Federal employee program accuquest hearing centers. The health coverage of this plan does meet the minimum value standard for the benefits the plan provides. 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. Should i stick with my federal employee health benefits or. Youll find important information and resources here for federal employees with health care benefits through blue care network. Benefit plans blue cross and blue shields federal employee. When that happens, we will send you a notification and ask you to add it to your guide. Any information missing may delay processing your application.
Benefit booklets blue cross and blue shield of north carolina. 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 brochures below are links to the interactive versions of the brochures. This is a dental plan only available to bcbs service benefit plan basic or standard option enrollees. This is a summary of some of the features of the nalc health benefit plan high option. The protection of your privacy will be governed by the privacy. Before making a final decision, please read the plans federal brochures standard option and basic option. 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. Blue cross and blue shield service benefit plan 2019. All plan and rate information available on this site is applicable to current fedvip eligible federal civilian employees and retirees. Blue cross and blue shield federal employee program posts. Blue cross and blue shield federal employee program fep. Blue shield of california is an independent member of the blue shield association.
It is your responsibility to be informed about your benefits. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure. 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. Feature benefit plan brochure located at for the entire statement of fep benefits. 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. If you take advantage of service benefit plan dental benefits, you will need to complete and file a claim form for reimbursement. Your bluecard ppo benefit booklet horizon blue cross. This plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Blue cross and blue shield federal employee program. Get the most from your plan and manage your health priorities by taking advantage of these services. Updated 2020 plan information and rates will be available in october. A feeforservice plan standard and basic option with a preferred. If you take advantage of service benefit plan dental benefits, you will need to.
Standard option benefits chart blue cross and blue. A feeforservice high and standard options health plan with a preferred provider organization important rates. Log in to blue connect or call the customer service number on the back or your member id card. Page 123 this plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Get news alerts from pbs newshour turn on desktop notifications. 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.
Please read the fehb plan brochure 797ri 73that contains the complete terms of this plan. Blue cross and blue shields federal employee program. 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. Before making a final decision, please read the plans officially approved brochure ri 71. It is the largest employersponsored group health insurance program in the world, covering over 8 million federal employees, retirees. This plan has 6 enrollment regions, including international. Wrap benefits give you access to additional benefits not covered in core or noncore. Well use these icons for each of our plans throughout this booklet. 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. Benefits may vary if you have other coverage, such. 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. Refer to your plan material for the definition used by your plan. A preventive telehealth benefit for nutritional counseling is available with our preferred telehealth provider. The blue cross and blue shield association is the carrier of the plan. Please refer to the 2020 bluechoice brochure for a complete description of benefits. 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. Should i stick with my federal employee health benefits or enroll in medicare. Find, read, print, or order free medicare publications. 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. Sample employer group benefit booklets horizon blue.
The booklet is made part of the group policy, which is delivered in and governed by the laws of the state of new jersey. This benefit booklet provides a complete explanation of your benefits. The federal employees health benefits fehb program became effective in 1960. Sample employer group benefit booklets horizon blue cross. Claim forms and brochures for service benefit plan members. 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 tobacco cessation incentive program is open to members under 18 who meet the age requirements for prescribed tobacco cessation drugs. Easily view and search for specific coverage and benefit information with interactive versions of our blue cross and blue shield service benefit plan brochures. This is a brief description of the features of the geha standard option medical plan. 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. 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. Download the 2020 blue cross and blue shield service benefit plan fep blue focus brochure. 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. 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 blue cross blue shield service benefit plan has selected alegeus technologies, an independent company, to administer the myblue wellness card program. Blue cross and blue shield service benefit plan brochure opm. However, there are some things the plan doesnt cover. Stem cell transplant benefits are available for treatment of scleroderma without being in a clinical trial. Virtual doctors visits by teladoc beginning in 2020, all service benefit plan members will receive their first two telehealth visits free. Large nationwide dentist network over 300,000 access points to receive innetwork services. Some bcbsnc plan contracts specifically exclude orthotic devices from coverage.
Blue shield of california federal employee program. 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. If you also have a medicare part d plan, mhbp will coordinate benefits, but we will not waive our copayments or coinsurance. Blue cross and blue shield federal employee program, washington d. Page 123 this plans health coverage qualifies as minimum essential coverage. These include dental care, nonpreferred drugs, skilled nursing facility care, hearing aids and longterm care. A feeforservice high and standard options health plan. 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. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. Federal employees health benefits plan blue care network.
Plain language all fehb brochures are written in plain language to make them easy to understand. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochure. For help with benefits, claims, billing, id cards, and more you can go online or call us to get the help you need. 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. 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 fepblue. Before making a final decision, please read the plans officially approved brochure ri 71009.
For standard and basic option and fep blue focus plans. Existing members can use the tool today by clicking the benefits button in the fepblue app or by logging in to myblue. 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. Fep blue focus benefits chart blue cross and blue shields. All benefits are subject in every way to the entire group policy, which includes this booklet. The law, regulations and policy manual are the authoritative guidance for champva. Free preventive care from preferred providers worldwide coverage referralfree care from specialists wellness rewards and discounts yourself with. This brochure is the official statement of benefits.
See costs for typical services when you use preferred providers. The summary of benefits and coverage sbc is simple and standardized comparison document required by the patient protection and affordable care act ppaca. Fully covered preventive care well reward you if you get an annual checkup. Blue cross and blue shield federal employee program home. 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. 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. To enroll in alabama federal dentalblue you must reside in the service area of blue cross and blue shield of alabama. Detailed information on the benefits for the 2018 nalc health benefit plan high option can be found in the official brochure. Before making a final decision, please read the plans federal brochure ri 71006. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile adding advanced features. For customer service assistance, visit our web site.
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. Look for medicare, dental and vision documents below. Get a convenient summary of these coverage options. Self only or self plus one or self and family plan type. Members benefits may vary according to benefit design. Members benefit booklet for availability of benefits. Download the fepblue app access your benefits on the go. Benefit booklets blue cross and blue shield of north. Some examples of the changes as they apply to each plan are noted below. Fep blue s b f focus we have plans designed to fit every need and budget.
Box 9089 farmington hills, michigan, 483339089 claims deadline and time of payment because the amount of your benefits is not. Fehb program handbook introduction general overview. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. 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. Choose a plan below to see a sample summary of whats covered in that plan. Blue cross and blue shield service benefit plan fep. 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. All benefits are subject to the definitions, limitations, and exclusions set forth in the fehb plan brochure. Future changes in coverage will be described in either a booklet notice of change or in a new booklet.
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