2025 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

 

Note: We state whether or not the calendar year deductible applies for each benefit listed in this section.

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.


You Pay
Preferred: Nothing (no deductible)

Non-preferred (Participating/Non-participating): You pay all charges

 

Benefit Description
  • Diabetic education

    Note: See previous information in this section 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:
 
  • 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, headache, eating disorder, and other educational clinics unless described earlier in this section as being covered
     
  • 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