Fepblue basic pdf calendar

For customer service assistance, visit our website. Under basic option, benefits are not available for services performed by nonpreferred providers, except in certain situations such as emergency care. Under basic option, there is no calendar year deductible. Blue cross and blue shield service benefit plan fep. Certificationcertificationandcompliancdownloadsapprovedtransplantprograms. Plus one or self and family, or vice versa, during the calendar year, please call.

These are tests not related to pregnancy, preventive care or accidental injury. Diagnostic and preventive payable at 100% of the ppo fee schedule with no deductible. Ppo 1 of 6 the summary of benefits and coverage sbc document will. Below is an overview of available benefits for basic option members using a preferred provider.

Ppo 1 of 6 the summary of benefits and coverage sbc document will help you choose a health plan. You can receive a free manual or electric ameda breast pump kit each year through the. Breast pump kit, limited to one of the two kits listed below, per calendar year, for members who are pregnant andor nursing. You pay nothing for preventive dental services up to 2 cleanings a year. If you need to send in a paper claim you may download a claim form from fep. Basic option benefits chart blue cross and blue shields. Cross and blue shield service benefit plan brochure fep blue focus. Download the 2020 blue cross and blue shield service benefit plan brochure standard and basic. To see a complete list of exclusions, download the fep blue focus brochure at brochure. To learn more about healthy endeavorssm1, call 18883923506 or email.

Basic option and fep blue focus members can only use preferred providers. Were excited to offer a third plan with our existing standard and basic option plans. If you are covered under the fep medical basic option and fep bluedental, you are. Get hearing aid discounts from truhearing or beltone through our blue365 discount program. The sbc shows you how you and the plan would share the cost for covered health care services. A printable 2020 monthly calendar pdf template with us holidays in landscape format. Blue cross and blue shield service benefit plan fep blue. Blue cross and blue shields federal employee program.

The calendar year refers to the plan year, which is defined as january 1. Create calendar pdf with holidays of any country using our online tool. See section 5f of the 2017 service benefit plan brochure for more information on pharmacy benefits. This plans health coverage qualifies as minimum essential coverage. Oral exams are limited to a combination of 2 per calendaryear. A printable 2020 calendar pdf template with the prior and next month. Self only, self plus one or self and family plan type. Basic option does not have a calendar year deductible. Dental benefits standard option members can receive topical application of fluoride or fluoride. Use our pdf calendar maker and create pdf calendar with your own events. Nothing for the first 4 prescription fills or refills when you switch from certain brand name drugs to. Blue cross and blue shield service benefit plan opm. You can combine this discount with the hearing aid benefit above.