2024-standard-and-basic-options.fepbrochures-bcbsa.com

Section 5. Standard and Basic Option Overview

WebStandard and Basic Option Overview. The benefit package for Standard and Basic Options are described in Section 5, which is divided into subsections 5 (a) through 5 (i). Make …

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Section 5. Benefits

WebSection 5 (a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 38. Diagnostic and Treatment Services - 39. Lab, X-ray and Other …

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Summary of Benefits for the Blue Cross and Blue Shield Service …

WebAmbulance transport services: $100 per day for ground ambulance (no deductible); $150 per day for air or sea ambulance (no deductible) 91 - 92. Mental health and substance use …

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Preventive Care, Adult

WebBenefit Description Not covered: Self-administered health risk assessments (other than the Blue Health Assessment) Screening services requested solely by the member, such as …

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Standard and Basic Options

WebBenefits. Section 6. General Exclusions - Services, Drugs, and Supplies We Do Not Cover. Section 7. Filing a Claim for Covered Services. Section 8. The Disputed Claims Process. …

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Coverage information

WebCoverage information. No pre-existing condition limitation. Minimum essential coverage (MEC) Minimum value standard. Where you can get information about enrolling in the …

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Section 5(h). Wellness and Other Special Features

WebStandard and Basic Options. Section 5 (h). Wellness and Other Special Features. Health Tools. Services for the Deaf and Hearing Impaired. Web Accessibility for the Visually …

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Hypertension Management Program

WebHypertension Management Program The Hypertension Management Program gives members age 18 and older with hypertension (otherwise known as high blood pressure) …

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Hospice Care Section 5(c).

WebHospice Care Hospice care is an integrated set of services and supplies designed to provide palliative and supportive care to members with a projected life …

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Blue Health Assessment

WebBlue Health Assessment The Blue Health Assessment (BHA) questionnaire is an easy and engaging online health evaluation program which can be completed in 10-20 minutes. …

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Section 6. General Exclusions

WebThe exclusions in this Section apply to all benefits. There may be other exclusions and limitations listed in Section 5 of this brochure. Although we may list a specific service as …

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Summary of Benefits for the Blue Cross and Blue Shield Service …

WebPPO: $35 copayment for urgent care; $250 copayment for emergency room care. Non-PPO: $250 copayment for emergency room care; you pay all charges for care in settings other …

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2024 Rate Information for the Blue Cross and Blue Shield Service

WebMonthly government share: $1,270.75. Monthly your share: $517.03. Basic Option, Self and Family, Enrollment Code 112: Premium Rate. Biweekly government share: $646.18. …

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Section 2. Changes for 2024

Web2024 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option. Section 2. Changes for 2024. Section 2. Changes for 2024. Do not rely only on these change …

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Section 5(f). MPDP Overview

WebSection 5. Benefits. Section 5 (f). Prescription Drug Benefits. FEP MEDICARE PRESCRIPTION DRUG PROGRAM. We cover prescription drugs and supplies, as …

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