- Blue Cross Blue Shield Federal Emergency Room Copay
- Bcbs Federal Physical Therapy Benefits
- Blue Cross Blue Shield Federal Copay 2019
Senior blue 601 (hmo) senior blue select (hmo) senior blue 651 (hmo) freedom nation (ppo) forever blue value (ppo) forever blue 751 (ppo) optional supplemental dental prescription drug information planning for medicare understanding basics 2021 resources 2021. Blue Cross Blue Shield of Massachusetts follows federal and state-mandated requirements for COVID-19 treatment coverage. For our commercial products (managed care HMO and POS, PPO, and Indemnity), we will accept the following CPT codes for COVID vaccines and COVID vaccine administration.
Tier 1 (Generics): $15 copay 1 Tier 2 (Preferred brand): $90 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy 2: Tier 4 (Preferred specialty): $65 copay Tier 5 (Non-preferred specialty): $85 copay Retail Pharmacy: 45% of our allowance Mail Service Pharmacy: Not. Federal Employee Program (FEP) Find information specific to your Service Benefit Plan Provider Directory Find participating doctors, clinics or hospitals. Explore Providers Pharmacy Guide Use the FEP Pharmacy Finder, see drug benefits and more. Learn More Benefit Highlights Find your benefits at a glance and stay updated on benefit changes that may affect you. FEP® to eliminate restrictions on prescription drug refills, waive pre-authorization, deductibles and copays for diagnostics, treatment. WASHINGTON – The Blue Cross and Blue Shield Federal Employee Program® (FEP®) announced today that it will waive cost-sharing for coronavirus diagnostic testing, waive prior authorization requirements for treatment and take other steps to enhance access.
Washington – The Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Program® (FEP), is partnering with AbilTo, Inc., the nation’s largest remote behavioral change therapy company, to offer certain federal employees access to innovative programs that will empower FEP members to live healthier lives.
AbilTo behavioral change therapies are delivered via phone and video consulting programs to people who are experiencing significant medical events to help them make lifestyle changes to live healthier lives. In addition to providing a full range of comprehensive benefits –medical, dental and vision – to federal workers, FEP will now be able to offer AbilTo’s Cardiac, Diabetes, Momentum (postpartum), Renew (pain management) and General Depression programs to participating members of the FEP Program in Washington and Alaska, in its initial phase. In the coming months, federal workers in additional states will have access to these programs.
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Delivered by phone or secure video link, AbilTo’s programs help individuals to make meaningful life changes and have delivered exceptional results including a 50-65 percent reduction in the rate of depression (avg.) among graduates of all programs. The programs also promote exceptional levels of patient engagement, consistent quality and lower healthcare costs.
“FEP is a leader among the health plans available to federal workers and in the healthcare industry as a whole. We are always looking for ways to provide our members with new and inventive ways to help them reach their health goals,” said William A. Breskin, vice president, government programs for the Blue Cross Blue Shield Association. “By offering these timely and targeted programs, FEP will be able to better empower members to help lower stress, depression and anxiety associated with some challenging health conditions.”
FEP’s commitment to rewarding quality care and improving outcomes also is demonstrated by providing federal employees access to the same state-of-the-art programs that BCBS companies provide to 86 of the Fortune 100 companies. This broad portfolio of care programs includes accountable care organizations, patient-centered medical homes, pay-for-performance programs, episode-based payment programs and programs that leverage technology to provide the high quality of care for which FEP and BCBS companies are known.
These programs focus on coordinating patient care to keep chronic conditions in check, and have been shown to reduce unnecessary emergency room visits, hospital admissions and readmissions, and other costly and unneeded medical interventions. The addition of AbilTo’s state-of-the- art remote behavioral change therapy will allow federal workers to benefit even more from the FEP’s commitment to providing them broad benefits at affordable prices.
“FEP covers federal employees, and their families, and AbilTo is honored to have the opportunity to help them overcome adversity and maximize their health potential,” said Michael Laskoff, Founder and CEO of AbilTo.
AbilTo has received funding from BlueCross BlueShield Venture Partners, a corporate venture fund which includes 24 BlueCross and BlueShield companies.
About the Federal Employee Program
The Blue Cross Blue Shield Association’s Federal Employee Program administers the Government-wide Service Benefit Plan, which has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. The Service Benefit Plan covers more than 5.3 million federal employees, retirees and their families. For more than 50 years, FEP has kept premiums affordable while providing comprehensive benefits and state-of-the-art programs to its members. The Blue Cross Blue Shield Association works with the U.S. Office of Personnel Management (OPM) to administer the Service Benefit Plan on behalf of the 37 independent Blue Cross and Blue Shield companies. For more information about the Service Benefit Plan, please visit www.fepblue.org.
About AbilTo, Inc.
AbilTo, Inc. (“able to”) is a population health management company focused on supporting high-cost populations, such as those with heart disease, diabetes, chronic pain and more. AbilTo’s programs are administered by a therapist/coach team, and provide a proven solution to make people happier, healthier and more productive. The company’s eight-week, evidence-based behavior change programs engage individuals and help them make measurable, lasting changes that improve their medical and behavioral health. For more information, visit www.abilto.com.
WASHINGTON, Oct. 15, 2020 /PRNewswire/ -- Today, the Blue Cross® and Blue Shield® Federal Employee Program® (FEP®) announced 2021 benefits, including newly expanded telemedicine benefits, along with a new tool to help provide greater cost transparency for members. Additionally, FEP will keep the rates the same in 2021 for its newest product, FEP Blue Focus®, as well as for Blue Cross Blue Shield FEP Vision℠. Rates for Blue Cross Blue Shield FEP Dental℠ products will remain at 2020 levels.
FEP’s medical, dental and vision plans are available to eligible participants in the Federal Employees Health Benefits (FEHB) Program and the Federal Employees Dental and Vision Insurance Program (FEDVIP). FEP provides quality and affordable healthcare to approximately 66 percent of federal employees, retirees and their families across the nation. FEP members enjoy access to a robust provider network with 95 percent of professional providers and over 96 percent of hospitals in the United States alone.
Highlights of What's New for 2021
New Telemedicine Benefits
The COVID-19 pandemic has caused many members to turn to remote, virtual care services to manage their health as they attempt to socially distance and limit their exposure to the coronavirus. FEP was at the forefront expanding its benefits in 2020 during the pandemic to cover members having virtual visits with their primary and specialty doctors. Recognizing that virtual visits are becoming a permanent part of health care, in 2021 FEP will cover virtual consultations, and medical evaluation and management services with primary care providers and specialists as a regular benefit even after the pandemic is over. Members will pay the regular office visit copayments/coinsurance under Standard Option, Basic Option and FEP Blue Focus.
FEP Healthcare Cost Advisor
Available in 2021, FEP members will have access to the FEP Healthcare Cost Advisor application, which provides users with a complete view of their healthcare spending to make better financial planning and healthcare decisions. The tool can also help identify the FEP health plan option that offers the best value for each member’s specific needs.
Newly Redesigned Website
Significant to facilitating an easier online experience for federal employees, FEP has launched Phase 1 of the public website redesign, www.fepblue.org®, Visitors can more easily navigate the vast amount of information the Program has to offer in a more intuitive and welcoming site. Additional enhancements will leverage customer experiences and feedback.
“The COVID-19 pandemic has altered the healthcare landscape, so it is important that we adapt our products and services to meet the changing care needs of our members,” said William A. Breskin, senior vice president of government programs for the Blue Cross Blue Shield Association. “Alongside great coverage at reasonable prices, members should feel confident knowing we’re adding new telemedicine and virtual care benefits that allow them to easily get the care they need from the safety of their home. FEP will continue to be the best value for the federal workforce – wherever they may be.”
Dental and Vision Plan Updates
FEP is announcing several changes to improve access to care and outreach to eligible FEDVIP participants, including the uniformed services members. One thing we’re doing is changing our product names to make clear up front that your coverage is from the most trusted name in health insurance–Blue Cross Blue Shield FEP Dental and Blue Cross Blue Shield FEP Vision. FEP will continue to offer the same comprehensive benefits with a few new benefit and network changes for 2021 such as increased frame allowances and more e-commerce in network options for vision and removing orthodontia waiting periods for dental.
New Dental and Vision Digital Platforms
In addition, in order to streamline, guide and modernize the member experience both the dental and vision websites have been redesigned to be more responsive and user friendly. Both BCBS FEP Dental and BCBS FEP Vision will be launching mobile applications for users to leverage as well which includes quick and easy access to local providers and benefit information. For prospective and existing members, the launch of new product selection dental and vision tools, AskBlueSM BCBS FEP Dental Plan Finder and AskBlueSM BCBS FEP Vision Plan Finder, will help determine right product for one’s needs.
2021 Approved Rates:
Self Only biweekly premiums will be $123.45
Self Plus One biweekly premiums will be $280.81
Self and Family biweekly premiums will be $300.12
Self Only biweekly premiums will be $78.60
Self Plus One biweekly premiums will be $189.17
Self and Family biweekly premiums will be $201.27
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
Blue Cross Blue Shield FEP Vision Premiums in 2021:
Self Only biweekly premiums will be $5.49
Self Plus One biweekly premiums will be $10.97
Self and Family biweekly premiums will be $16.46
Self Only biweekly premiums will be $3.50
Self Plus One biweekly premiums will be $6.99
Self and Family biweekly premiums will be $10.49
Blue Cross Blue Shield FEP Dental Premiums in 2021*
Blue Cross Blue Shield Federal Emergency Room Copay
Self Only biweekly premiums will be $17.31
Self Plus One biweekly premiums will be $34.63
Self and Family biweekly premiums will be $51.94
Self Only biweekly premiums will be $9.16
Self Plus One biweekly premiums will be $18.32
Self and Family biweekly premiums will be $27.49
*Blue Cross Blue Shield FEP Dental rates depend upon the rate region in which a member lives. The rates presented here are for BCBS FEP Dental’s most populous region, Region 1. Please go to bcbsfepdental.com to see the full list of regional rates.
Bcbs Federal Physical Therapy Benefits
All changes will take effect Jan. 1, 2021. Eligible participants will have an opportunity to make their health care coverage decisions during Open Season, which runs from Nov. 9 through Dec. 14, 2020.
Additional information about 2021 benefits is available at www.fepblue.org/whatsnew. Members can also call the National Information Center at 1-800-411-BLUE (2583).
Blue Cross Blue Shield Federal Copay 2019
About The Blue Cross and Blue Shield Service Benefit Plan (FEP®)
The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program® (FEP®), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. It covers roughly 5.5 million federal employees, retirees and their families out of the more than 8 million people who receive their benefits through the FEHB Program. The Blue Cross Blue Shield Association negotiates annually with the U.S. Office of Personnel Management (OPM) to determine the benefits and premiums for the Blue Cross and Blue Shield Service Benefit Plan. The 36 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. They are responsible for processing claims and providing customer service to our members. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit the Contact Us section on fepblue.org.