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Cover Page and Inside Cover
Table of Contents
Introduction/Plain Language/Advisory
PSHB Facts
Section 1
Section 2
Section 3
Section 4
Section 5
5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals
5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
5(d). Emergency Services/Accidents
5(e). Mental Health and Substance Use Disorder Benefits
5(f). Prescription Drug Benefits
5(f)(a). FEP Medicare Prescription Drug Plan
5(g). Dental Benefits
5(h). Wellness and Other Special Features
5(i). Services, Drugs, and Supplies Provided Overseas
Non-PSHB Benefits Available to Plan Members
Section 6
Section 7
Section 8
Section 8(a)
Section 9
Section 10
Index
Summary of Benefits – FEP Blue Focus
2025 Rate Information
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Blue Cross Blue Shield Federal Employee Program logo
 
 

 

2025 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5. FEP Blue Focus Benefits
Page 34

 

Section 5(f)(a). FEP Medicare Prescription Drug Program - 90
Covered Medications and Supplies - 94
Section 5(g). Dental Benefits - 101
Accidental Injury Benefit - 101 
Inpatient and Outpatient Facility Care - 102 
Section 5(h). Wellness and Other Special Features - 103 
Health 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 - 107 
Non-PSHB Benefits Available to Plan Members - 110 

 

Go to page 33.  Go to page 35.
 

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