What’s New for 2021
Check out the changes and updates to the Service Benefit Plan in 2021.
We’re always working to improve our coverage to better meet your and your family’s healthcare needs. Here are the changes and updates we’re making to our three benefit plans in 2021.
All members enjoy expanded telehealth coverage
We will now cover online or phone telehealth visits you receive from your primary care providers or specialists who are outside of our contracted Teladoc network. For most non-Teladoc telehealth visits, you’ll pay your standard primary care and specialist copays.
Learn more about Telehealth
Changes to all of our plans
We’re providing preventive care benefits for:
- Bowel preparation medications associated with colon cancer screenings (limited to your first prescription fill)
- Certain HIV medications (known as antiretroviral therapy) for members at risk for HIV
- Hepatitis C screenings for members 18 years or older
The Hypertension Management Program will be limited to the contract holder and spouse on your contract over the age of 18. If you are a Standard or Basic Option member, you must complete the Blue Health Assessment (BHA) to receive the free blood pressure monitor.
All chest X-rays will now be covered under your regular medical benefits. Previously, we covered one per calendar year for adults as part of your preventive benefit.
MyStrength by Livongo will be available to all Service Benefit Plan members. Offering tools, videos and daily inspiration, this personalized program can help you cope with everyday stressors—all at no cost. Get help with stress, anxiety, sleep and much more.
Plan-specific changes
Standard Option Changes
• The out-of-pocket costs for tier 4 and 5 specialty drugs increased.
• We will now provide benefits for hearing aids up to $2,500 every five years, as opposed to every three years previously.
We also made changes to our approved drug lists (formularies).
Basic Option Changes
• The out-of-pocket costs for tier 4 and 5 specialty drugs increased.
• The Basic Option copay for emergency room care increased from $125 to $175.
• We will now provide benefits for hearing aids up to $2,500 every five years, as opposed to every three years previously.
We also made changes to our approved drug lists (formularies).
FEP Blue Focus Changes
• We will provide benefits for continuous home hospice care at no out-of-pocket cost to you. Previously, you paid 30% of our allowance.
• The out-of-pocket (catastrophic) maximums increased to $7,500 for Self Only and $15,000 for Self + One and Self & Family contracts.
We also made changes to our approved drug lists (formularies).
Want to check drug costs? Our Prescription Drug Cost Tool now includes 2021 costs of covered drugs for all three plans.
Get more with MyBlue®
You can learn more about your coverage with MyBlue, our members-only portal. Get 24/7 access to tools like the Blue Health Assessment, Online Health Coach and Financial Dashboard plus more resources that help you take charge of your health. When you’re on the go, access your benefits with fepblue, our free mobile app.
Learn more about MyBlue