WebNov 21, 2024 · 2024 FEP Service Benefit plans Standard Option and Basic Option; effective on January 1, 2024 Updated: November 10, 2024 2024 Federal Employee Program (FEP) Prior Approval/Pre-Certification List for: • Standard Option or • Basic Option Please note: There is a separate Prior Approval/Pre-Certification list for the FEP … WebSection 6. General Exclusions - Services, Drugs, and Supplies We Do Not Cover. Section 7. Filing a Claim for Covered Services. Section 8. The Disputed Claims Process. Section 9. Coordinating Benefits With Medicare and Other Coverage. Section 10.
Blue Cross and Blue Shield Service Benefit Plan
WebBasic Option and Standard Option each have five drug tiers. FEP Blue Focus has only two drug tiers. FEP Blue Focus Tier 1: Preferred Generic Drugs Typically the most affordable drug type, and are equal to their brand name counterparts in quality, performance characteristics and intended use. Tier 2: Preferred Brand Name Drugs WebBasic Option and FEP Blue Focus members must see Preferred providers. Primary Care Visits Inpatient Hospital ER – Medical Emergency Specialist Visits Outpatient Hospital Lab Work (lab tests and EKGs) Virtual Doctor Visits Surgery Diagnostic Services (X-rays, CT scans) Urgent Care Centers ER – Accidental Injury Learn More eak hockey tournament
2024 Federal Employee Program (FEP) Prior Approval/Pre …
WebSep 1, 2024 · This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: RI 71-017). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures. WebBasic Option Basic Option does not have a calendar year deductible. Most services are subject to copayments ($30 for primary care providers and $40 for specialists). You must use Preferred providers for your care to be eligible for benefits, except in certain circumstances, such as emergency care. WebBasic Option members who have Medicare Part A and Part B can get reimbursed up to $800 a year for paying their Medicare Part B premiums. Learn More Download the Guide It’s important to understand all of your options. Our guide can help you learn more about combining Medicare coverage with FEP. eakey