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Basic Option gives you access to our Preferred provider network that includes 96 of hospitals and 95 of doctors in the US. Federal Employee Program FEP - Basic Option enrollment code 111 112 and 113 The Federal Employee Program FEP is a nationwide Federal Employees Health Benefits program administered through local Blue Cross and Blue Shield Association plans.
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If we use others we tell you what they mean.
Blue cross federal basic. Its called FEP Blue Focus. We have Blue CrossBlue Shield Basic plan and have been pretty happy with it. Blue Cross NC provides MTM to members with a Service Benefit Plan.
There is a separate Prior ApprovalPre-Certification list for the FEP Blue Focus product. Pennsylvania Independence Blue Cross 215 241-4400 800 862-3648 800 688-1911. Rhode Island 800 377-4418 401.
2019 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard and Basic Option. The Federal Employee Program FEP is a nationwide Federal Employees Health Benefits program administered through local Blue Cross and Blue Shield Association plans. Pennsylvania Capital Blue Cross 800 344-5446 800 471-2242 800 356-7986 888 320-2583.
Were excited to offer a third plan with our existing Standard and Basic Option plans. FEP Blue Focus Formulary 907 Effective April 1 2021 The FEP formulary includes a preferred drug list which is comprised of Tier 1 generics and Tier 2 preferred brand-name drugs preferred generic specialty drugs and preferred brand-name specialty drugs. MTM covers a broad range of health care services from clinical pharmacists who can help you identify prevent and resolve any medication-related problems.
Also this year some uniformed service members and their. This program should not be confused with HMSAs Federal Employees Health Benefits FEHB program coverage code 87. Federal Employee Program members only require prior approval or pre-certification on the following.
See section 3 of the Service Benefit Plan brochure for a list of exceptions. The Blue Cross and Blue Shield Association is a national federation of 35 independent community-based and locally operated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. You choose your doctors from our nationwide network of preferred providers.
Click on a link below to view the corresponding brochure content. No need for referrals and theres no deductible. Means the Blue Cross and Blue Shield Service Benefit Plan.
Standard and Basic Option have five drug tiers. Fully covered preventive care well reward you if you get an annual checkup 10. Standard and Basic Options.
Standard Option or Basic Option Please note. 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. Puerto Rico 888 774-6082 800 981-4860.
Using Basic Option benefits Under Basic Option you usually pay a set copay for your services regardless of our allowance amount. Your out-of-pocket cost is based on the tier your drug is in. Basic Option provides comprehensive medical benefits and is a very popular plan.
We limit acronyms to ones you know. OPM is the United States Office of Personnel Management. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan.
There are a few exceptions such as emergency and overseas care. Basic Option members must receive their care within the preferred provider network except in certain circumstances. FEHB is the Federal Employees Health Benefits Program.
I realize that Basic is limited to in-network providers while Standard will pay some cost for. 2021 Federal Employee Program FEP Prior ApprovalPre-Certification List for. Washington Today the Blue Cross and Blue Shield BCBS Government-wide Service Benefit Plan also known as the Federal Employee Program FEP introduced FEP Blue Focus SM a new coverage option for the federal workforce and retirees in the Federal Employees Health Benefits FEHB Program.
Tier 1 - Generic drugs. Basic Option Specialty Drug Pharmacy Program 85 for a 0 to 30-day supply 235 for 31 to 90-day supply 110 for a 0 to 30-day supply 300 for 31 to 90-day supply Basic Option Retail Pharmacy Med B Primary 10 copay for a 0 to 30-day supply 30 copay for 31 to 90-day supply 50 copay for a 0 to 30-day supply 150 copay for 31 to 90-day supply. FEP Blue Focus covers your preventive essentials.
800 779-6945 800 258-8809 800 258-8809 800 207-9309. Before making a final decision please read the Plans Federal brochures Standard Option and Basic Option. Call 1-984-364-3798 to get one-on-one counseling from a clinical pharmacist.
I just read that 40 of participants in the FEHBP have Blue CrossBlue Shield Standard plan. 2019 Blue Cross and Blue Shield Service Benefit Plan Brochure - FEP Blue Focus. Blue Cross and Blue Shield Service Benefit Plan Brochure - 2020.
With Basic Option youll pay all charges if you go out-of-network. FEP Blue Focus has two drug tiers. Ask your physician if there is a generic drug available to treat your condition.
Tier 3 - Non-preferred brand name drugs Tier 4 - Preferred specialty drugs Tier 5 - Non-preferred specialty drugs. All benefits are subject to the definitions limitations and exclusions set forth in the Federal brochures. Plan at a Glance.
However I may be facing surgery next year and I want to review all my options. Tier 2 - Preferred brand name drugs.
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