basic option provides coverage for preventive dental care services only, while Standard Option provides coverage for preventive dental care and some other non-routine services. FEP Blue Focus does not offer dental benefits.
Is BCBS the same as bcbs fep?
The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program® (FEP®) , has been part of the federal employees health benefits (FEHB) Program since its inception in 1960.
What is BCBS FEP blue focus?
FEP Blue Focus offers: Your first ten primary care doctor and specialist visits for just $10 each Generic prescription drug coverage And more budget-friendly benefits to keep you healthy.
What does FEP stand for in insurance?
For 60 years, the Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program —or simply FEP—has provided health insurance to the federal employee workforce. We are proud to have been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.
Is FEP blue basic a HDHP?
Non-preferred hospital at 70% of our allowance. − We now offer a high deductible health plan (HDHP) as a sub-option called basic consumer option , for members who live in certain geographic service areas (Tennessee, Ohio, Minnesota, Kansas and Missouri).
Is BCBS standard or basic better?
Both Standard Option and Basic Option offer some level of dental benefits. Basic Option provides coverage for preventive dental care services only, while Standard Option provides coverage for preventive dental care and some other non-routine services.
Does BCBS FEP cover Silver Sneakers?
As a Blue Cross Blue Shield member, your health plan may already include SilverSneakers program membership as an added benefit That means free gym access to multiple SilverSneakers fitness locations and exercise classes led by certified instructors who know how to help seniors stay fit.
Does FEP Blue Focus cover birth control?
Benefit Description Note: We waive your cost-share for generic oral and transdermal contraceptives when you purchase them at a Preferred retail pharmacy ; see section 5(f) pages 97-98.
What is the payer ID for BCBS FEP?
Claims Submission: All claims should be submitted electronically. The Electronic Payor ID for BCBSTX is 84980.
Does Fepblue cover infertility?
Benefit Description Not covered : The services listed below are not covered as treatments for infertility or as alternatives to conventional conception: Assisted reproductive technology (ART) and assisted insemination procedures, including but not limited to: Artificial insemination (AI) In vitro fertilization (IVF).
Which plan is given by BCBS for government employees?
Washington – Today the Blue Cross and Blue Shield (BCBS) Government-wide 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.
Is FEP federally funded?
The government contributes 72% of the weighted average premium of all plans, not to exceed 75% of the premium for any one plan (calculated separately for individual and family coverage).
What does enrollment code 104 mean?
Federal Employee Program (FEP) – Standard Option (enrollment code 104, 105 and 106) The Federal Employee Program (FEP) is a nationwide Federal Employees Health Benefits program administered through local Blue Cross and Blue Shield Association plans.
What health insurance do most federal employees have?
Most federal employees participate in the Federal Employees Health Benefits Program (FEHBP) , a type of federal health insurance available to non-military, federal government employees and retirees. FEHBP is administered through the Office of Personnel Management (OPM).
Is Fehb a high deductible health plan?
A high deductible health plan (HDHP) is one of the types of health insurance plans offered through the Federal Employees Health Benefits (FEHB) program An HDHP is associated with a Health Savings Account (HSA) or a Health Reimbursement Arrangement (HRA).
Are FEHB plans good?
If you still have doubts, consider that FEHB for years has been held up as a model program of employer-sponsored insurance— good coverage at a competitive cost , a wide range of plan choices, no limits or waiting periods to enroll, and a continued government contribution toward premiums for retirees at the same rate as.
Do I need to enroll in FEHB each year?
Once you enroll in a health insurance plan, your enrollment automatically continues each year, as long as you remain eligible for the program You do not have to reenroll each year.
Can FEP use copay cards?
As an FEHB Program enrollee, am I allowed to participate in pharmacy sponsored incentive programs such as prescription discount copay cards or store rewards cards? Yes.
Does Federal Blue Cross Blue Shield cover compression stockings?
Federal (Non-Medicare) Coverage: Tricare, Veterans Affairs, and Federal BCBS plans also cover, or at least partially cover, compression supplies.
What is an FEHB code?
Definition: Enrollment code of the Federal Employees Health Benefit (FEHB) in which the employee is currently enrolled The first two digits of the code indicate the health plan name. The last digit indicates the plan type, either individual or family plan.
What does enrollment code mean?
An enrollment code identifies the plan, the option (high or standard), and the type of enrollment (Self Only, Self Plus One or Self and Family) you have chosen.
Is FEP Teflon?
What is FEP? The term FEP stands for fluorinated ethylene propylene copolymer. It is produced from hexafluoropropylene and tetrafluoroethylene. The brand name for this compound is Teflon FEP.
What is basic option Medicare?
Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. 3 You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards.
What is difference between HSA and HDHP?
An HSA is a component of a High Deductible Health Plan (HDHP) You must be enrolled in an HDHP to have an HSA. An HSA is an account that you own for the purpose of paying qualified medical expenses for yourself, your spouse, and your dependents.
What is considered a high deductible health plan 2021?
An HDHP’s total yearly out-of-pocket expenses (including deductibles, copayments, and coinsurance) can’t be more than $7,050 for an individual or $14,100 for a family (This limit doesn’t apply to out-of-network services.).
How do I change my FEHB to self plus one?
* How do I enroll or change my FEHB enrollment to Self Plus One? Contact your employing/Human Resources office for assistance Some agencies use the Health Benefits Election Form (SF 2809), while others use an online self-service system such as Employee Express, MyPay, Employee Personal Page, or EBIS.
What is out of pocket maximum?
The most you have to pay for covered services in a plan year After you spend this amount on deductibles, copayments, and coinsurance for in-network care and services, your health plan pays 100% of the costs of covered benefits.
How long can dependents stay on FEHB?
You can continue this FEHB coverage until your survivor annuity ends at age 18, or age 22 if you are a full-time student You can continue coverage beyond age 18 if you are incapable of self-support because of a mental or physical disability that existed before age 18.
Do federal employees get gym discounts?
If you’re a state, federal or local worker, and you’re looking to save on joining a gym or trying out a new training regimen, then check out the ID.me Shop. After you verify your government employee status, you’ll find dozens of exclusive government employee discounts on exercise and fitness memberships , and more.
Does Fepblue cover weight loss programs?
The program permits you to obtain discounts on several drugs related to dental care, weight loss , hair removal and hair growth, and other miscellaneous health conditions.
What are Silver Sneakers benefits?
The SilverSneakers program provides health and fitness benefits for adults 65 and older It includes live online fitness classes, on-demand videos, and access to thousands of gyms across the country.
Does BCBS federal cover the shingles vaccine?
It’s covered under most plans : Most Blue Cross commercial plans cover the vaccine for no copay during your annual check-up or at a pharmacy. This can vary, so contact your health care provider before receiving the vaccine to get an accurate estimate of bottom-line costs.
Which service is provided as part of BCBS basic coverage quizlet?
BCBS coverage for the following services, in addition to basic coverage: office visits, outpatient nonsurgical treatment, physical and occupational therapy, purchase of durable medical equipment (DME), mental health visits, allergy testing and injections, prescription drugs, private duty nursing (when medically.
How do I add my spouse to FEHB?
If you already have a Self and Family enrollment, log into your BENEFEDS account at www.BENEFEDS.com (external link) and add your new spouse to your enrollment It’s best to do this immediately, so there won’t be any delay in claims or services.
How do I submit a Superbill to insurance?
Upload Superbill Through Your Insurance Company’s Portal Your insurance company may have a portal that you can use to upload the Superbill. The portal is the insurance company’s website that requires a username and password. This is the most secure way to transmit your Superbill, and the most timely.
How do I apply for reimbursement from Blue Cross Blue Shield of Illinois?
Claims may be submitted one-at-a-time by entering information directly into an online claim form on the vendor portal ; or batch claims may be submitted via your Practice Management System (check with your software vendor to ensure compatibility).
How do I file a claim with Blue Cross Blue Shield of Texas?
Any claim that can be submitted on paper can be submitted electronically If you need more information on how to submit claims electronically call 1-800-AVAILITY (282-4548) or log on to Availity.
What is BCBS FEP blue focus?
FEP Blue Focus offers: Your first ten primary care doctor and specialist visits for just $10 each Generic prescription drug coverage And more budget-friendly benefits to keep you healthy.
Does Blue Shield Cover egg freezing?
Blue Cross Blue Shield is one of the largest insurance providers in the United States, and they currently do cover egg freezing for their members They classify it as a fertility treatment that is covered under most plans, though there may be some exceptions depending on your specific policy.
Does insurance cover sperm analysis?
Most semen analyses are covered by insurance.
Is Fepblue the same as BCBS?
For 60 years, the Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program—or simply FEP —has provided health insurance to the federal employee workforce. We are proud to have been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960.
Is BCBS standard or basic better?
Both Standard Option and Basic Option offer some level of dental benefits. Basic Option provides coverage for preventive dental care services only, while Standard Option provides coverage for preventive dental care and some other non-routine services.
What does FEP mean in insurance?
Washington – Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Program ® (FEP®), introduced FEP Blue Focus SM , a new coverage option for the federal workforce and retirees in the Federal Employees Health Benefits (FEHB) Program.