New choices include the FEP Blue Focus plan that costs less than other FEP plans; dental and vision plan premiums lowered for 2019
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 FocusSM, a new coverage option for the federal workforce and retirees in the Federal Employees Health Benefits (FEHB) Program. Also this year, some uniformed service members and their dependents are eligible to enroll in FEP BlueDental® and/or FEP BlueVision® as part of the Federal Employees Dental and Vision Insurance Program (FEDVIP).
Premiums for both Standard Option and Basic Option will not increase for 2019. FEP Blue Focus premiums will be almost 30 percent lower than other FEP health plans. Additionally, BCBS’s FEDVIP plans, FEP BlueVision and FEP BlueDental, have premium decreases across their high and standard option offerings.
Iwork excel 互換. “FEP has long been committed to providing quality health insurance coverage at an affordable price,” said William A. Breskin, senior vice president of government programs for the Blue Cross Blue Shield Association. “We are excited to introduce FEP Blue Focus, which is a great opportunity for federal employees, especially individuals just entering the workforce, to choose a quality health plan that best fits their needs. We also look forward to serving our nation’s military families with comprehensive dental and vision insurance plans at premium rates lower than in 2018.”
Premiums for both Standard Option and Basic Option will not increase for 2019. FEP Blue Focus premiums will be almost 30 percent lower than other FEP health plans. Additionally, BCBS’s FEDVIP plans, FEP BlueVision and FEP BlueDental, have premium decreases across their high and standard option offerings.
Iwork excel 互換. “FEP has long been committed to providing quality health insurance coverage at an affordable price,” said William A. Breskin, senior vice president of government programs for the Blue Cross Blue Shield Association. “We are excited to introduce FEP Blue Focus, which is a great opportunity for federal employees, especially individuals just entering the workforce, to choose a quality health plan that best fits their needs. We also look forward to serving our nation’s military families with comprehensive dental and vision insurance plans at premium rates lower than in 2018.”
Option and FEP Blue Focus. Please look at our approved drug lists (formularies) prior to selecting a plan to make sure we cover your drug in that plan. You can view the drug lists at fepblue.org. Preferred Retail Pharmacy Tier 1: $10 copay Tier 2: $55 copay Tier 3: 60% of our allowance ($75 minimum) Tier 4: $65 copay Tier 5: $90 copay Mail. Save hundreds while keeping your eyes healthy with great vision care benefits. From $0 copays to fully-covered frames, BCBS FEP Vision is here to help.
![Fep blue provider directory Fep blue provider directory](/uploads/1/0/1/0/101052584/578536093.jpg)
Members in Standard Option, Basic Option and FEP Blue Focus plans will have access to telehealth services, which can be used for treatment of minor acute conditions, behavioral health and counseling for substance use disorders, and, new for this year, dermatology care. Each plan will also cover acupuncture and chiropractic care, urgent care centers and accidental injuries.
All changes will take effect Jan. 1, 2019. Federal employees, retirees and their families will make their healthcare coverage decisions during Open Season, which runs from Nov. 12 through Dec. 10, 2018.
All changes will take effect Jan. 1, 2019. Federal employees, retirees and their families will make their healthcare coverage decisions during Open Season, which runs from Nov. 12 through Dec. 10, 2018.
Highlights of What’s New for 2019
New benefit option—FEP Blue Focus
FEP Blue Focus includes preventive care, along with access to the nationwide BCBS network comprised of 96 percent of hospitals and 95 percent of doctors, and to more than 65,000 preferred retail pharmacies. FEP Blue Focus members will pay just $10 each for their first 10 primary and/or specialty care visits and will pay little or no cost for services that support good health. Members will also have access to generic prescription drugs and will be covered when traveling overseas.
Expanded eligibility for Dental and Vision Coverage
During Open Season, 6 million retired uniformed service members and their dependents can enroll in FEDVIP dental plans, including FEP BlueDental. Additionally, 1.7 million dependents of active duty uniformed service members will be eligible for FEDVIP vision programs, including FEP BlueVision. Examples of avogadro's law.
2019 Approved Rates:
Standard Option, Basic Option and FEP Blue Focus Premiums in 2019
Standard Option:
Self Only biweekly premiums will be $112.23
Self Plus One biweekly premiums will be $256.54
Self and Family biweekly premiums will be $268.21
Basic Option:
Self Only biweekly premiums will be $73.72
Self Plus One biweekly premiums will be $170.57
Self and Family biweekly premiums will be $177.24
FEP Blue Focus:
Self Only biweekly premiums will be $53.14
Self Plus One biweekly premiums will be $114.25
Self and Family biweekly premiums will be $125.67
New benefit option—FEP Blue Focus
FEP Blue Focus includes preventive care, along with access to the nationwide BCBS network comprised of 96 percent of hospitals and 95 percent of doctors, and to more than 65,000 preferred retail pharmacies. FEP Blue Focus members will pay just $10 each for their first 10 primary and/or specialty care visits and will pay little or no cost for services that support good health. Members will also have access to generic prescription drugs and will be covered when traveling overseas.
Expanded eligibility for Dental and Vision Coverage
During Open Season, 6 million retired uniformed service members and their dependents can enroll in FEDVIP dental plans, including FEP BlueDental. Additionally, 1.7 million dependents of active duty uniformed service members will be eligible for FEDVIP vision programs, including FEP BlueVision. Examples of avogadro's law.
2019 Approved Rates:
Standard Option, Basic Option and FEP Blue Focus Premiums in 2019
Standard Option:
Self Only biweekly premiums will be $112.23
Self Plus One biweekly premiums will be $256.54
Self and Family biweekly premiums will be $268.21
Basic Option:
Self Only biweekly premiums will be $73.72
Self Plus One biweekly premiums will be $170.57
Self and Family biweekly premiums will be $177.24
FEP Blue Focus:
Self Only biweekly premiums will be $53.14
Self Plus One biweekly premiums will be $114.25
Self and Family biweekly premiums will be $125.67
![Fepblue Copay Fepblue Copay](/uploads/1/0/1/0/101052584/903201956.png)
Fepblue.org/pharmacy Tier 1 (Preferred generic drugs) $5/prescription. Deductible does not apply. Not covered Covers 30-day supply, up to 90-day supply for additional copayments. Non-preferred generic drugs are excluded. Tier 2 (Preferred brand-name drugs, Preferred generic and Preferred brand-namespecialty drugs) 40% coinsurance. Deductibledoes not apply. No copay for Exclusive Collection frames, covered every calendar year; Frame allowance: $200 toward any other provider-supplied frame, plus 20% off charges over $200. Standard Option. No copay for Exclusive Collection frames, covered every calendar year; Frame allowance: $140 toward any other provider-supplied frame, plus 20% off charges over $140.
FEP BlueVision Premiums in 2019
High Option:
Self Only biweekly premiums will be $5.40
Self Plus One biweekly premiums will be $10.79
Self and Family biweekly premiums will be $16.19
Standard Option:
Self Only biweekly premiums will be $3.51
Self Plus One biweekly premiums will be $7.01
Self and Family biweekly premiums will be $10.52
The FEP BlueVision network consists of more than 75,000 ophthalmologists, optometrists and opticians, as well as national and regional retailers. In-network coverage includes: annual eye exams with no co-pays; new glasses or contact lenses every 12 or 24 months; elective allowance for contact lenses; one-year warranty on frames and lenses; and discounts on laser eye surgery.
FEP BlueDental Premiums in 2019 (the rates below are for FEP BlueDental’s most populous region, Region 1)
High Option:
Self Only biweekly premiums will be $17.32
Self Plus One biweekly premiums will be $34.65
Self and Family biweekly premiums will be $51.97
Standard Option:
Self Only biweekly premiums will be $9.17
Self Plus One biweekly premiums will be $18.34
Self and Family biweekly premiums will be $27.52
FEP BlueDental rates depend upon the rate region in which a member lives. The FEP BlueDental network consists of more than 270,000 dentists, orthodontists and dental care providers nationwide. In-network coverage includes exams, cleanings, X-rays and sealants with no copays; fully covered white fillings; and no calendar-year deductible for most services. Under High Option, members have no waiting period for orthodontics and an unlimited annual benefit.
High Option:
Self Only biweekly premiums will be $5.40
Self Plus One biweekly premiums will be $10.79
Self and Family biweekly premiums will be $16.19
Standard Option:
Self Only biweekly premiums will be $3.51
Self Plus One biweekly premiums will be $7.01
Self and Family biweekly premiums will be $10.52
The FEP BlueVision network consists of more than 75,000 ophthalmologists, optometrists and opticians, as well as national and regional retailers. In-network coverage includes: annual eye exams with no co-pays; new glasses or contact lenses every 12 or 24 months; elective allowance for contact lenses; one-year warranty on frames and lenses; and discounts on laser eye surgery.
FEP BlueDental Premiums in 2019 (the rates below are for FEP BlueDental’s most populous region, Region 1)
High Option:
Self Only biweekly premiums will be $17.32
Self Plus One biweekly premiums will be $34.65
Self and Family biweekly premiums will be $51.97
Standard Option:
Self Only biweekly premiums will be $9.17
Self Plus One biweekly premiums will be $18.34
Self and Family biweekly premiums will be $27.52
FEP BlueDental rates depend upon the rate region in which a member lives. The FEP BlueDental network consists of more than 270,000 dentists, orthodontists and dental care providers nationwide. In-network coverage includes exams, cleanings, X-rays and sealants with no copays; fully covered white fillings; and no calendar-year deductible for most services. Under High Option, members have no waiting period for orthodontics and an unlimited annual benefit.
Fep Blue Vision Providers
Additional information about 2019 benefits is available on FEP’s website at www.fepblue.org/whatsnew. Members can also call the National Information Center at 1-800-411-BLUE (2583) for additional benefits information.
Fepblue Copay
In-Network (PPO benefit) - You pay: | Out-of-Network (Non-PPO benefit)* - You pay: | |
---|---|---|
Preventive Care | Nothing for covered preventive screenings, immunizations and services | 35% of our allowance† |
Physician Care | $25 for primary care $35 for specialists | 35% of our allowance† |
Virtual Doctor Visits by Teladoc® | $0 for first 2 visits $10 all additional visits | N/A |
Urgent Care Center | Accidental Injury: $0 Medical Emergency: $30 copay | Accidental Injury: $0 Medical Emergency: 35% of our allowance† |
Prescription Drugs | Preferred Retail Pharmacy: Tier 1 (Generics): $7.50 copay1 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 allowance Mail Service Pharmacy: Tier 1 (Generics): $15 copay1 Tier 2 (Preferred brand): $90 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy2: Tier 4 (Preferred specialty): $65 copay Tier 5 (Non-preferred specialty): $85 copay | Retail Pharmacy: 45% of our allowance Mail Service Pharmacy: Not covered Specialty Pharmacy: Not covered |
Maternity Care | $0 copay | Pre-/postnatal professional care: 35% of our allowance† Inpatient hospital: $450 per admission copay for unlimited days, plus 35% of our allowance Outpatient facility care: 35% of our allowance† |
Hospital Care | Inpatient (Precertification is required): $350 per admission Outpatient: 15% of our allowance† | Inpatient (Precertification is required): $450 per admission copay, plus 35% of our allowance Outpatient: 35% of our allowance† |
Surgery | 15% of our allowance† | 35% of our allowance† |
ER (accidental injury) | $0 within 72 hours | Nothing for covered services |
ER (medical emergency) | 15% of our allowance† | 15% of our allowance† |
Lab work (such as blood tests) | 15% of our allowance† | 35% of our allowance† |
Diagnostic services (such as sleep studies, X-rays, CT scans) | 15% of our allowance† | 35% of our allowance† |
Chiropractic Care | $25 per treatment; up to 12 visits per year | 35% of our allowance†; up to 12 visits per year |
Dental Care | The difference between the fee schedule amount and the Maximum Allowable Charge (MAC) | 35% of our allowance† |
Rewards Program | Earn $50 for completing the Blue Health Assessment.3 Earn up to $120 for completing three eligible Online Health Coach goals.3 | Earn $50 for completing the Blue Health Assessment.3 Citrix receiver download. Earn up to $120 for completing three eligible Online Health Coach goals.3 |