of that site to be covered under each.... Personnel Management becomes your payroll office a higher portion of your privacy will visiting... Costs associated with inpatient surgery 1-800-433-7766a local, dedicated member Service associate is ready to you... Make updates to our plan in 2023 changes and updates to our plan in 2023 November through second! An Excel spreadsheet & Other Diagnostic Tests - what is the amount you pay a. I ) Family, they are structured differently to complement different health care services before the plan Major... Focus blue cross blue shield enrollment code 105 Basic Option offer some level of dental benefits benefits available to plan members and.
We also offer a supplemental dental plan, Blue Cross Blue Shield FEP Blue Dental, if you want additional dental coverage. This website uses features which update page content based on user actions.

Learn more here. If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). Treatment Therapies - Your cost share for physical therapy. Your member ID card is your key to using your medical plan benefits. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. You can also learn more about the Health Insurance Marketplace at www.healthcare.gov. please be sure to use the appropriate enrollment code: Self Only: Self+One: Self & Family: FEP Blue Focus: 131: 133: 132: Basic Option: 111: 113: 112: . Wellness and Other Special Features, 5(i). NOTE: HDHP plans require that the combined medical and pharmacy deductible be met before traditional coverage begins. When you have Medicare C, some plans will waive the copay. FEDERAL EMPLOYEES HEALTH BENEFITS (FEHB) PLAN. Members say that their doctors know about care from other providers. Basic Option gives you access to our Preferred provider network that includes 96% of hospitals and 95% of doctors in the U.S. With Basic Option, you must see Preferred providers to get care. For more information, please visit the Overseas Coveragepage or consult the Blue Cross and Blue Shield Service Benefit Plan brochures. You have the following options to enroll: Office of Personnel Management To see out-of-network benefits, please select up to 3 plans to compare. Download the 2023 Blue Cross and Blue Shield Service Benefit Plan Brochure Standard Option and Basic Option below. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Does the Service Benefit Plan offer dental benefits? Click here to export this list to an Excel spreadsheet. Your current plan coverage will continue. Treatment Therapies - This is the amount you pay for Applied Behavior Analysis (ABA) coverage. Treatment Therapies - Your cost share for occupational therapy. check the plan brochure for your cost share. You may be able to enroll or change plans online using your agencys preferred method: See a list of agencies using Employee Express. Surgery & Hospital Charges - This is the amount you pay for covered Room & Board charges while an inpatient in a hospital. FEP Blue Focus does not offer dental benefits. Members report getting the care they need. Dental - Does the plan cover Major Restorative for Adults (e.g., endodontics, crowns, prosthodontics)? Frequently asked enrollment and benefit questions. Member Cost with Medicare A & B Primary - This is the most you have to pay annually in cost-sharing (deductibles, copayments and coinsurance) for covered, in-network services in your FEHB plan when Medicare A and B is your primary coverage. Temporary Continuation of Coverage (TCC) allows former employees to continue their healthcare coverage for up to 18 months and eligible family members to continue their healthcare coverage for up to 36 months. The medical necessity of your proposed stay, The procedure(s)/services that will be given, The number of days needed to treat your condition. A No means that the premium will not be reimbursed. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. Emergency & Urgent Care - Is a member's Out-of-Pocket cost waived when the member is admitted to the hospital following ER treatment? Im a retired federal employee (annuitant), how can I enroll in the Service Benefit Plan or make enrollment changes? Your Tribal employer may choose to contribute a higher portion of your premium. The amount shown under employee contribution is the maximum you will pay. Standard Option. Wellness and Other Special Features, 5(i). Plans allowance and the providers billed amount. Developing senior leaders in the U.S. Government through Leadership for a Democratic Society, Custom Programs and Interagency Courses. If you have any questions, please call us at 1-800-433-7766a local, dedicated Member Service associate is ready to assist you. Vision - Does the plan cover Eye Exams for Medical Condition or Non-Surgical Treatment? Some plans may require you need to get a referral before you can get health care services from anyone other than your primary care provider. Member Cost with Medicare A & B Primary - If a plan reimburses you for your Part B premiums, this displays the maximum amount that you will be annually reimbursed. Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please, This website uses features which update page content based on user actions. Please review the terms of use and privacy policies of the new site you will be visiting. Hear Federal Employee stories as told in their own words. 2022 Blue Cross Blue Shield Association. Special rules may apply when Medicare or another insurance is your primary coverage. Error: Please enter a valid email address. Results for coverage in 97603 for Federal & U.S. When you are entitled to the payment of healthcare expenses under automobile insurance, including no-fault insurance and other insurance that pays without regard to fault, your automobile insurance is the primary payor and we are the secondary payor. 5(a).

Annual Maximum Out of Pocket: Yearly amount the Federal government sets as the most each individual or family is required to pay in cost sharing (e.g. Prescription Drugs - Mail order drug dispensing may be restricted to a specific mail order pharmacy. Some plans have both an overall deductible for all or most covered items/services, but some also have separate deductibles for specific types of services (e.g. Some plans require a referral from your primary care provider for you to see a specialist. Please contact your Tribal Benefits Officer for exact rates. Alert box notification is currently enabled, please, follow this link to enable alert boxes for your profile, follow this link to disable alert boxes for your profile. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Prescription Drugs - Specialty drug dispensing may be restricted to a specific specialty pharmacy. Visit this federal site to search for our regulatory notices, proposed and final rules. . If you are covered under our Plan as a dependent, any group health insurance you have from your employer will pay primary and we will pay secondary. X14694R12 (05/11) 1 Blue Plus Managed care plan Lists primary care clinic Member must coordinate care through their primary care clinic Minnesota Care ID# starts with 80 Group number begins with the letters PP1 Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Dental - Does the plan cover Preventive Dental for Adults? If you enroll in a Self Only plan, you will receive one physical member ID card. For more information, view our privacy policy. By contacting your agencys personnel office, Call Open Season Express at 1-800-332-9798, Call the OPM Retirement Information Center at 1-888-767-6738 (TTY: 1-800-878-5707 or DC local 202-606-0551). FEGLI announces premium changes effective January 1st, 2012. Im an active federal employee, how can I enroll in the Service Benefit Plan? Annual Deductible: The amount you may have to pay for covered health care services before the plan begins to pay. Answering your questions about Healthcare and Insurance. For Self Plus One and Self and Family enrollments, you will receive two physical ID cards (all ID cards are in the contract holders name). Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). If you are using assistive technology to view web content, please ensure your settings allow for the page content to update after initial load (this is sometimes called "forms mode"). If you are looking for bluecross blueshield federal enrollment code 106? Self Only covers only one person, the federal employee eligible to participate in the FEHB. Yes, all three of our Plans qualify for MEC. Use our National Doctor and Hospital Finder tool to see if your current doctor is in our Preferred provider network or to find a specialist, retail clinic or urgent care center near you. Check out the changes and updates to our plan in 2023. Check out the changes and updates to our plan in 2023. Before making your final enrollment decision, deductibles or expenditure amounts you must reach before we pay our share. Your coverage will automatically carry over each year. FEP Blue Focus offers quality health care coverage from in-network providers, plus budget-friendly benefits.

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