2023 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
Educational Classes and Programs
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
Educational Classes and Programs
Note: We state whether or not the calendar year deductible applies for each benefit listed in this section.
Benefit Description
Educational Classes and Programs
You Pay
Preferred: Nothing (no deductible)
Non-preferred (Participating/Non-participating): You pay all charges
Benefit Description
Educational Classes and Programs
- Smoking and tobacco cessation treatment including:
- Counseling for smoking and tobacco use cessation
- Smoking and tobacco cessation classes
Note: See Section 5(f) for our coverage of smoking and tobacco cessation drugs.
- Counseling for smoking and tobacco use cessation
You Pay
Preferred: Nothing (no deductible)
Non-preferred (Participating/Non-participating): You pay all charges
Benefit Description
You Pay
Preferred: 30% of the Plan allowance (deductible applies)
Non-preferred (Participating/Non-participating): You pay all charges
- Diabetic education
Note: See pages 39, 41 and 44 for our coverage of nutritional counseling services that are not part of a diabetic education program.
You Pay
Preferred: 30% of the Plan allowance (deductible applies)
Non-preferred (Participating/Non-participating): You pay all charges
Benefit Description
Not covered:
You Pay
All charges
Not covered:
- Marital, family, educational, or other counseling or training services, or applied behavior analysis (ABA), when performed as part of an educational class or program
- Premenstrual syndrome (PMS), lactation (except as described on page 46), headache, eating disorder (except as described on page 39), and other educational clinics
- Recreational or educational therapy, and any related diagnostic testing except as provided by a hospital as part of a covered inpatient stay
- Services performed or billed by a school or halfway house or a member of its staff
You Pay
All charges