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79

 
 
Document Number:
PFBF25-079
Revision #:
v1.0
Date Published:
1/1/2025
 

 

2025 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(d). Emergency Services/Accidents
Page 79

 

Benefit Description

Medical Emergency (cont.)
Not covered: Emergency room professional charges for shift differentials

You Pay
All charges

 

Benefit Description

Ambulance
See Section 5(c) for complete ambulance benefit and coverage information.


You Pay
See Section 5(c)

 

Go to page 78.  Go to page 80.
 

Blue Cross Blue Shield Federal Employee Program
Confidential - Internal Plan use only

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