2023 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5. FEP Blue Focus Benefits
Section 5. FEP Blue Focus Benefits
Section 5. FEP Blue Focus Benefits
Section 5. FEP Blue Focus Overview - 34
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 38
Non-FEHB Benefits Available to Plan Members - 110
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 38
Diagnostic and Treatment Services - 39
Lab, X-ray and Other Diagnostic Tests - 40
Preventive Care, Adult - 41
Preventive Care, Child - 44
Maternity Care - 45
Family Planning - 47
Reproductive Services - 47
Allergy Care - 48
Treatment Therapies - 49
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 50
Hearing Services - 50
Vision Services (Testing, Treatment, and Supplies) - 51
Foot Care - 52
Orthopedic and Prosthetic Devices - 52
Durable Medical Equipment (DME) - 53
Medical Supplies - 54
Home Health Services - 54
Alternative/Manipulative Treatment - 55
Educational Classes and Programs - 55
Lab, X-ray and Other Diagnostic Tests - 40
Preventive Care, Adult - 41
Preventive Care, Child - 44
Maternity Care - 45
Family Planning - 47
Reproductive Services - 47
Allergy Care - 48
Treatment Therapies - 49
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 50
Hearing Services - 50
Vision Services (Testing, Treatment, and Supplies) - 51
Foot Care - 52
Orthopedic and Prosthetic Devices - 52
Durable Medical Equipment (DME) - 53
Medical Supplies - 54
Home Health Services - 54
Alternative/Manipulative Treatment - 55
Educational Classes and Programs - 55
Section 5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals - 56
Surgical Procedures - 57
Reconstructive Surgery - 59
Oral and Maxillofacial Surgery - 61
Organ/Tissue Transplants - 66
Anesthesia - 68
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services - 69Reconstructive Surgery - 59
Oral and Maxillofacial Surgery - 61
Organ/Tissue Transplants - 66
Anesthesia - 68
Inpatient Hospital - 70
Maternity – Facility - 71
Outpatient Hospital or Ambulatory Surgical Center - 73
Residential Treatment Center - 76
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 77
Hospice Care - 77
Ambulance - 80
Section 5(d). Emergency Services/Accidents - 81Section 5(e). Mental Health and Substance Use Disorder Benefits - 85Maternity – Facility - 71
Outpatient Hospital or Ambulatory Surgical Center - 73
Residential Treatment Center - 76
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 77
Hospice Care - 77
Ambulance - 80
Professional Services - 85
Inpatient Hospital or Other Covered Facility - 87
Residential Treatment Center - 87
Outpatient Hospital or Other Covered Facility - 88
Section 5(f). Prescription Drug Benefits - 89Inpatient Hospital or Other Covered Facility - 87
Residential Treatment Center - 87
Outpatient Hospital or Other Covered Facility - 88
Covered Medications and Supplies -93
Section 5(g). Dental Benefits - 101Section 5(h). Wellness and Other Special Features - 103Health Tools - 103
Services for the Deaf and Hearing Impaired - 103
Web Accessibility for the Visually Impaired - 103
Travel Benefit/Services Overseas - 103
Healthy Families - 103
Blue Health Assessment - 103
Hypertension Management Program - 103
MyBlue® Customer eService - 104
National Doctor & Hospital Finder - 104
Care Management Programs - 104
Flexible Benefits Option - 105
Telehealth Services - 105
Routine Annual Physical Incentive Program - 106
The fepblue Mobile Application - 106
Section 5(i). Services, Drugs, and Supplies Provided Overseas - 107Services for the Deaf and Hearing Impaired - 103
Web Accessibility for the Visually Impaired - 103
Travel Benefit/Services Overseas - 103
Healthy Families - 103
Blue Health Assessment - 103
Hypertension Management Program - 103
MyBlue® Customer eService - 104
National Doctor & Hospital Finder - 104
Care Management Programs - 104
Flexible Benefits Option - 105
Telehealth Services - 105
Routine Annual Physical Incentive Program - 106
The fepblue Mobile Application - 106
Non-FEHB Benefits Available to Plan Members - 110