2025 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5. FEP Blue Focus Benefits
Page 33
Section 5. FEP Blue Focus Benefits
Page 33
Section 5. FEP Blue Focus Benefits
See near the end of the brochure for a summary of benefits for this plan and Section 5 provides an overview of FEP Blue Focus.
Section 5. FEP Blue Focus Overview - 35
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 36
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 36
Diagnostic and Treatment Services - 37
Lab, X-ray and Other Diagnostic Tests - 38
Preventive Care, Adult - 39
Preventive Care, Child - 41
Maternity Care - 43
Family Planning - 44
Reproductive Services - 45
Allergy Care - 46
Treatment Therapies - 47
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 48
Hearing Services - 48
Vision Services (Testing, Treatment, and Supplies) - 49
Foot Care - 50
Orthopedic and Prosthetic Devices - 50
Durable Medical Equipment (DME) - 51
Medical Supplies - 52
Home Health Services - 52
Alternative/Manipulative Treatment - 53
Educational Classes and Programs - 53
Lab, X-ray and Other Diagnostic Tests - 38
Preventive Care, Adult - 39
Preventive Care, Child - 41
Maternity Care - 43
Family Planning - 44
Reproductive Services - 45
Allergy Care - 46
Treatment Therapies - 47
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 48
Hearing Services - 48
Vision Services (Testing, Treatment, and Supplies) - 49
Foot Care - 50
Orthopedic and Prosthetic Devices - 50
Durable Medical Equipment (DME) - 51
Medical Supplies - 52
Home Health Services - 52
Alternative/Manipulative Treatment - 53
Educational Classes and Programs - 53
Section 5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals - 54
Surgical Procedures - 55
Reconstructive Surgery - 56
Oral and Maxillofacial Surgery - 58
Organ/Tissue Transplants - 59
Anesthesia - 63
Oral and Maxillofacial Surgery - 58
Organ/Tissue Transplants - 59
Anesthesia - 63
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services - 64
Inpatient Hospital - 65
Maternity – Facility - 66
Outpatient Hospital or Ambulatory Surgical Center - 68
Residential Treatment Center - 71
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 72
Hospice Care - 72
Ambulance - 75
Outpatient Hospital or Ambulatory Surgical Center - 68
Residential Treatment Center - 71
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 72
Hospice Care - 72
Ambulance - 75
Section 5(d). Emergency Services/Accidents - 76
Accidental Injury - 77
Section 5(e). Mental Health and Substance Use Disorder Benefits - 80Professional Services - 80
Inpatient Hospital or Other Covered Facility - 82
Residential Treatment Center - 82
Outpatient Hospital or Other Covered Facility - 82
Section 5(f). Prescription Drug Benefits - 84Inpatient Hospital or Other Covered Facility - 82
Residential Treatment Center - 82
Outpatient Hospital or Other Covered Facility - 82
Covered Medications and Supplies - 88