Members

Popular Member Searches — Federal Employee Program (FEP)

For additional information on FEP, visit the Blue Cross and Blue Shield http://www.fepblue.org site.


Dental Benefits

For more information, refer to the Blue Cross and Blue Shield Service Benefit Plan brochure, contact FEP Customer Service at 1-800-482-6655 or visit http://www.fepblue.org.

top

Vision Benefits

For more information, refer to the Blue Cross and Blue Shield Service Benefit Plan brochure, contact FEP Customer Service at 1-800-482-6655 or visit http://www.fepblue.org.

top

Vision Care Affinity Program

Service Benefit Plan members can receive routine eye exams, frames, lenses, conventional contact lenses, and laser vision correction at substantial savings when using Davis Vision network providers. Members have access to more than 29,500 providers including optometrists, ophthalmologists and many retail centers.

For a complete description of the program or to find a near you, go to http://www.fepblue.org and select “Benefit Plans.” Or call 1-800-551-3337 (Between 8 a.m. and 11 p.m. eastern time, Mon.-Fri.; 9 a.m. to 4 p.m. on Saturday; or noon to 4 p.m. on Sunday).

Please be sure to verify that the provider participates in our Vision Care Affinity Program and ask about the discounts available before your visit, as discounts may vary from location to location.

Members can save on replacement contact lenses by visiting www.lens123.com or calling 1-800-536-7123.

Members can also save up to 25 percent off the provider’s usual fee, or 5 percent off sales pricing, on laser vision correction procedures. Call 1-800-551-3337 for the nearest location and authorization for the discount.

top

Pharmacy Benefits

Prescription benefits are available at a preferred retail pharmacy. For a list of the preferred pharmacies, you may call the Retail Pharmacy Program at 1-800-624-5060 or visit http://www.fepblue.org.

top

Checking on Claims Status

For more information, refer to the Blue Cross and Blue Shield Service Benefit Plan brochure, contact FEP Customer Service at 1-800-482-6655 or visit http://www.fepblue.org.

top

Explanation of Benefits

For more information, refer to the Blue Cross and Blue Shield Service Benefit Plan brochure, contact FEP Customer Service at 1-800-482-6655 or visit http://www.fepblue.org.

top

If You Have Other Coverage

If you have additional health insurance coverage, a decision must be made as to which coverage is responsible for primary payment. For more information, refer to the Blue Cross and Blue Shield Service Benefit Plan brochure, contact FEP Customer Service at 1-800-482-6655 or visit http://www.fepblue.org.

top

Smoking Cessation Program

Smoking cessation treatment, classes and individual counseling services are available with no copayment or deductible when provided by a covered preferred provider.

Standard Option and Basic Option members who complete the Blue Heath Assessment and the Breathe™ smoking cessation module are eligible to receive smoking cessation products for free. Both over-the-counter (OTC) and prescription smoking cessation products obtained from a Preferred Retail Pharmacy are included in this program. Members must be 18 years of age or older to participate in the Smoking Cessation Program. Eligible members may receive up to one 12-week course of therapy every 90 days. A prescription will be required for all medications; including OTC medications to be covered in the Preventative Health and Smoking Cessation programs.

top

Preventive Care

Preventive care benefits have been expanded and are covered in full for adults and children when provided by a preferred provider. If the primary purpose of the visit is other than preventive care, a copayment may apply even if preventive services are provided during the visit. Some of the expanded benefits are highlighted below:

  • Preventive care benefits are covered in full for nutritional counseling visits for adults and children when provided by preferred providers, Previously, children meeting certain criteria could receive up to four nutritional counseling visits per year at no charge through our Jump 4 Health Weight Management Program. Nutritional counseling benefits apply when billed by a covered provider such as a physician, nurse, nurse practitioner, licensed certified nurse midwife, dietician or nutritionist, who bills independently for nutritional counseling services. Benefits are limited to individual nutritional counseling services. Benefits are not provided for group counseling services. If the primary purpose of the office visit to a preferred provider is other than preventive care the copayment applies even if a covered preventive service is provided during the visit.
  • Preventive care benefits are covered for adult screenings for gonorrhea infection, Human Immunodeficiency Virus (HIV) infection and syphilis infection.

top

Maternity-Related Depression

Benefits for up to four mental health visits per year are provided in full (copayment is waived when provided by a preferred provider) for treatment of maternity-related depression during pregnancy or postpartum or both.

top

Mental Health and Substance Abuse Treatment

Members are no longer required to obtain prior approval before receiving outpatient professional or outpatient facility care for mental health and substance abuse treatment.

top

Hearing Aids

Benefits are paid in full for hearing aids up to $1,000 per ear per calendar year for children, and $1,000 per ear per 36 months for adults age 22 and over when provided by any qualified hearing aid provider. Members are responsible for any amount over the $1,000 per ear (no deductible).

top

Speech-Generating Devices

Benefits are paid in full up to $1,000 per calendar year for speech-generating devices obtained from any qualified provider.

top