Get to know us a little better coverage just for you coverage for you and one eligible family member, such as your spouse or a child coverage for you and multiple eligible family members. Coe medical centers are chosen by boeing based on their high performance and quality levels, safety ratings and reputation for consistent delivery of quality care. For highmark blue cross blue shieldkhpw plans not purchased on the health insurance marketplace please call 18885446679 to request a copy. All plan and rate information available on this site is applicable to current fedvip eligible federal civilian employees and retirees. Pursuant to section 1557 fep bluedental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex including pregnancy and gender identity.
The plan benefits are funded by the state of delaware and are administered by highmark blue cross blue shield delaware highmark delaware. For all noncore benefits, you pay 30% of our allowance after you meet your calendar year deductible. If you have federal blue cross blue sheild, you should be happy. The section of this booklet called eligibility will tell you and your child what is required for your child to be covered under the plan and when your childs coverage begins. Blue cross and blue shield of north carolina has directed that this benefit booklet be issued and signed by the president and the secretary. 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. Blue cross and blue shield service benefit plan brochures. In 2018, fep will continue to offer comprehensive benefitsincluding medical, dental and visionwhile. If you have any questions about the benefits as presented in this benefit booklet, please contact your employers group health plan administrator or call the claims administrators member services department. Please read this booklet carefully and keep it handy.
For more information about our company such as its structure or operations, or to find out more about our provider network and any questions you may have about our provider incentive plans, please call member services at 18666891523. If congress, federal or state regulators, or the courts make further changes or. Blue cross and blue shield service benefit plan brochure opm. Before making a final decision, please read the plans federal brochures standard option and basic option. Please remember that a benefits inquiry or verification of benefits is not a 8. Bcbs federal employee plans cover hearing problems and have recently been updated to make hearing assistance more available. Hit enter to expand a main menu option health, benefits, etc. Your health care benefit program blue cross blue shield. Benefit plans brochures and forms blue cross and blue.
Mar 18, 2020 payment of benefits 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 the members policy certificate andor benefits booklet. If the pickup location is in washington, refer to the washington claims submission map to determine where to send your claim for processing. Download members only edition federal benefits handbook. If you are in a specific enrollment category, please contact the agency or tribal employer that maintains your health benefits enrollment. 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. This is a summary of the features of the blue cross and blue shield service benefit plan. Fed plan 87 is hmsas federal plan for employees who are eligible to participate in the. Federal employee benefits office of the chief human capital officer ochco skip to page content. Benefits available under the plan are explained in the covered dental services section. The ambulance claim will be processed by blue cross blue shield of oregon.
Large nationwide dentist network over 300,000 access points to receive innetwork services. Benefit plans blue cross and blue shields federal employee. This unique handbook, written for active federal employees, covers everything you need to know about your federal pay and benefits, such as the different pay schedules, base and locality pay, overtime pay, compensatory time off, relocation and retention bonuses, performance awards, holidays, all the various leave benefits, the federal student loan repayment program, employee. By completing this form and providing your telephone number andor email address, you. Below are some useful resources and forms for each of the plan options. The benefits available to you are indicated on the dental schedule of coverage in this benefit booklet. Xrays, lab work and outpatient surgery will almost always cost more in a hospital setting. Opm is the united states office of personnel management. Group benefit booklets and summaries of benefits and coverage. Become a member experience the great benefits of being a member. You are covered only for those benefit categories selected by your employer and shown on your dental schedule of coverage. Blue cross blue shield members can search for doctors, hospitals and dentists.
For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the glossary. Payment of benefits 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 the members policy certificate andor benefits booklet. Verification of benefits is available for members or authorized healthcare providers on behalf of members. Medical benefit booklet for the livingwell ppo plan administered by. You should attach the certificate of coverage to this booklet. These include things such as maternity care and physical therapy. Federal employee benefits office of the chief human.
This plan is underwritten by participating blue cross and blue shield plans local plans that administer this plan in their individual localities. The plan provides the benefits described in this benefit booklet only for eligible members. This booklet explains the benefits in effect as of july 1, 2019. Federal employee program blue cross and blue shield of. Benefit booklets blue cross and blue shield of north. For highmark health insurance company plans not purchased on the health insurance marketplace please call 18666974080 to request a copy. Verification of eligibility andor benefit information is not a guarantee of payment. Federal employee health plan resources carefirst bluecross. Select blue cross blue shield global or geoblue if you have international coverage and need to find care outside the united states. Select how you would like to receive your free information booklet.
When you become covered under the program, you will receive a certificate of coverage. Summary of benefits to get an overview of your benefits. This unique handbook, written for active federal employees, covers everything you need to know about your federal pay and benefits, such as the different pay schedules, base and locality pay, overtime pay, compensatory time off, relocation and retention bonuses, performance awards, holidays, all the various leave benefits, the federal student loan repayment program, employee assistance. In this booklet premera blue cross is called the claims administrator. Federal employee benefits office of the chief human capital.
The blue cross and blue shield service benefit plan is the number one health insurance choice for federal employees, retirees and their families. Benefits may vary if you have other coverage, such as medicare. Complete the form below to learn more about the benefits of a medicare supplement insurance plan from blue cross and blue shield of texas, a division of health care service corporation. Fehb is the federal employees health benefits program.
The information in this booklet describes the medicare program at the time this booklet was printed. Pay less for these services by going to a participating nonhospital facility or surgery center. You may call member services with a benefits inquiry or verification of benefits during normal business hours 8. This plan will comply with the 2010 federal health care reform law, called the affordable care act see definitions. For nearly 60 years, weve been committed to offering individuals like you the best healthcare coverage in the u. The state employees ppo 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. Basics of the federal employees health benefits program. The examples are meant to help you understand what you might pay, and compare. For 58 years, weve been the number one health insurance choice for federal employees and their families. Blue cross blue shield federal employee program logo. Consult the fep local plan directory to find addresses and telephone numbers for other plans. 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. If you want to know what your copay or coinsurance is for a particular service, all youll need to do is click on the benefit, and it will pop right up.
Group benefit booklets and summaries of benefits and. Be sure to include your name, direct contact information, tax id or billing npi. And to provide it to you in a series of straightforward, easytounderstand handbooks for free. Im on my dads plan and he has the basic plan but they paid for my surgery 100%. To see a complete list of exclusions, download the fep blue focus brochure at. Wrap benefits give you access to additional benefits not covered in core or noncore. This brochure describes the benefits of the blue cross and blue shield service benefit plan fep blue focus under our contract. Your direct access benefit booklet horizon blue cross.
Your guide to who pays first isnt a legal document. Interactive benefits tool with this tool, youll have your benefits information at your fingertips via the fepblue app or online through your myblue account. All benefits are subject to the definitions, limitations and exclusions set forth in the federal brochures. Updated 2020 plan information and rates will be available in october. These documents also show your estimated costs for two sample medical events. Blue cross and blue shield of illinois further expands. For a list of preferred providers and dentists in alabama, please visit blue cross and blue shield of alabama doctor finder. Fep bluedental complies with all applicable federal civil rights laws, to include both title vii and section 1557 of the aca. This benefit booklet provides important information about your benefits and can help you understand how to maximize them.
For more information about your blue care network benefits, log in to your account at or call customer service at 18006626667. All benefits are subject to the definitions, limitations, and exclusions set forth in the fehb plan brochure. Benefit plans brochures and forms blue cross and blue shields. This booklet replaces any other health plan benefit booklet you may have. Benefits for medically necessary boneanchored hearing aids are now available without diagnosis restrictions. Our brochure and other fehb plans brochures have the same format and similar descriptions to help you compare plans. The account contract is the final determination of the benefits and rule of your plan. Benefit booklets blue cross and blue shield of north carolina. The plan will only pay for care that is medically necessary, as determined by blue cross and blue shield of alabama bcbs. Apr 16, 2017 for federal employees who continue to work beyond age 65 or older and who are enrolled in fehb, fehb continues to be their primary coverage and medicare is the secondary coverage. Introduction this brochure describes the benefits of the blue cross and blue shield service benefit plan under our contract cs 1039 with the united states office of personnel management, as authorized by the federal employees health benefits law. If you need bariatric, cardiac, hip, knee, spine or transplant care, the boeing centers of excellence coe enhanced benefit program may be right for you. Blue cross and blue shield federal employee program fep.
The blue cross and blue shield association is the carrier of the plan. Federal long term care insurance program fltcip opm. 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. A summary of benefits and coverage explains things like what a health insurance plan covers, what it doesnt cover, and what your share of costs will be. For federal employees who continue to work beyond age 65 or older and who are enrolled in fehb, fehb continues to be their primary coverage and medicare is the secondary coverage. Federal long term care insurance program fltcip provides long term care insurance to help pay for costs of care when enrollees need help with activities they perform every day, or they have a severe cognitive impairment. Blue cross and blue shields federal employee program. In any instance of conflict, the provisions of this plan booklet and benefits document shall take precedence. For outofstate blue cross and blue shield members, call bluecard eligibility at 1800676blue 2583 for eligibility and benefit verifications. Federal employees health benefits plan blue care network. Blue cross and blue shield service benefit plan fep blue.
For federal employee program fep members, eligibility and benefits can be obtained by calling 8007223. Federal employee program accuquest hearing centers. This brochure describes the benefits of the blue cross and blue shield service benefit plan fep. To access the menus on this page please perform the following steps. Postal service employees and annuitants, active and retired members of the uniformed services, and their qualified relatives are eligible to apply for. Contact us if you have a specific alabamarelated question or would like additional information about the products and services available through the federal employee program. The health insurance marketplace doesnt affect enrollees of the federal employees health benefits program. The federal employees health benefits fehb program is the largest employersponsored health insurance program in the country. Texas medicare supplement blue cross blue shield of texas. Before making a final decision, please read the plans federal brochure ri 73010. As part of your blue cross and blue shield of illinois benefits, you may also have access to these benefits available through other providers. 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.
For federal employee program fep members, eligibility and benefits can be obtained by calling 18004424607. If you take advantage of service benefit plan dental benefits, you will need to complete and file a claim form for reimbursement. Please remember that a benefits inquiry or verification of benefits is not a. And to provide it to you in a series of straightforward, easytounderstand handbooks. Federal bcbs paid for my sleeve 100%, minus the copayments. The available benefits and the amounts of insurance are described in the booklet.
United states office of personnel management, as authorized by the federal employees health benefits law. A list of terms is given at the back of the booklet. For a handy reference, please see the fehb and medicare primary payer chart at the end of this article. Fehb program handbook introduction general overview. You may call customer service with a benefits inquiry or verification of benefits during normal business hours 8. Eligibility and benefits blue cross blue shield association.
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