2023-standard-and-basic-options.fepbrochures-bcbsa.com

Blue Health Assessment

WebBlue Health Assessment The Blue Health Assessment (BHA) questionnaire is an easy and engaging online health evaluation program which can be completed in 10-15 minutes. …

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Your catastrophic protection out-of-pocket maximum for …

WebNon-preferred Provider maximum – For a Self Only enrollment, your out-of-pocket maximum for your deductible, and for eligible coinsurance and copayment amounts, is $8,000 …

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Standard and Basic Options

WebSection 6. General Exclusions - Services, Drugs, and Supplies We Do Not Cover. Section 7. Filing a Claim for Covered Services. Section 8. The Disputed Claims Process. Section 9. …

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Summary of Benefits for the Blue Cross and Blue Shield Service …

Web95 - 96. Emergency benefits: Medical emergency. PPO urgent care: $30 copayment; PPO and Non-PPO emergency room care: 15%* of our allowance; Regular benefits for …

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Changes to both our Standard and Basic Options

WebSection 2. Changes for 2023. Changes to both our Standard and Basic Options. Changes to both our Standard and Basic Options. We now cover preventive low-dose CT screenings …

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WebWhen you have other health coverage - 142. • TRICARE and CHAMPVA - 142. • Workers’ Compensation - 143. • Medicaid - 143. When other Government agencies are …

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Summary of Benefits for the Blue Cross and Blue Shield Service …

Web81 - 85. Emergency benefits: Accidental injury. PPO: $35 copayment for urgent care; $250 copayment for emergency room care. Non-PPO: $250 copayment for emergency room …

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Coverage information

WebCoverage information. No pre-existing condition limitation. Minimum essential coverage (MEC) Minimum value standard. Where you can get information about enrolling in the …

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Durable Medical Equipment (DME)

WebDurable medical equipment (DME) is equipment and supplies that are: Prescribed by your attending physician (i.e., the physician who is treating your illness or injury); Medically …

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Home Health Services

WebThere is no calendar year deductible under Basic Option. Benefit Description. Home Health Services. Home nursing care (skilled) for two hours per day when: Standard Option - You …

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Blue Health Assessment

WebThe Blue Health Assessment (BHA) questionnaire is an easy and engaging online health evaluation program which can be completed in 10-15 minutes. Your BHA answers are …

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TRICARE and CHAMPVA

WebTRICARE is the healthcare program for eligible dependents of military persons, and retirees of the military. TRICARE includes the CHAMPUS program. CHAMPVA provides health …

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Reimbursement Account for Basic Option Members Enrolled in …

WebReimbursement Account for Basic Option Members Enrolled in Medicare Part A and Part B. Basic Option members enrolled in Medicare Part A and Part B are eligible to be …

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2023 Rate Information for the Blue Cross and Blue Shield Service

WebMonthly government share: $1,214.46. Monthly your share: $472.12. Basic Option, Self and Family, Enrollment Code 112: Premium Rate. Biweekly government share: $611.42. …

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Section 6. General Exclusions

WebThe exclusions in this Section apply to all benefits. There may be other exclusions and limitations listed in Section 5 of this brochure. Although we may list a specific service as …

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