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MyBlue®:

What’s New for 2022

Take a look at some of the changes and updates to the Service Benefit Plan in 2022.

With Open Season November 8–December 13, 2021, now’s the 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.

Replacement Member ID Cards

All current Service Benefit Plan contract holders will receive replacement member ID cards in the mail in the first few months of 2022. These member ID cards will include a few benefit details and updated contact information.

If you have the fepblue app or a MyBlue account, you can get early access to the digital version of your updated member ID card in the fall of 2021.

Changes to all of our plans

Health and wellness updates

  • Blue365® Discount Program now includes new and exciting discounts, including a new travel insurance benefit, GeoBlue.
  • We’re expanding the selection of free breast pumps available for members who are pregnant or nursing. Each breast pump will come with a selection of milk storage bags.
  • We will cover group counseling (in addition to individual) used for the prevention or reduction of health risks, such as group nutritional counseling. 

Medical benefit updates

  • We increased the out-of-pocket maximum for all three plans. The individual out-of-pocket maximum will increase by $1,000 and the family (Self + 1 and Self & Family) out-of-pocket maximum will increase by $2,000 for each plan.
  • EKGs will be covered under your regular medical benefits instead of your preventive benefits.

Pharmacy changes

  • We will cover tubeless insulin pumps under your pharmacy benefit. Standard and Basic Option members will pay either a Tier 2 or 3 copay; FEP Blue Focus members will pay a Tier 2 copay. Previously, these were only covered under your durable medical equipment benefit.
  • The Specialty Pharmacy Program will be administered by CVS Caremark. Previously it was administered by AllianceRx Walgreens Prime.

Plan-specific changes

Standard Option Changes

  • Kidney transplants are being added to Blue Distinction Center transplant programs.
  • For our pregnant members, we’re updating the items included in the Pregnancy Care Box that’s part of our Pregnancy Care Incentive Program.
  • We also made changes to our approved drug lists (formularies).

 

2022 Standard Option Formulary

Basic Option Changes

  • Kidney transplants are being added to Blue Distinction Center transplant programs.
  • For our pregnant members, we’re updating the items included in the Pregnancy Care Box that’s part of our Pregnancy Care Incentive Program.
  • We increased the specialty drug (Tier 4 and 5) copays for drugs you purchase through the Retail Pharmacy Program. The copays match what you would pay through the Specialty Pharmacy Program.
  • You will pay $30 for dental evaluations, and then 30% of our allowance for all other dental care resulting from an accidental injury. Previously you paid $30 for all covered accidental injury dental care services.
  • We also made changes to our approved drug lists (formularies).

 

2022 Basic Option Formulary

 

FEP Blue Focus Changes

  • Walgreens and Duane Reade Pharmacies will no longer be in-network retail pharmacies. You must use in-network pharmacies to use your pharmacy benefit.
  • We also made changes to our approved drug lists (formularies).
 

2022 FEP Blue Focus Formulary

New 2022 brochures

2022 Blue Cross and Blue Shield Service Benefit Plan – Standard Option

 

2022 Blue Cross and Blue Shield Service Benefit Plan – Basic Option

 

2022 Blue Cross and Blue Shield Service Benefit Plan – FEP Blue Focus

 

 

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.