Aug 28, 2012 i am 61 and a federal employee with fepblue. The federal employees health benefits fehb program became effective in 1960. Preventive care you pay nothing you pay nothing physician care. Metlife fedvip dental plan metlife fedvip plan details. New york next year, the specialty pharmacy services contract for the blue cross and blue shield federal employee program fep is slated to pass from cvs health to prime therapeutics llc. Order handbook opens a new tab download handbook pdf, 4. Benefit plans blue cross and blue shields federal employee. 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. Get access to your statements, health records, provider. Federal employee program blue cross and blue shield of.
You can also learn more about our 2014 benefits and valueadded programs on our website. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. State health plan benefit booklet by logging in to my insurance manager on our website or. Find out more about myblue and how to access your personal information. Summary of medicare benefits, coverage options, rights and protections, and answers to the most frequently asked questions about medicare.
Fep 5 tier rx drug formulary 607 standard option effective. Please contact metlife or view the 2020 metlife federal. The new program begins in 2016, but the open season for those wanting to switch to the new plan is coming up soon. Benefit changes are effective january 1, 2016, and changes are. Precertification requirements for members covered under the federal employee benefit plan the federal employee benefit program fep requires precertification for the following services. It is the largest employersponsored group health insurance program in the world, covering over 8 million federal employees, retirees. It is your responsibility to be informed about your benefits. The nonpersonally identifiable information we gather in aggregate form may be used to improve our site, and we may share that information with our health and wellness sponsors. Guide to health plans for federal employees, 2020 fehb. You do not have a right to benefits that were available before january 1, 2015, unless those benefits are also shown in this brochure. Information for brokers, employers, and providers, as well as links to consumer health and wellness sites. A feeforservice plan standard and basic option with a. Blue cross and blue shield service benefit plan medicaid.
Members do not have a right to benefits that were available before january 1, 2016, unless those benefits are also shown in the 2016 plan brochure. You do not have a right to benefits that were available before january 1, 2016, unless those benefits are also shown in this brochure. Ltcfeds the federal long term care insurance program fltcip. Butthereismoreto healthinsurancethanjustbenefitsandpremiums. If you are enrolled in this plan, you are entitled to. It doesnt list every service that we cover or list every limitation or exclusion. A health maintenance organization high option important rates. Freedom blue ppo 2016 summary of benefits western pennsylvania. Determine where to mail your claim by consulting the claims washington claims submission map and following the instructions. No oral statement can modify or otherwise affect the benefits, limitations, and exclusions of this brochure.
Contact us if you have a specific alabamarelated question or would like additional information about the products and services available through the. Blue cross and blue shield federal employee program. Fep 5 tier managed rx drug formulary 807 basic option. Members can also call the national information center at 1800411blue 2583 for additional benefits information. Additional information regarding fep can be found at. Our 2020 military retiree member education is a quick summary of our benefits. Summary of benefits january 1, 2016 december 31, 2016 this booklet gives you a summary of what we cover and what you pay. The house of representatives returned to capitol hill on friday to pass a resolution h. A number of readers have been wondering about the selfplusone health insurance options for federal employees and retirees. The carrier proposals are due on sunday may 31, 2020. Our 2020 member education is a quick summary of our benefits. Federal employees health benefits plan blue care network. If a tasty meal makes you feel better, it might not be your imagination. Family coverage, each eligible family member is also entitled to these benefits.
Special beginnings delivers the pregnancy and newborn. Self only or self plus one or self and family plan type. Discover the benefits and personalized services available to your family. Benefit changes are effective january 1, 2016, and changes are summarized on pages. Make copies of relevant billing and benefits statements from the provider. For a list of providers, please visit the fep provider directory. East 18662297389 west 18883850235 refill system 18883701699. Open season starts on november 9, 2015 and ends on december 14, 2015. Basic option benefits chart blue cross and blue shields. Maryland and wdc offers healthcare insurance to residents of maryland and washington, dc.
Choosing the best surgeon can reduce your chances of death, complications, or other bad outcomes. Precertification requirements federal employee benefit. Fehb program handbook introduction general overview. So standard option benefit bo basic option benefit bf fep blue focus benefit icon key all of our. The blue cross and blue shield service benefit plan, also known as the federal employee plan fep, has been part of the federal employees health benefits program fehbp since its inception in 1960. Guide to health plans for federal employees, 2020 fehb open. Benefits are subject to the terms, limitations and conditions of the contract. Also this year, some uniformed service members and their dependents are eligible to enroll in fep. Lasik results improve your vision to reduce and in most cases eliminate the need for eyeglasses or contact lenses read more.
These are specific to blue cross and blue shield bcbs feeforservice benefit plan under the fehbp program. Follow these icons throughout the book to identify which plans include which benefits. Bcbs specialty rx fep contract to shift from cvs to prime. This brochure describes the benefits of fep bluedental under the blue cross and. With excellent medical coverage included in the various fehb plans, there is no apparent. Page 69 this plans health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. Federal employee program blue cross and blue shield of alabama. If you would like to talk to someone about your questions, you can call our open season information center at 1800411blue beginning october 21 through december 20, 20. Office of personnel management opm released its call letter for 2021 fehbp benefit and rate proposals today. Coordination of benefits we do not coordinate benefits with nonfehb health plans. Fehb health insurance fehb rates federal employee health. Blue cross and blue shields federal employee program.
For a list of preferred providers and dentists in alabama, please visit blue cross and blue shield of alabama doctor finder. Blue cross and blue shield federal employee program, washington d. The service benefit plan continues to offer two plan options. Basic option members must fill prescriptions at a preferred retail pharmacy, your benefits are not available outside the preferred network. To get a complete list of services we cover, call us and ask for the evidence of coverage. Benefit changes are effective january 1, 2015, and changes are. Posted by david ermer categorized in congress, federal employment benefits, uncategorized february 10, 2020. This brochure is the official statement of benefits. Blue cross and blue shield federal employee program fep. Request an updated retirement benefits booklet may 2nd, 2020. Meeting handbook for providers bluechoice healthplan.
It offers the same comprehensive coverage, including a stayathome benefit and home care provided by friends and family, with added premium stability. Nonpublic personal health or financial information concerning any persons covered under our dental benefits plans will not be disclosed to third parties not affiliated with us except as necessary to process claims for dental services provided to our members or as permitted by law. Mix more of these herbs and spices into your diet for added health benefits. Lasik surgery is a fda approved procedure, and it is performed to correct nearsightedness, farsightedness and astigmatism. Our newest plan, fep blue focus, covers preferred providers with a low deductible. The federal employees health benefit fehb program provides. This is a summary of the features of the 2016 blue cross and blue shield service bene. Enroll in special beginnings between march 15, 2016 and may 31, 2016 and additionally, you may be eligible to earn rewards chosen for you by target one of americas favorite retailers. There are 2 main ways to get your medicare coverageoriginal medicare and medicare advantage. Home blue cross and blue shields federal employee program.
Before making a final decision, please read the plans federal brochure ri 71005. Our 2019 materials can be accessed by clicking on the links below. If you have further questions, call customer service at 18555042583 in the u. Spices like turmeric can pack serious health benefits. Supply is limited and provided on a firstcome, first served basis. Federal employees lasik eye surgery program qualsight lasik.
This is a summary of the features of the blue cross and blue shield service benefit plan. See section 3 for the number of the servicing center for your state. View exceptions for ambulance, durable medical equipment dme, laboratory services and pharmacy. The protection of your privacy will be governed by the privacy policy of that site. 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.
Members do not have a right to benefits that were available before january 1, 2016, unless those benefits are also shown in. Opm announced that the 2016 fehb premiums will increase an average. Fep bluedental offers high option and standard option plans. Additional information about 2016 benefits is available on feps website at starting nov. If you are enrolled in this plan, you are entitled to the benefits described in this brochure. Blue cross newsletter november 9, 2015 2016 federal. Like most group benefits programs, benefit programs offered by metlife and its affiliates contain certain exclusions, exceptions, reductions, limitations, waiting periods, and terms for keeping them in force. 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. Fep 5 tier managed rx drug formulary 807 basic option effective november 26, 2019. Fehb self plus one a major disappointment federal employees. Precertification requirements federal employee benefit plan fep. About blue cross blue shield association the blue cross and blue shield association is a national federation of 36 independent, communitybased and locally operated blue cross and blue shield companies that collectively provide. The federal employees heath blog feh blog by ermer.
We maintain physical, electronic, and procedural safeguards. If the member enrolls in self plus one coverage, the member and one eligible family member that the member designates at enrollment are entitled to these benefits. Starting in 2016, all fehb plans your health insurance plans will offer a self only. Blue cross and blue shield federal employee program home. Our standard option provides benefits for in and outofnetwork providers with a low deductible. Fep 5 tier rx drug formulary 607 standard option effective november 26, 2019. Only the contract holder or spouse, 18 or older, who complete the bha in the calendar year are eligible to participate in the wellness incentive program. Posted on november 19, 2016 by beth caldwell if youve been following me on twitter, then youll know already that the blue cross blue shield federal employee program denied my appeal of their denial of my combination therapy. In most cases, lasik is painless and completed within several minutes per eye. 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. To maximize the benefits offered through both fep options always use innetwork providers.
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