This benefit booklet provides a complete explanation of your benefits. The address for the blue cross and blue shield service benefit plan administrative office is. 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. Blue cross and blue shield federal employee program home. Youll find important information and resources here for federal employees with health care benefits through blue care network. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. Members benefit booklet for availability of benefits. The protection of your privacy will be governed by the privacy.
Refer to your plan material for the definition used by your plan. 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. 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. Detailed information on the benefits for the 2018 nalc health benefit plan high option can be found in the official brochure. All plan and rate information available on this site is applicable to current fedvip eligible federal civilian employees and retirees. For help with benefits, claims, billing, id cards, and more you can go online or call us to get the help you need. 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. 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. However, there are some things the plan doesnt cover. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures.
View some of the great features and savings of the blue cross and blue shield service benefit plan ppo. Blue cross and blue shield service benefit plan fep blue. Blue cross and blue shield service benefit plan brochures below are links to the interactive versions of the brochures. 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. The booklet is made part of the group policy, which is delivered in and governed by the laws of the state of new jersey. Fully covered preventive care well reward you if you get an annual checkup. Page 123 this plans health coverage qualifies as minimum essential coverage. This plan has 6 enrollment regions, including international.
The health coverage of this plan does meet the minimum value standard for the benefits the plan provides. Get a convenient summary of these coverage options. Benefit booklets blue cross and blue shield of north. For standard and basic option and fep blue focus plans. This is a brief description of the features of the geha standard option medical plan.
A feeforservice high and standard options health plan with a preferred provider organization important rates. If you also have a medicare part d plan, mhbp will coordinate benefits, but we will not waive our copayments or coinsurance. Box 9089 farmington hills, michigan, 483339089 claims deadline and time of payment because the amount of your benefits is not. To enroll in alabama federal dentalblue you must reside in the service area of blue cross and blue shield of alabama. Should i stick with my federal employee health benefits or. Look for medicare, dental and vision documents below. For more information specifically about the benefits associated with your plan, check your policy booklet or visit the contact us section of the fepblue. 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. The federal employees health benefits fehb program became effective in 1960.
Blue cross and blue shields federal employee program. For all noncore benefits, you pay 30% of our allowance after you meet your calendar year deductible. All benefits are subject to the definitions, limitations, and exclusions set forth in the fehb plan brochure. If you take advantage of service benefit plan dental benefits, you will need to. Find, read, print, or order free medicare publications category all publications general information medicare prescription drug coverage health care choices. 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. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. Any information missing may delay processing your application. A preventive telehealth benefit for nutritional counseling is available with our preferred telehealth provider. Feature benefit plan brochure located at for the entire statement of fep benefits. Before making a final decision, please read the plans officially approved brochure ri 71009.
To learn more about blue cross and blue shields federal employee benefits, you can visit their website at. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochure. Download the 2020 blue cross and blue shield service benefit plan brochure standard and basic options. 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. 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. 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. These include dental care, nonpreferred drugs, skilled nursing facility care, hearing aids and longterm care.
Before making a final decision, please read the plans federal brochures standard option and basic option. Download the 2020 blue cross and blue shield service benefit plan fep blue focus brochure. Health plans are offered by blue shield of california. 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. Please read the fehb plan brochure 797ri 73that contains the complete terms of this plan. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features.
Blue cross and blue shield service benefit plan brochure opm. Federal employees health benefits plan blue care network. For customer service assistance, visit our web site. Plain language all fehb brochures are written in plain language to make them easy to understand. This is a summary of some of the features of the nalc health benefit plan high option. The aca establishes a minimum value for the standard of benefits of a health plan. When that happens, we will send you a notification and ask you to add it to your guide. 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. Self only or self plus one or self and family plan type. This brochure is the official statement of benefits.
Your bluecard ppo benefit booklet horizon blue cross. The summary of benefits and coverage sbc is simple and standardized comparison document required by the patient protection and affordable care act ppaca. Fehb program handbook introduction general overview. Free preventive care from preferred providers worldwide coverage referralfree care from specialists wellness rewards and discounts yourself with. Standard option benefits chart blue cross and blue. Virtual doctors visits by teladoc beginning in 2020, all service benefit plan members will receive their first two telehealth visits free. 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. Large nationwide dentist network over 300,000 access points to receive innetwork services. 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. 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. Download the fepblue app access your benefits on the go.
Wrap benefits give you access to additional benefits not covered in core or noncore. Stem cell transplant benefits are available for treatment of scleroderma without being in a clinical trial. Existing members can use the tool today by clicking the benefits button in the fepblue app or by logging in to myblue. Blue shield of california federal employee program. Washington today the blue cross and blue shield bcbs governmentwide service benefit plan, also known as the federal employee program fep, announced 2018 benefits for federal workers and retirees in the federal employees health benefits fehb program. Future changes in coverage will be described in either a booklet notice of change or in a new booklet. Fep blue focus benefits chart blue cross and blue shields. This plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides.
Should i stick with my federal employee health benefits or enroll in medicare. A feeforservice plan standard and basic option with a preferred. Fep blue s b f focus we have plans designed to fit every need and budget. See costs for typical services when you use preferred providers. 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. If you take advantage of service benefit plan dental benefits, you will need to complete and file a claim form for reimbursement. Well use these icons for each of our plans throughout this booklet. Log in to blue connect or call the customer service number on the back or your member id card. Get the most from your plan and manage your health priorities by taking advantage of these services. A feeforservice high and standard options health plan. Before making a final decision, please read the plans federal brochure ri 71006. The blue cross and blue shield association is the carrier of the plan.
Some bcbsnc plan contracts specifically exclude orthotic devices from coverage. Sample employer group benefit booklets horizon blue cross. This is a summary of the features of the blue cross and blue shield service benefit plan. 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. Blue cross and blue shield federal employee program. Some examples of the changes as they apply to each plan are noted below. The tobacco cessation incentive program is open to members under 18 who meet the age requirements for prescribed tobacco cessation drugs. All benefits are subject in every way to the entire group policy, which includes this booklet. 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. The blue cross blue shield service benefit plan has selected alegeus technologies, an independent company, to administer the myblue wellness card program. Easily view and search for specific coverage and benefit information with interactive versions of our blue cross and blue shield service benefit plan brochures. Before making a final decision, please read the plans officially approved brochure ri 71. Blue cross and blue shield federal employee program posts.
Blue cross and blue shield service benefit plan fep. Blue cross and blue shield federal employee program fep. Claim forms and brochures for service benefit plan members. Blue cross and blue shield federal employee program, washington d. Federal employee program accuquest hearing centers. Please refer to the 2020 bluechoice brochure for a complete description of benefits. 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. Benefit plans blue cross and blue shields federal employee. Blue shield of california is an independent member of the blue shield association. This is a dental plan only available to bcbs service benefit plan basic or standard option enrollees.
Members benefits may vary according to benefit design. Sample employer group benefit booklets horizon blue. Updated 2020 plan information and rates will be available in october. 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. Benefit booklets blue cross and blue shield of north carolina. It is the largest employersponsored group health insurance program in the world, covering over 8 million federal employees, retirees. Choose a plan below to see a sample summary of whats covered in that plan. Find, read, print, or order free medicare publications.
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