![]() Medication can even be prescribed if necessary. Get treatment for cold and flu symptoms, allergies, respiratory infections and other minor injuries and illnesses. With our telehealth services, you can connect with a board-certified doctor by web, phone or the mobile app. That’s why we’ve partnered with Teladoc® to give you an easier way to get care. Nothing is more important than the health of our members. We can help you get care anytime, anywhere. We have over 11,000 providers in our overseas network. Working or traveling overseas? Our coverage keeps you protected outside the U.S., too. You also never need a referral to see a specialist. It includes 96% of hospitals and 95% of doctors in the U.S and more than 60,000 retail pharmacies. ![]() We can give you great in-network coverage.Ĭhoose Basic Option and get access to our Preferred provider network. That includes our Basic Option, that gives you great in-network coverage with no deductible. With Open Season for federal employees running November 9 through December 14, 2020, now’s the perfect time to think about what you want from your health plan.Īt the Blue Cross and Blue Shield Federal Employee Program, we offer the coverage and benefits to help you live healthy every day. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.We give you no deductible for in-network care. Before making a final decision, please read the Plan’s federal brochure (RI 71-017). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. ![]() The formulary and/or pharmacy network may change at any time. Enrollment in MPDP depends on contract renewal The FEP Medicare Prescription Drug Program is a prescription drug plan with a Medicare contract. Your MPDP pharmacy out-of-pocket maximum is part of it, not added to it. $500 for Self Only and $1,000 for Self + One and Self & Family.Ģ Specialty drugs are limited to a 30-day supply.ģ Professional charges for facility-based intensive outpatient treatment and professional charges for outpatient diagnostic tests to include psychological testing are not part of the 10 for $10 benefit.Ĥ Please see brochure for covered lab services.ĥ You pay 30% of our allowance for agents, drugs and/or supplies you receive during your care.Ħ You must be the contract holder or spouse, 18 or older, on a FEP Blue Focus plan to earn incentive rewards.ħ You still have an overall medical out-of-pocket maximum. ^ What you’ll pay for a 30-day supply of covered drugs.ġ Deductible applies. Under FEP Blue Focus, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care.Ĭost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). $25 copay per treatment for up to 10 visits per year combined for chiropractic care and acupuncture 5Įarn a reward at no out-of-pocket cost for getting an annual physical 6 Tier 2 (Preferred Generic specialty, and Preferred brand specialty): 40% of our allowance ($350 maximum) 2 Tier 2 (Preferred brand): 40% of our allowance ($350 max) 2 Preferred Retail Pharmacy ^ Tier 1 (Generics): $5 copay $10 copay per visit for your first 10 primary and/or specialty care visits combined 5 $10 copay per visit for your first 10 primary and/or specialty care visits combined 5 In-network care only, except in certain situations like emergency care ![]() Inpatient (Precertification is required): 30% of our allowance 1ĭiagnostic services (such as sleep studies, X-rays, CT scans)Įarn a reward, such as a $150 MyBlue Wellness Card, at no out-of-pocket cost for getting an annual physical 6 Tier 2 (Preferred specialty): 40% of our allowance ( $350 maximum) 2 Tier 2 (Preferred brand): 40% of our allowance ( $350 maximum) 2 Preferred Retail Pharmacy ^: Tier 1 (Generics): $5 copay $0 for first 2 visits and all nutrition visits $10 per visit for your first 10 primary and/or specialty care visits combined medical and mental health substance use 5 Nothing for covered preventive screenings, immunizations and services
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