For more information specifically about the benefits associated with your plan, check your policy booklet or visit the contact us section of the fepblue. Page 123 this plans health coverage qualifies as minimum essential coverage. In any instance of conflict, the provisions of this plan booklet and benefits document shall take precedence over provisions of law, so far as legally permitted. 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 take advantage of service benefit plan dental benefits, you will need to complete and file a claim form for reimbursement. Members benefit booklet for availability of benefits. Before making a final decision, please read the plans officially approved brochure ri 71009. These include dental care, nonpreferred drugs, skilled nursing facility care, hearing aids and longterm care. A feeforservice high and standard options health plan. The federal employees health benefits fehb program became effective in 1960. Free preventive care from preferred providers worldwide coverage referralfree care from specialists wellness rewards and discounts yourself with. Well use these icons for each of our plans throughout this booklet. This brochure is the official statement of benefits. Should i stick with my federal employee health benefits or enroll in medicare. A preventive telehealth benefit for nutritional counseling is available with our preferred telehealth provider. For standard and basic option and fep blue focus plans. A feeforservice plan standard and basic option with a preferred. Any information missing may delay processing your application.
Benefit plans blue cross and blue shields federal employee. Refer to your plan material for the definition used by your plan. The law, regulations and policy manual are the authoritative guidance for champva. All federal employees and annuitants in the united states and overseas who are eligible to enroll in the federal employees dental and vision insurance program. Find, read, print, or order free medicare publications category all publications general information medicare prescription drug coverage health care choices coverage and payment rights and protections staying healthy. If your dentist is not familiar with your plan coverage or has any other questions regarding this plan, have the dentist call delta dental at 8005240149 or write to. 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. Easily view and search for specific coverage and benefit information with interactive versions of our blue cross and blue shield service benefit plan brochures. Youll find a summary of benefit hearing aids for adults, and bone anchored hearing aids for adults and children, when provided by any qualified fetch full source. The tobacco cessation incentive program is open to members under 18 who meet the age requirements for prescribed tobacco cessation drugs. Blue cross and blue shield service benefit plan brochures below are links to the interactive versions of the brochures.
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. This benefit booklet provides a complete explanation of your benefits. Plan is further subject to federal and state of florida laws and rules promulgated pursuant to law, including, but not limited to, chapter 60p of the florida administrative code. The protection of your privacy will be governed by the privacy. 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. 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.
To learn more about blue cross and blue shields federal employee benefits, you can visit their website at for more information specifically about the benefits associated with your plan, check your policy booklet or visit the contact us section of the website. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Blue cross and blue shield federal employee program home. This plan has 6 enrollment regions, including international.
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. View some of the great features and savings of the blue cross and blue shield service benefit plan ppo. See costs for typical services when you use preferred providers. Large nationwide dentist network over 300,000 access points to receive innetwork services. Blue shield of california is an independent member of the blue shield association.
All benefits are subject in every way to the entire group policy, which includes this booklet. The health coverage of this plan does meet the minimum value standard for the benefits the plan provides. Call us talk to a customer service representative with questions about your benefits, claims, id cards, bills or other questions, call the customer service number on the back of your member id card monday to friday between 8 a. This plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Log in to blue connect or call the customer service number on the back or your member id card. Fully covered preventive care well reward you if you get an annual checkup. The address for the blue cross and blue shield service benefit plan administrative office is. If you take advantage of service benefit plan dental benefits, you will need to. This is a summary of some of the features of the nalc health benefit plan high option. Some bcbsnc plan contracts specifically exclude orthotic devices from coverage. Health plans are offered by blue shield of california. For customer service assistance, visit our web site.
Download the fepblue app access your benefits on the go. A feeforservice high and standard options health plan with a preferred provider organization important rates. For individuals and families under age 65 blue cross nc members can file a claim, appeal a denial of benefits, and learn more about their coverage depending on their type of plan. Find, read, print, or order free medicare publications. Box 9089 farmington hills, michigan, 483339089 claims deadline and time of payment because the amount of your benefits is not. Download the 2020 blue cross and blue shield service benefit plan fep blue focus brochure.
This is a summary of the features of the blue cross and blue shield service benefit plan. The booklet is made part of the group policy, which is delivered in and governed by the laws of the state of new jersey. Existing members can use the tool today by clicking the benefits button in the fepblue app or by logging in to myblue. Sample employer group benefit booklets horizon blue cross. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features. For all noncore benefits, you pay 30% of our allowance after you meet your calendar year deductible. The summary of benefits and coverage sbc is simple and standardized comparison document required by the patient protection and affordable care act ppaca. However, there are some things the plan doesnt cover. Should i stick with my federal employee health benefits or. Benefit booklets blue cross and blue shield of north carolina. Blue cross and blue shield federal employee program, washington d.
Future changes in coverage will be described in either a booklet notice of change or in a new booklet. All plan and rate information available on this site is applicable to current fedvip eligible federal civilian employees and retirees. All insurance plans are required to produce a summary of benefits and coverage based on a uniform template and customized to reflect the plans unique terms. Blue cross and blue shield federal employee program fep.
Virtual doctors visits by teladoc beginning in 2020, all service benefit plan members will receive their first two telehealth visits free. This is a brief description of the features of the geha standard option medical plan. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochure. Some examples of the changes as they apply to each plan are noted below. 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. Get a convenient summary of these coverage options. Federal employees health benefits plan blue care network. To enroll in alabama federal dentalblue you must reside in the service area of blue cross and blue shield of alabama. This is a dental plan only available to bcbs service benefit plan basic or standard option enrollees. Blue cross and blue shield federal employee program. Blue cross and blue shield service benefit plan brochure opm. The blue cross blue shield service benefit plan has selected alegeus technologies, an independent company, to administer the myblue wellness card program.
Stem cell transplant benefits are available for treatment of scleroderma without being in a clinical trial. Find, read, print, or order free medicare publications category all publications general information medicare prescription drug coverage health care choices. Download the 2020 blue cross and blue shield service benefit plan brochure standard and basic options. Updated 2020 plan information and rates will be available in october. Look for medicare, dental and vision documents below.
The aca establishes a minimum value for the standard of benefits of a health plan. Youll find important information and resources here for federal employees with health care benefits through blue care network. If you also have a medicare part d plan, mhbp will coordinate benefits, but we will not waive our copayments or coinsurance. Please refer to the 2020 bluechoice brochure for a complete description of benefits. For help with benefits, claims, billing, id cards, and more you can go online or call us to get the help you need.
Claim forms and brochures for service benefit plan members. Contents of the summary of benefits and coverage the summary of benefits and coverage is a standardized template and the cells cannot be altered, moved, or deleted by any plan. All benefits are subject to the definitions, limitations, and exclusions set forth in the fehb plan brochure. The blue cross and blue shield association is the carrier of the plan. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. Detailed information on the benefits for the 2018 nalc health benefit plan high option can be found in the official brochure. Blue cross and blue shield service benefit plan fep blue. To learn more about blue cross and blue shields federal employee benefits, you can visit their website at. Get the most from your plan and manage your health priorities by taking advantage of these services. Federal employee program accuquest hearing centers.
Fep blue s b f focus we have plans designed to fit every need and budget. Please read the fehb plan brochure 797ri 73that contains the complete terms of this plan. Sep 20, 2019 payment is subject to several factors, including, but not limited to, eligibility at the time of service, payment of premiumscontributions, amounts allowable for services, supporting medical documentation, and other terms, conditions, limitations and exclusions set forth in your patients policy certificate andor benefits booklet andor. Sample employer group benefit booklets horizon blue. Benefit booklets blue cross and blue shield of north. For a contractual and complete description of the benefits available under the service benefit plan, please refer to the 2012 blue cross and blue shield service benefit plan brochure. Fehb program handbook introduction general overview. Your bluecard ppo benefit booklet horizon blue cross. Feature benefit plan brochure located at for the entire statement of fep benefits. It is your responsibility to be informed about your benefits.
Do not give your plan identification id number over the telephone or to people you do not know, except for your health care provider, authorized health benefits plan, or opm representative. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. Blue shield of california federal employee program. Blue cross and blue shield federal employee program posts. Plain language all fehb brochures are written in plain language to make them easy to understand.
Self only or self plus one or self and family plan type. Standard option benefits chart blue cross and blue. Before making a final decision, please read the plans federal brochures standard option and basic option. Before making a final decision, please read the plans federal brochure ri 71006. When that happens, we will send you a notification and ask you to add it to your guide. Wrap benefits give you access to additional benefits not covered in core or noncore. Blue cross and blue shields federal employee program. Blue cross and blue shield service benefit plan fep. Get news alerts from pbs newshour turn on desktop notifications. Blue cross and blue shield service benefit plan 2019. Choose a plan below to see a sample summary of whats covered in that plan.
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