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FEP Blue Basic® for FEHB

This plan is a great choice for families who want a flexible plan and are okay with paying a bit more monthly.

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Benefits at a glance:


  • No deductibles
  • Flat copays for many medical services
  • Broader prescription drug coverage

Get the details

Want to see detailed benefits for this plan? Download the 2025 Blue Cross and Blue Shield Service Benefit Plan Brochure – FEP Blue Standard and FEP Blue Basic below. 

See Plan Brochure

View an interactive plan summary book

For a convenient summary of our three coverage options, view an interactive version of the 2025 Benefit Summary Book.

2026 FEP Blue Basic Rates

 
Enrollment Code Bi-weekly Monthly
Self Only (111) $133.77 $289.83
Self + 1 (113) $319.25 $691.71
Self & Family (112) $356.86 $773.20

2025 FEP Blue Basic Rates

 
Enrollment Code Bi-weekly Monthly
Self Only (111) $113.16 $245.18
Self + 1 (113) $274.14 $593.97
Self & Family (112) $303.61 $657.82
These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.

Get up to $800 back with a Medicare Reimbursement Account

FEP Blue Basic members who have Medicare Part A and Part B can get up to $800 back with a Medicare Reimbursement Account.

Learn More

See if your doctor is in our network

Use our National Doctor and Hospital Finder tool to see if your current doctor is in our Preferred provider network or to find a specialist, retail clinic or urgent care center near you.

FEP Blue Basic Benefits

See costs for typical services when you use Preferred providers.

FEP Blue Basic
Virtual doctor visits by Teladoc Health® $0 copay
Preventive Care $0 copay for covered preventive screenings, immunizations and services
Physician and Mental Health Care

$35 copay for primary care1

$50 copay for specialist1

$35 copay for mental health visits

Urgent Care Center $50 copay
Chiropractic Care

$35 copay per treatment; up to 20 visits a year

Prescription Drugs

Retail Pharmacy^:

Generics: $15 copay
Preferred brand: 35% coinsurance2
Non-preferred brand: 60% coinsurance2
Preferred specialty: 35% coinsurance2
Non-preferred specialty: 35% coinsurance2

Mail Service Pharmacy:
Available to members with Medicare Part B primary only. 
Visit the Medicare page for more information.

 

Generics: $20 copay
Preferred brand: 35% coinsurance
Non-preferred brand: 35% coinsurance

Specialty Pharmacy^:
Preferred specialty: 35% coinsurance2
Non-preferred specialty: 35% coinsurance2

 


Maternity Care

$0 for doctor's visits

$0 for delivery at a Blue Distinction Center

$425 for delivery at all other facilities

Hospital Care

$250 copay for outpatient care per day per facility1

$425 per day copay for inpatient care; up to $2,975 per admission (precertification is required) 

Surgery

$150 copay in an office setting1

$200 copay in a non-office setting1

ER (accidental injury)

$425 per day per facility

ER (medical emergency)

$425 per day per facility

Lab work (such as blood tests) 20% coinsurance1
 
Diagnostic services
(such as sleep studies, CT scans)

Up to $100 copay in an office1

Up to $250 copay in a hospital1

Dental Care

$35 copay per evaluation; up to 2 per year

Rewards Program

Earn $50 for completing the Blue Health Assessment3

Earn up to $120 for completing three eligible Daily Habits goals3
Annual Deductible No deductible
Out-of-Pocket Maximum (PPO)

Self Only: $7,500

Self + One and Self & Family: $15,000

Under FEP Blue Basic, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care.

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).

  • * FEP Blue Basic Traditional Pharmacy drug tiers: Tier 1 Generics, Tier 2 Preferred Brand Name, Tier 3 Non-preferred Brand Name, Tier 4 Preferred Specialty, Tier 5 Non-preferred Specialty.
  • ^ What you’ll pay for a 30-day supply of covered drugs.
  • 1 Under FEP Blue Basic you pay 35% coinsurance for agents, drugs and/or supplies you receive during your care.
  • 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower.
  • 3 You must be the contract holder or spouse, 18 or older, on a FEP Blue Standard™ or FEP Blue Basic Plan to earn incentive rewards.

 

This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s federal brochure (RI 71-005). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.

FEP Blue Basic Benefits

See costs for typical services when you use Preferred providers.

FEP Blue Basic
Virtual doctor visits by Teladoc Health® $0 copay
Preventive Care $0 copay for covered preventive screenings, immunizations and services
Physician and Mental Health Care

$35 copay for primary care1

$50 copay for specialist1

$35 copay for mental health visits

Urgent Care Center $50 copay
Chiropractic Care

$35 copay per treatment; up to 20 visits per year1

Prescription Drugs

Retail Pharmacy^:

Generics: $15 copay
Preferred brand: $75 copay2
Non-preferred brand: 60% coinsurance2
Preferred specialty: $120 copay2
Non-preferred specialty: $200 copay2

Mail Service Pharmacy:
Available to members with Medicare Part B primary only. 
Visit the Medicare page for more information.

Generics: $20 copay
Preferred brand: $100 copay
Non-preferred brand: $125 copay

Specialty Pharmacy^:
Preferred specialty: $120 copay2
Non-preferred specialty: $200 copay2


Maternity Care

$0 copay for outpatient

$350 copay for inpatient hospital delivery

Hospital Care

$250 copay for outpatient care per day per facility1

$350 per day copay for inpatient care; up to $1,750 per admission (precertification is required) 

Surgery

$150 copay in an office setting1

$200 copay in a non-office setting1

ER (accidental injury)

$350 per day per facility

ER (medical emergency)

$350 per day per facility

Lab work (such as blood tests) 15% coinsurance1
 
Diagnostic services
(such as sleep studies, CT scans)

Up to $100 copay in an office1

Up to $250 copay in a hospital1

Dental Care

$35 copay per evaluation; up to 2 per year

Rewards Program

Earn $50 for completing the Blue Health Assessment3

Earn up to $120 for completing three eligible Daily Habits goals3
Annual Deductible No deductible
Out-of-Pocket Maximum (PPO)

Self Only: $7,500

Self + One and Self & Family: $15,000

Under FEP Blue Basic, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care.

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).

  • * FEP Blue Basic Traditional Pharmacy drug tiers: Tier 1 Generics, Tier 2 Preferred Brand Name, Tier 3 Non-preferred Brand Name, Tier 4 Preferred Specialty, Tier 5 Non-preferred Specialty.
  • ^ What you’ll pay for a 30-day supply of covered drugs.
  • 1 Under FEP Blue Basic you pay 30% coinsurance for agents, drugs and/or supplies you receive during your care.
  • 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower.
  • 3 You must be the contract holder or spouse, 18 or older, on a FEP Blue Standard™ or FEP Blue Basic Plan to earn incentive rewards.
  •  

This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s federal brochure (RI 71-005). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.

FEP Blue Basic with FEP Medicare Prescription Drug Program

Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and additional approved prescription drugs in some tiers than the traditional pharmacy benefit. Learn more here

FEP Blue Basic with MPDP
FEP Medicare Prescription Drug
Program Out-of-Pocket Maximum
$2,100 per member

Dummy comment to reduce the gap between 2 colsMedicare page for more information. 

Retail Pharmacy^

Generics: $10 copay

Preferred brand name: $45 copay 

Non-preferred brand name: 50% coinsurance

Specialty drugs: $75 copay

FEP Mail Service Pharmacy

Generics: $15 copay

Preferred brand name: $95 copay

Non-preferred brand name: $125 copay

Specialty drugs: $150 copay

FEP Blue Basic with FEP Medicare Prescription Drug Program

Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and additional approved prescription drugs in some tiers than the traditional pharmacy benefit. Learn more here

FEP Blue Basic with MPDP
FEP Medicare Prescription Drug
Program Out-of-Pocket Maximum
$2,000 per member

Dummy comment to reduce the gap between 2 colsMedicare page for more information. 

Retail Pharmacy^

Generics: $10 copay

Preferred brand name: $45 copay 

Non-preferred brand name: 50% coinsurance

Specialty drugs: $75 copay

FEP Mail Service Pharmacy

Generics: $15 copay

Preferred brand name: $95 copay

Non-preferred brand name: $125 copay

Specialty drugs: $150 copay

^ What you’ll pay for a 30-day supply of covered drugs.

The FEP Medicare Prescription Drug Program is a prescription drug plan with a Medicare contract. Enrollment in MPDP depends on contract renewal.

The formulary and/or pharmacy network may change at any time. You will receive notice when necessary.

Try our Prescription Drug Cost Tool

With our Prescription Drug Cost Tool, you can check drug costs 24/7. If you’re a member and logged in to MyBlue®, you can access a personalized drug cost tool that shows you the cost of prescription drugs for your specific plan.

Please note, while you can use the tool now, 2026 pricing information in the Personalized Drug Cost Tool will not be available until January 1, 2026.

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