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.
Benefits at a glance:
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
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 |
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
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 | |
| Prescription Drugs |
Retail Pharmacy^: 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: $20 copay |
| 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 |
| 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 |
| 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.