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2025 PSHB Standard and Basic Options brochure
Sections
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
 
 

Blue Cross and Blue Shield Service Benefit Plan Brochure - 2025

PSHB FEP Blue Focus

 

Section 5(f)(a). FEP Medicare Prescription Drug Plan

Section 5(f). MPDP Overview
MPDP There are important features you should be aware of
MPDP Who can write your prescriptions
MPDP Where you can obtain prescription drugs
MPDP We have a managed formulary
MPDP These are the dispensing limitations
MPDP Prior Approval
MPDP Generic equivalents
MPDP How to obtain your prescription drugs and supplies
MPDP Medical Foods
MPDP Disclosure of information
MPDP Important contact information
MPDP PDP EGWP Catastrophic Maximums
MPDP Covered Drugs and Supplies
 

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