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MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
CLAIM FORMS
Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment PRESCRIPTIONS & FORMULARY Prescriptions & Formulary. Understand how our coverage works with different types of prescriptions. The formulary is a list of your covered prescription drugs. It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, willlower your out
SPECIALTY DRUG PHARMACY PROGRAM If you would like to begin using the Specialty Drug Pharmacy Program simply call AllianceRx Walgreens Prime toll-free at 1-888-346-3731 from 7:00 a.m. – 9:00 p.m. Eastern time, Monday-Friday and 8:00 a.m. – 6:30 p.m. Eastern time, Saturday and Sunday. A member of the Specialty Drug Pharmacy team will assist you with the transition toensure
- BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 2021 Benefits & Rates: Service Benefit Plan. Preview the changes and updates to the Blue Cross and Blue Shield Service Benefit Plan.TIER EXCEPTION FORM
Prescriber Certification: I certify that I am the physician and all information provided on this form to be true and correct to the best of my knowledge and belief. MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail.DENTAL CLAIM FORM
CUT0131-1S Rev. 2/09 DENTAL CLAIM FORM CUT0131-1S 12/13 Use this claim form to submit a claim for services which are covered under yourdental program.
MEDICARE REIMBURSEMENT ACCOUNT CLAIM FORM AND INSTRUCTIONS MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM INSTRUCTIONS HOW TO SUBMIT CLAIMS BY FAX OR MAIL Proof of premium payment (such as a cleared check, bank statement, or credit card HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
CLAIM FORMS
Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment PRESCRIPTIONS & FORMULARY Prescriptions & Formulary. Understand how our coverage works with different types of prescriptions. The formulary is a list of your covered prescription drugs. It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, willlower your out
SPECIALTY DRUG PHARMACY PROGRAM If you would like to begin using the Specialty Drug Pharmacy Program simply call AllianceRx Walgreens Prime toll-free at 1-888-346-3731 from 7:00 a.m. – 9:00 p.m. Eastern time, Monday-Friday and 8:00 a.m. – 6:30 p.m. Eastern time, Saturday and Sunday. A member of the Specialty Drug Pharmacy team will assist you with the transition toensure
- BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 2021 Benefits & Rates: Service Benefit Plan. Preview the changes and updates to the Blue Cross and Blue Shield Service Benefit Plan.TIER EXCEPTION FORM
Prescriber Certification: I certify that I am the physician and all information provided on this form to be true and correct to the best of my knowledge and belief. MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail.DENTAL CLAIM FORM
CUT0131-1S Rev. 2/09 DENTAL CLAIM FORM CUT0131-1S 12/13 Use this claim form to submit a claim for services which are covered under yourdental program.
MEDICARE REIMBURSEMENT ACCOUNT CLAIM FORM AND INSTRUCTIONS MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM INSTRUCTIONS HOW TO SUBMIT CLAIMS BY FAX OR MAIL Proof of premium payment (such as a cleared check, bank statement, or credit card HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Home - Blue Cross and Blue Shield's Federal Employee Program. NEW FOR 2021. BENEFIT UPDATES. AND CHANGES. Check out the new benefits for the Blue Cross. and Blue Shield Service Benefit Plan in 2021. Learn More.OPEN SEASON.
- BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 1.01.30 Artificial Pancreas Device Systems. 1.01.35 Prescription Digital Therapeutics for Substance Abuse. 1.03.04 Powered Exoskeleton for Ambulation in Patients with Lower-Limb Disabilities. 1.04.04 Myoelectric Prosthetic and Orthotic Components for the Upper Limb. 1.04.05 Microprocessor-Controlled Prostheses for the Lower Limb. FEP BASIC OPTION PLAN BENEFITS CHART Earn $50 for completing the Blue Health Assessment 3. Earn up to $120 for completing three eligible Online Health Coach goals 3. Basic Option. Network Coverage. In-network care only, except in certain situations like emergency care. Out-of-Pocket Maximum (PPO) Self Only: $5,500. Self + One and Self & Family: $11,000. Annual Deductible.24/7 NURSE LINE
The Nurse Line has well-trained and caring professionals ready to help you 24/7. Millions of Service Benefit Plan members have reached out to our free 24/7 Nurse Line for advice and guidance on medical symptoms, healthy living, management of chronic conditions, preventive care and more. With an average of 15 years patient care experience and STANDARD OPTION BENEFITS CHART Standard Option Non-PPO Benefit * – You Pay: Office visits and outpatient consultations. $25 office visit copay for primary care provider. $35 office visit copay for specialist. 35% of our allowance †. Routine exams and other preventive care services. Nothing for covered services. 35%DIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach. MATERNITY - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE The Pregnancy Care Incentive Program* offers expectant mothers support and incentives throughout their pregnancy. After completing the Blue Health Assessment and verifying your first prenatal visit with your healthcare provider, you’ll be eligible to earn a Pregnancy Care Box with items that can support you during your pregnancy and $75 on FITNESS YOUR WAY DISCOUNTS Enroll and pay the $29 initiation fee and $29 monthly membership fee* (Note: Payment is made online when you enroll. You cannot enroll directly with the fitness center.) You can also enroll by phone by calling (888) 242-2060, Monday through Friday, 8 a.m.– 8 p.m., Eastern Time. *Taxes may apply. RETAIL PRESCRIPTION DRUG CLAIM FORM SERVICE BENEFIT PLAN Instructions 1. Please complete a separate claim form for each patient and each pharmacy. Each claim form must besigned. 2. If this is a compound claim, enter the National Drug Code (NDC), metric quantity and cost of each individual MEDICARE REIMBURSEMENT ACCOUNT CLAIM FORM AND INSTRUCTIONS MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM INSTRUCTIONS HOW TO SUBMIT CLAIMS BY FAX OR MAIL Proof of premium payment (such as a cleared check, bank statement, or credit card HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
CLAIM FORMS
Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment PRESCRIPTIONS & FORMULARY Prescriptions & Formulary. Understand how our coverage works with different types of prescriptions. The formulary is a list of your covered prescription drugs. It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, willlower your out
SPECIALTY DRUG PHARMACY PROGRAM If you would like to begin using the Specialty Drug Pharmacy Program simply call AllianceRx Walgreens Prime toll-free at 1-888-346-3731 from 7:00 a.m. – 9:00 p.m. Eastern time, Monday-Friday and 8:00 a.m. – 6:30 p.m. Eastern time, Saturday and Sunday. A member of the Specialty Drug Pharmacy team will assist you with the transition toensure
- BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 2021 Benefits & Rates: Service Benefit Plan. Preview the changes and updates to the Blue Cross and Blue Shield Service Benefit Plan.TIER EXCEPTION FORM
Prescriber Certification: I certify that I am the physician and all information provided on this form to be true and correct to the best of my knowledge and belief. MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail.DENTAL CLAIM FORM
CUT0131-1S Rev. 2/09 DENTAL CLAIM FORM CUT0131-1S 12/13 Use this claim form to submit a claim for services which are covered under yourdental program.
MEDICARE REIMBURSEMENT ACCOUNT CLAIM FORM AND INSTRUCTIONS MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM INSTRUCTIONS HOW TO SUBMIT CLAIMS BY FAX OR MAIL Proof of premium payment (such as a cleared check, bank statement, or credit card HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
CLAIM FORMS
Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment PRESCRIPTIONS & FORMULARY Prescriptions & Formulary. Understand how our coverage works with different types of prescriptions. The formulary is a list of your covered prescription drugs. It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, willlower your out
SPECIALTY DRUG PHARMACY PROGRAM If you would like to begin using the Specialty Drug Pharmacy Program simply call AllianceRx Walgreens Prime toll-free at 1-888-346-3731 from 7:00 a.m. – 9:00 p.m. Eastern time, Monday-Friday and 8:00 a.m. – 6:30 p.m. Eastern time, Saturday and Sunday. A member of the Specialty Drug Pharmacy team will assist you with the transition toensure
- BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 2021 Benefits & Rates: Service Benefit Plan. Preview the changes and updates to the Blue Cross and Blue Shield Service Benefit Plan.TIER EXCEPTION FORM
Prescriber Certification: I certify that I am the physician and all information provided on this form to be true and correct to the best of my knowledge and belief. MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail.DENTAL CLAIM FORM
CUT0131-1S Rev. 2/09 DENTAL CLAIM FORM CUT0131-1S 12/13 Use this claim form to submit a claim for services which are covered under yourdental program.
MEDICARE REIMBURSEMENT ACCOUNT CLAIM FORM AND INSTRUCTIONS MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM INSTRUCTIONS HOW TO SUBMIT CLAIMS BY FAX OR MAIL Proof of premium payment (such as a cleared check, bank statement, or credit card HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Home - Blue Cross and Blue Shield's Federal Employee Program. NEW FOR 2021. BENEFIT UPDATES. AND CHANGES. Check out the new benefits for the Blue Cross. and Blue Shield Service Benefit Plan in 2021. Learn More.OPEN SEASON.
- BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 1.01.30 Artificial Pancreas Device Systems. 1.01.35 Prescription Digital Therapeutics for Substance Abuse. 1.03.04 Powered Exoskeleton for Ambulation in Patients with Lower-Limb Disabilities. 1.04.04 Myoelectric Prosthetic and Orthotic Components for the Upper Limb. 1.04.05 Microprocessor-Controlled Prostheses for the Lower Limb. FEP BASIC OPTION PLAN BENEFITS CHART Earn $50 for completing the Blue Health Assessment 3. Earn up to $120 for completing three eligible Online Health Coach goals 3. Basic Option. Network Coverage. In-network care only, except in certain situations like emergency care. Out-of-Pocket Maximum (PPO) Self Only: $5,500. Self + One and Self & Family: $11,000. Annual Deductible.24/7 NURSE LINE
The Nurse Line has well-trained and caring professionals ready to help you 24/7. Millions of Service Benefit Plan members have reached out to our free 24/7 Nurse Line for advice and guidance on medical symptoms, healthy living, management of chronic conditions, preventive care and more. With an average of 15 years patient care experience and STANDARD OPTION BENEFITS CHART Standard Option Non-PPO Benefit * – You Pay: Office visits and outpatient consultations. $25 office visit copay for primary care provider. $35 office visit copay for specialist. 35% of our allowance †. Routine exams and other preventive care services. Nothing for covered services. 35%DIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach. MATERNITY - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE The Pregnancy Care Incentive Program* offers expectant mothers support and incentives throughout their pregnancy. After completing the Blue Health Assessment and verifying your first prenatal visit with your healthcare provider, you’ll be eligible to earn a Pregnancy Care Box with items that can support you during your pregnancy and $75 on FITNESS YOUR WAY DISCOUNTS Enroll and pay the $29 initiation fee and $29 monthly membership fee* (Note: Payment is made online when you enroll. You cannot enroll directly with the fitness center.) You can also enroll by phone by calling (888) 242-2060, Monday through Friday, 8 a.m.– 8 p.m., Eastern Time. *Taxes may apply. RETAIL PRESCRIPTION DRUG CLAIM FORM SERVICE BENEFIT PLAN Instructions 1. Please complete a separate claim form for each patient and each pharmacy. Each claim form must besigned. 2. If this is a compound claim, enter the National Drug Code (NDC), metric quantity and cost of each individual MEDICARE REIMBURSEMENT ACCOUNT CLAIM FORM AND INSTRUCTIONS MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM INSTRUCTIONS HOW TO SUBMIT CLAIMS BY FAX OR MAIL Proof of premium payment (such as a cleared check, bank statement, or credit card HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Home - Blue Cross and Blue Shield's Federal Employee Program. NEW FOR 2021. BENEFIT UPDATES. AND CHANGES. Check out the new benefits for the Blue Cross. and Blue Shield Service Benefit Plan in 2021. Learn More.OPEN SEASON.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
FIND A DOCTOR
In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes 96% of hospitals, 95% of doctors and over 60,000 retail pharmacies in the U.S. You also never need a FEP STANDARD OPTION PLAN Self + 1 (106) $273.62. $252.06. Self & Family (105) $292.31. $268.89. These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.PRIOR APPROVAL
If you do not obtain prior approval, there may be a reduction or denial of your benefit. These medical services may require prior approval: Inpatient hospital admission. Inpatient residential treatment center admission. Skilled nursing facility admission. Other services, including but not limited to: Radiology (MRI, CT scans, PETscans)
FEP FORMULARY
Standard Option Basic Option FEP Blue Focus; Preferred Retail Pharmacy Tier 1 (Generics): $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply Tier 2 (Preferred brand): 30% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Preferred specialty): 30% of our allowance Tier 5 (Non-preferred specialty): 30% of our allowanceDIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach. THE DIABETES MANAGEMENT PROGRAM BY LIVONGO The Diabetes Management Program by Livongo is available to all Standard and Basic Option members, including spouses, dependents, retirees, Medicare recipients and those living overseas with at least one medical or pharmacy claim incurred in 2020 or 2021 with a diagnosis of type 1 or type 2 diabetes. If you have questions aboutthis program
MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail. HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Home - Blue Cross and Blue Shield's Federal Employee Program. NEW FOR 2021. BENEFIT UPDATES. AND CHANGES. Check out the new benefits for the Blue Cross. and Blue Shield Service Benefit Plan in 2021. Learn More.OPEN SEASON.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
FIND A DOCTOR
In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes 96% of hospitals, 95% of doctors and over 60,000 retail pharmacies in the U.S. You also never need a FEP STANDARD OPTION PLAN Self + 1 (106) $273.62. $252.06. Self & Family (105) $292.31. $268.89. These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.PRIOR APPROVAL
If you do not obtain prior approval, there may be a reduction or denial of your benefit. These medical services may require prior approval: Inpatient hospital admission. Inpatient residential treatment center admission. Skilled nursing facility admission. Other services, including but not limited to: Radiology (MRI, CT scans, PETscans)
FEP FORMULARY
Standard Option Basic Option FEP Blue Focus; Preferred Retail Pharmacy Tier 1 (Generics): $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply Tier 2 (Preferred brand): 30% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Preferred specialty): 30% of our allowance Tier 5 (Non-preferred specialty): 30% of our allowanceDIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach. THE DIABETES MANAGEMENT PROGRAM BY LIVONGO The Diabetes Management Program by Livongo is available to all Standard and Basic Option members, including spouses, dependents, retirees, Medicare recipients and those living overseas with at least one medical or pharmacy claim incurred in 2020 or 2021 with a diagnosis of type 1 or type 2 diabetes. If you have questions aboutthis program
MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail.FIND A DOCTOR
Procedure Cost Estimates. With the National Doctor and Hospital Finder, you can see how much a provider typically charges for a procedure.*. Now you can access procedure cost information through MyBlue ® or the fepblue app. Avoid surprise bills when booking your appointments by comparing estimated costs from an extensive list ofproviders.
CLAIM FORMS
Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment PRESCRIPTIONS & FORMULARY Prescriptions & Formulary. Understand how our coverage works with different types of prescriptions. The formulary is a list of your covered prescription drugs. It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, willlower your out
DIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach.24/7 NURSE LINE
The Nurse Line has well-trained and caring professionals ready to help you 24/7. Millions of Service Benefit Plan members have reached out to our free 24/7 Nurse Line for advice and guidance on medical symptoms, healthy living, management of chronic conditions, preventive care and more. With an average of 15 years patient care experience and - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 2021 Benefits & Rates: Service Benefit Plan. Preview the changes and updates to the Blue Cross and Blue Shield Service Benefit Plan. FITNESS YOUR WAY DISCOUNTS Enroll and pay the $29 initiation fee and $29 monthly membership fee* (Note: Payment is made online when you enroll. You cannot enroll directly with the fitness center.) You can also enroll by phone by calling (888) 242-2060, Monday through Friday, 8 a.m.– 8 p.m., Eastern Time. *Taxes may apply. WELLNESS INCENTIVE PROGRAM You'll receive $40 for each eligible goal you complete, up to three for $120 total. All three goals must be completed within the calendar year. Any rewards earned will be loaded on to your MyBlue Wellness Card. You can use these funds for qualified medical expenses such as copayments and prescriptions.MEDICAL POLICIES
Medical Policies. The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM Submit your completed claim via toll-free fax: (877) 353-9236 OR mail: Claims Administrator, PO Box 14053 Lexington, KY 40512 I certify that the information on this form is accurate and complete. I am requesting reimbursement for Medicare Part B premium expenses I incurred HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMBLUE CROSS AND BLUE SHIELD FEPBLUE CROSS AND BLUE SHIELD PROVIDER Home - Blue Cross and Blue Shield's Federal Employee Program. NEW FOR 2021. BENEFIT UPDATES. AND CHANGES. Check out the new benefits for the Blue Cross. and Blue Shield Service Benefit Plan in 2021. Learn More.OPEN SEASON.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
FIND A DOCTOR
In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes 96% of hospitals, 95% of doctors and over 60,000 retail pharmacies in the U.S. You also never need a FEP STANDARD OPTION PLAN Self + 1 (106) $273.62. $252.06. Self & Family (105) $292.31. $268.89. These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.PRIOR APPROVAL
If you do not obtain prior approval, there may be a reduction or denial of your benefit. These medical services may require prior approval: Inpatient hospital admission. Inpatient residential treatment center admission. Skilled nursing facility admission. Other services, including but not limited to: Radiology (MRI, CT scans, PETscans)
FEP FORMULARY
Standard Option Basic Option FEP Blue Focus; Preferred Retail Pharmacy Tier 1 (Generics): $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply Tier 2 (Preferred brand): 30% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Preferred specialty): 30% of our allowance Tier 5 (Non-preferred specialty): 30% of our allowanceDIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach. THE DIABETES MANAGEMENT PROGRAM BY LIVONGO The Diabetes Management Program by Livongo is available to all Standard and Basic Option members, including spouses, dependents, retirees, Medicare recipients and those living overseas with at least one medical or pharmacy claim incurred in 2020 or 2021 with a diagnosis of type 1 or type 2 diabetes. If you have questions aboutthis program
MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail. HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMMYBLUE2020 OPEN SEASON OVERVIEWWHAT'S NEW FOR 2021HOW TO ENROLLFIND AN EVENT Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives and much more. Members with Medicare Part A and Part B can get up to $800back a year.
HOME - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAMBLUE CROSS AND BLUE SHIELD FEPBLUE CROSS AND BLUE SHIELD PROVIDER Home - Blue Cross and Blue Shield's Federal Employee Program. NEW FOR 2021. BENEFIT UPDATES. AND CHANGES. Check out the new benefits for the Blue Cross. and Blue Shield Service Benefit Plan in 2021. Learn More.OPEN SEASON.
MYBLUE - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM Terms and conditions for our partners' websites are available in the column above on the left. By clicking the 'I Agree' button below, you are agreeing to FEP/MyBlue and its partners' terms and conditions, which can be found on this page. The "I Agree" button will be enabledonce
FIND A DOCTOR
In-Network Providers. Use our National Doctor and Hospital Finder tool to see if your doctor is in our network or to find a doctor, specialist or urgent care center near you. Our network includes 96% of hospitals, 95% of doctors and over 60,000 retail pharmacies in the U.S. You also never need a FEP STANDARD OPTION PLAN Self + 1 (106) $273.62. $252.06. Self & Family (105) $292.31. $268.89. These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.PRIOR APPROVAL
If you do not obtain prior approval, there may be a reduction or denial of your benefit. These medical services may require prior approval: Inpatient hospital admission. Inpatient residential treatment center admission. Skilled nursing facility admission. Other services, including but not limited to: Radiology (MRI, CT scans, PETscans)
FEP FORMULARY
Standard Option Basic Option FEP Blue Focus; Preferred Retail Pharmacy Tier 1 (Generics): $7.50 copay for up to a 30-day supply; $22.50 copay for a 31 to 90-day supply Tier 2 (Preferred brand): 30% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Preferred specialty): 30% of our allowance Tier 5 (Non-preferred specialty): 30% of our allowanceDIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach. THE DIABETES MANAGEMENT PROGRAM BY LIVONGO The Diabetes Management Program by Livongo is available to all Standard and Basic Option members, including spouses, dependents, retirees, Medicare recipients and those living overseas with at least one medical or pharmacy claim incurred in 2020 or 2021 with a diagnosis of type 1 or type 2 diabetes. If you have questions aboutthis program
MEDICARE REIMBURSEMENT ACCOUNT (MRA) MEDICARE REIMBURSEMENT fepblue.org ACCOUNT CLAIMS SUBMITTING A CLAIM There are four ways to submit your claim: online, via the EZ Receipts app, by fax or by mail.FIND A DOCTOR
Procedure Cost Estimates. With the National Doctor and Hospital Finder, you can see how much a provider typically charges for a procedure.*. Now you can access procedure cost information through MyBlue ® or the fepblue app. Avoid surprise bills when booking your appointments by comparing estimated costs from an extensive list ofproviders.
CLAIM FORMS
Health Benefits Election Form (SF 2809 Form) To enroll, reenroll, or to elect not to enroll in the FEHB Program, or to change, cancel or suspend your FEHB enrollment PRESCRIPTIONS & FORMULARY Prescriptions & Formulary. Understand how our coverage works with different types of prescriptions. The formulary is a list of your covered prescription drugs. It includes generic, brand name, and specialty drugs as well as Preferred drugs that, when selected, willlower your out
DIABETES MANAGEMENT
Our Diabetes Management Program by Livongo can help Standard and Basic Option members with diabetes manage their condition. Livongo is a comprehensive, no-cost diabetes program that provides: An advanced blood glucose meter. Unlimited test strips and lancets. One-on-one coaching and support from a diabetes coach.24/7 NURSE LINE
The Nurse Line has well-trained and caring professionals ready to help you 24/7. Millions of Service Benefit Plan members have reached out to our free 24/7 Nurse Line for advice and guidance on medical symptoms, healthy living, management of chronic conditions, preventive care and more. With an average of 15 years patient care experience and - BLUE CROSS AND BLUE SHIELD'S FEDERAL EMPLOYEE PROGRAM 2021 Benefits & Rates: Service Benefit Plan. Preview the changes and updates to the Blue Cross and Blue Shield Service Benefit Plan. FITNESS YOUR WAY DISCOUNTS Enroll and pay the $29 initiation fee and $29 monthly membership fee* (Note: Payment is made online when you enroll. You cannot enroll directly with the fitness center.) You can also enroll by phone by calling (888) 242-2060, Monday through Friday, 8 a.m.– 8 p.m., Eastern Time. *Taxes may apply. WELLNESS INCENTIVE PROGRAM You'll receive $40 for each eligible goal you complete, up to three for $120 total. All three goals must be completed within the calendar year. Any rewards earned will be loaded on to your MyBlue Wellness Card. You can use these funds for qualified medical expenses such as copayments and prescriptions.MEDICAL POLICIES
Medical Policies. The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual MEDICARE REIMBURSEMENT ACCOUNT (MRA) CLAIM FORM Submit your completed claim via toll-free fax: (877) 353-9236 OR mail: Claims Administrator, PO Box 14053 Lexington, KY 40512 I certify that the information on this form is accurate and complete. I am requesting reimbursement for Medicare Part B premium expenses I incurred Skip to main contentMyBlue®:
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* Please tell us about yourself (or the primary plan holder) * We'll guide you to the right place Interested in BCBS FEP New BCBS FEP Member Existing BCBS FEP Member Which plan do you have? Standard Option Basic Option FEP Blue Focus Thanks for being a member! We're proud to continue being your partner in health. Standard Option We'd suggest starting in one of these areas: See What's New in 2021 Access Member-Only Resources with MyBlue Learn About Incentives &Discounts
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Up for Our Email Newsletter Have you registered for MyBlue? Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives andmuch more.
Basic Option We'd suggest starting in one of these areas: See What's New in 2021 Access Member-Only Resources with MyBlue Learn About Incentives &Discounts
Register for a Medicare Reimbursement Account Members with Medicare Part A and Part B can get up to $800 back ayear.
Have you registered for MyBlue? Get the most out of your coverage this year with 24/7 access to tools and resources that help you manage your claims, earn incentives andmuch more.
FEP Blue Focus We'd suggest starting in one of these areas: See What's New in 2021 Access Member-Only Resources with MyBlue Learn About Rewards &Discounts
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Which plan do you have? Standard Option Basic Option FEP Blue FocusWelcome!
Thanks for becoming a member of BCBS FEP. We're excited to be yourpartner in health.
Standard Option We'd suggest starting in one of these areas: Explore Your Coverage & Benefits EarnRewards with MyBlue
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Basic Option We'd suggest starting in one of these areas: Explore Your Coverage & Benefits EarnRewards with MyBlue
Download the fepblue app Get More with MyBlue Manage your account and get access to member-only resources.Learn More
FEP Blue Focus We'd suggest starting in one of these areas: Explore Your Coverage & Benefits Earn Rewards with MyBlue Download the fepblue app Get More with MyBlue Manage your account and get access to member-only resources.Learn More
Please tell us a bit more about yourself: I'm a Brand New Federal Employee I'm a Retired Federal Employee I've Been a Federal Employee for More Than 1 Year I'm a Retired UniformedServices Member
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Have questions? We're here with answers. Contact Us Interested in BCBS FEP: Federal Employee for More Than 1 Year We'd suggest starting in one of these areas: Explore Our Plans Compare Our Plans Side-by-Side Get a Plan Recommendation See If Your Doctor is inOur Network
Have questions? We're here with answers. Contact Us WELCOME TO THE #1 HEALTH INSURANCE CHOICE for federal employees, retirees and their families.Explore Our Plans
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WHAT'S NEW IN 2021
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FEDS IN MOTION 35 CHALLENGE Complete 35 miles in 35 days for the Federal Employee Education and Assistance Fund’s Feds in Motion 35 Challenge and support federal employees and their families in need.Learn More
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PROTECT YOUR CHILD'S HEALTH Keeping your child up to date on vaccinations is one the best things you can do for their health. Routine vaccines are available at no cost when you use a Preferred provider or a Preferred retail pharmacy.Learn More
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CORONAVIRUS RESOURCE CENTER Here's what you need to know about the disease and how we’re ensuring you have access to the right care, including waiving copays for all virtual doctor visits by Teladoc®.Learn More
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