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 501-378-2531 or visit
http://www.fepblue.org.
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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 501-378-2531 or visit
http://www.fepblue.org.
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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.
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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.
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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 501-378-2531 or visit
http://www.fepblue.org.
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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 501-378-2531 or visit
http://www.fepblue.org.
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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 501-378-2531 or visit http://www.fepblue.org.
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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.
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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.
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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.
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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.
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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).
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Speech-Generating Devices
Benefits are paid in full up to $1,000 per calendar year for speech-generating devices
obtained from any qualified provider.
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