What’s New for 2022
Take a look at some of the changes and updates to the Service Benefit Plan in 2022.
We’re committed to making sure you have the coverage and benefits that fit your healthcare needs. Here are the changes and updates we’re making to our three benefit plans next year.
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 view the digital version of your updated member ID card now.
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).
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).
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).
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