2024-fep-blue-focus.fepbrochures-bcbsa.com

Home Health Services

WEBBenefit Description Not covered: Nursing care requested by, or for the convenience of, the patient or the patient’s family ; Services primarily for bathing, feeding, exercising, moving …

Actived: 9 days ago

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Preventive Care, Adult

WEBUnless otherwise noted, the benefits discussed under Preventive Care, Adult, do not apply to individuals aged 21 and under. (See benefits under Preventive Care, Child, in this …

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You need prior Plan approval for certain services

WEBA pre-service claim is any claim, in whole or in part, that requires approval from us before you receive medical care or services. In other words, a pre-service claim for benefits …

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Inpatient Hospital

WEBInpatient Hospital (cont.) Not covered: Admission to noncovered facilities, such as nursing homes, extended care/skilled nursing facilities, schools, or residential treatment centers …

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When benefits and premiums start

WEBAnnuitants’ coverage and premiums begin on January 1. If you joined at any other time during the year, your employing office will tell you the effective date of coverage. If your …

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Your catastrophic protection out-of-pocket maximum for …

WEBPreferred Provider maximum – For a Self Only enrollment, your out-of-pocket maximum for your deductible, and for eligible coinsurance and copayment amounts, is $9,000 when …

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Section 1. How This Plan Works

WEBFEP Blue Focus. Section 1. How This Plan Works. Section 1. How This Plan Works. General features of FEP Blue Focus/We have a Preferred Provider Organization (PPO) …

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Physical Therapy, Occupational Therapy, Speech Therapy, and …

WEBBenefits are limited to 25 visits per person, per calendar year for physical, occupational, or speech therapy, or a combination of all three; regardless of the provider or facility billing …

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2024 Rate Information for the Blue Cross and Blue Shield Service

WEBMonthly government share: $772.76. Monthly your share: $257.58. FEP Blue Focus Option, Self and Family, Enrollment Code 132: Premium Rate. Biweekly government share: …

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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 …

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Section 9. Coordinating Benefits With Medicare and Other Coverage

WEBFEP Blue Focus. Section 9. Coordinating Benefits With Medicare and Other Coverage.

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2024 Rate Information for the Blue Cross and Blue Shield …

WEBFEP Blue Focus Option, Self and Family, Enrollment Code 132: Premium Rate Biweekly government share: $392.30 Biweekly your share: $130.76 Monthly …

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Section 7. Filing a Claim for Covered Services

WEB2024 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus. Section 7. Filing a Claim for Covered Services. Section 7. Filing a Claim for Covered Services. This Section …

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Section 10. Definitions of Terms We Use in This Brochure

WEBSection 10. Definitions of Terms We Use in This Brochure. Accidental injury. An injury caused by an external force or element such as a blow or fall that requires immediate …

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