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MyBlue®:

Choose the Right Plan

We can help you select the right Service Benefit Plan option to combine with Medicare.

Combining your Service Benefit Plan coverage with Medicare is a choice. Our three plan options provide the coverage and benefits you need today and as your healthcare needs change throughout retirement.

Covering the things Medicare doesn’t cover

Combining coverage gives you access to benefits not covered by Medicare. See our 2021 Medicare at a Glance summary.

2021 Standard Option 2021 Basic Option 2021 FEP Blue Focus
Hearing Aids Receive an allowance of up to $2,500 every five years for the purchase of hearing aids and hearing aid supplies

Get hearing aid discounts through our Blue365® Discount Program. You can combine this discount with the hearing aid benefit above.

Receive an allowance of up to $2,500 every five years for the purchase of hearing aids and hearing aid supplies

Get hearing aid discounts through our Blue365® Discount Program. You can combine this discount with the hearing aid benefit above. 

Get hearing aid discounts through our Blue365® Discount Program.
Routine Foot Care If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments. If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments. If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments.
Overseas Care All three of our plans cover you abroad.
Learn more about overseas coverage.
All three of our plans cover you abroad.
Learn more about overseas coverage.
All three of our plans cover you abroad.
Learn more about overseas coverage.
Acupuncture Receive up to 24 visits per year at no cost to you Receive up to 10 visits per year at no cost to you Receive up to 10 visits per year at no cost to you
Dental Care We'll pay up to the fee schedule amount listed in the Standard Option brochure for dental services You pay nothing for preventive dental services (up to 2 cleanings a year) No benefit

Prescription drug coverage

Medicare Part A and Part B don’t include prescription drug coverage, but your Service Benefit Plan coverage does.
Here’s what you’ll pay for a 30-day supply:

Standard Option Basic Option FEP Blue Focus
Mail Service Pharmacy Tier 1: $10 copay
Tier 2: $90 copay
Tier 3: $125 copay
Tier 1: $20 copay
Tier 2: $100 copay
Tier 3: $125 copay
No benefit
Preferred Retail Pharmacy Tier 1: $5 copay
Tier 2: 30% of our allowance
Tier 3: 50% of our allowance
Tier 4: 30% of our allowance
Tier 5: 30% of our allowance
Tier 1: $10 copay
Tier 2: $50 copay
Tier 3: 50% of our allowance ($60 min)
Tier 4: $60 copay
Tier 5: $80 copay
Tier 1: $5 copay
Tier 2: 40% of our allowance ($350 max)
Specialty Pharmacy Tier 4: $65 copay
Tier 5: $85 copay
Tier 4: $80 copay
Tier 5: $100 copay
Tier 2: 40% of our allowance ($350 max)

The prescription drugs covered in each tier vary by plan. Check our approved formularies to see what’s covered.

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: 71-017). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.

Check Drug Costs

Our Prescription Drug Cost Tool lets you check drug costs 24/7, see if your drug is covered under your selected plan and compare costs of covered drugs for all three plans.

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See more benefits and premiums

Compare benefit options and plan rates for Standard Option, Basic Option and FEP Blue Focus.

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Please note: The Medicare information on this page focuses on the Original Medicare Plan and when Medicare Part A and Part B are your primary coverage, unless otherwise noted. The Service Benefit Plan information refers to Standard Option, Basic Option and FEP Blue Focus.

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Get Reimbursed

With a Medicare Reimbursement Account, Basic Option members can get up to $800 back.

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Use Your Benefits

Learn how to get the most out of your Service Benefit Plan coverage with Medicare.

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View Our Guide

Learn more about the benefits of combining Medicare coverage with the Service Benefit Plan.

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