MyBlue:

What’s New for 2021

Check out the changes and updates to the Service Benefit Plan in 2021.

With Open Season November 9–December 14, 2020, now’s the perfect time to consider your healthcare needs. Here are the changes and updates we’re making to our three benefit plans next year. Keep in mind: If you’re already a Service Benefit Plan member and happy with your coverage, you don’t have to do anything. Your coverage will automatically carry over.

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 the current three years.

We also made changes to our approved drug lists (formularies).

2021 Standard Option Formulary

Pharmacy Locator

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 the current three years.

We also made changes to our approved drug lists (formularies).

2021 Basic Option Formulary

Pharmacy Locator


 

FEP Blue Focus Changes

• We will provide benefits for continuous home hospice care at no out-of-pocket cost to you. Currently, you pay 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).

2021 FEP Blue Focus Formulary

Pharmacy Locator

Want to check drug costs? Our Prescription Drug Cost Tool now includes 2021 costs of covered drugs for all three plans.

New 2021 brochures

2021 Blue Cross and Blue Shield Service Benefit Plan – Standard Option

English

2021 Blue Cross and Blue Shield Service Benefit Plan – Basic Option

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2021 Blue Cross and Blue Shield Service Benefit Plan – FEP Blue Focus

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Our promise to you

To learn more about FEP’s commitment to our members’ health and well-being, watch a message from William Breskin, Senior VP, Government Programs at the Blue Cross Blue Shield Association.

Watch the Video

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
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 brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: RI 71-017). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.