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Each plan offers more ways to get the coverage you need

FEP Blue Focus^®

Lowest premium
$10 per visit for the first 10 primary and specialist visits for each person on your plan
Lowest copay for urgent care centers

FEP Blue Basic^®

No deductibles
Flat copays for many medical services
Broader prescription drug coverage

FEP Blue Standard^®

Out-of-network care
FEP Mail Service Pharmacy and largest approved drug list
Comprehensive family planning benefits including free maternal health coverage and up to $25,000 annually in IVF benefits

2026
2025

2026 FEHB Plan Rates

FEP Blue Focus
Enrollment code	Bi-weekly	Monthly
Self Only (131)	$66.81	$144.76
Self + 1 (133)	$143.63	$311.21
Self & Family (132)	$157.97	$342.28

FEP Blue Basic
Enrollment code	Bi-weekly	Monthly
Self Only (111)	$133.77	$289.83
Self + 1 (113)	$319.25	$691.71
Self & Family (112)	$356.86	$773.20

FEP Blue Standard
Enrollment code	Bi-weekly	Monthly
Self Only (104)	$188.32	$408.02
Self + 1 (106)	$410.88	$890.24
Self & Family (105)	$457.66	$991.60

2025 FEHB Plan Rates

FEP Blue Focus
Enrollment code	Bi-weekly	Monthly
Self Only (131)	$59.17	$128.21
Self + 1 (133)	$127.21	$275.63
Self & Family (132)	$139.92	$303.17

FEP Blue Basic
Enrollment code	Bi-weekly	Monthly
Self Only (111)	$113.16	$245.18
Self + 1 (113)	$274.14	$593.97
Self & Family (112)	$303.61	$657.82

FEP Blue Standard
Enrollment code	Bi-weekly	Monthly
Self Only (104)	$174.81	$378.76
Self + 1 (106)	$384.14	$832.31
Self & Family (105)	$424.65	$920.07

These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.

2026
2025

A closer look at medical out-of-pocket costs

See costs of typical services when you use Preferred providers.


	FEP Blue Focus View plan page	FEP Blue Basic View plan page	FEP Blue Standard View plan page
Virtual doctor visits by Teladoc Health^®	$0 copay	$0 copay	$0 copay
Preventive Care	$0 copay for covered preventive screenings, immunizations and services	$0 copay for covered preventive screenings, immunizations and services	$0 copay for covered preventive screenings, immunizations and services
Physician and Mental Health Care	$10 per visit for your first 10 primary and/or specialty care visits⁵	$35 copay for primary care ¹ $50 copay for specialists ¹ $35 copay for mental health visits	$30 copay for primary care $40 copay for specialists $30 copay for mental health visits
Urgent Care Center	$25 copay	$50 copay	Accidental Injury: $0 Medical Emergency: $30 copay
Chiropractic Care	$25 for up to 10 visits a year²^,⁵	$35 for up to 20 visits a year	$30 for up to 12 visits a year
Prescription Drugs	Retail Pharmacy^{^}: Generics: $5 copay Preferred brand: 40% coinsurance Specialty Pharmacy^{^}: Preferred specialty: 40% coinsurance	If you have Medicare Part B primary, your costs for prescription drugs may be lower. Retail Pharmacy^{^}: Generics: $15 copay Preferred brand: 35% coinsurance Non-preferred brand: 60% coinsurance Preferred specialty: 35% coinsurance Non-preferred specialty: 35% coinsurance Mail Service Pharmacy^{^}: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Generics: $20 copay Preferred brand: 35% coinsurance Non-preferred brand: 35% coinsurance Specialty Pharmacy^{^}: Preferred specialty: 35% coinsurance Non-preferred specialty: 35% coinsurance	Retail Pharmacy^{^}: Generics: $7.50 copay Preferred brand: 30% coinsurance Non-preferred brand: 50% coinsurance Preferred specialty: 30% coinsurance Non-preferred specialty: 30% coinsurance Mail Service Pharmacy: Generics: $15 copay Preferred brand: 15% coinsurance Non-preferred brand: 20% coinsurance Specialty Pharmacy^{^}: Preferred specialty: $100 copay Non-preferred specialty: $150 copay
FEP Medicare Prescription Drug Program	Not a benefit	Retail Pharmacy^{^}: Generics: $10 copay Preferred brand: $45 copay Non-preferred brand: 50% coinsurance Specialty: $75 copay Mail Service Pharmacy: Generics: $15 copay Preferred brand: $95 copay Non-preferred brand: $125 copay Specialty: $150 copay	Retail Pharmacy^{^}: Generics: $5 copay Preferred brand: $35 copay Non-preferred brand: 50% coinsurance Specialty: $60 copay Mail Service Pharmacy: Generics: $5 copay Preferred brand: $85 copay Non-preferred brand: $125 copay Specialty: $150 copay
Maternity Care	$0 for doctor's visits $2,500 for facility care	$0 for doctor’s visits $0 for delivery at a Blue Distinction Center $425 for delivery at all other facilities	$0 copay
Hospital Care	30% coinsurance for outpatient care ^* 30% coinsurance for inpatient care ^* (precertification is required)	$250 copay for outpatient care per day per facility¹ $425 per day copay for inpatient care; up to $2,975 per admission (precertification is required)	15% coinsurance for outpatient care^* $350 per admission copay for inpatient care (precertification is required)
Surgery	30% coinsurance^*	$150 copay per surgeon in an office¹ $200 copay per surgeon in other settings¹	15% coinsurance^*
ER (accidental injury)	$0 within 72 hours	$425 copay per day per facility	$0 within 72 hours
ER (medical emergency)	30% coinsurance ^*	$425 copay per day per facility	15% coinsurance^*
Lab work (such as blood tests)	$0 for first 10 specific lab tests^**	20% coinsurance¹	15% coinsurance^*
Diagnostic services (such as sleep studies, CT scans)	30% coinsurance^*	Up to $100 in an office¹ Up to $250 in a hospital¹	15% coinsurance^*
Dental Care	Not a benefit	$35 per evaluation; up to 2 evaluations per year	See 2026 FEP Blue Standard and FEP Blue Basic brochure
Rewards Program	Earn $150 on your MyBlue Wellness Card for getting an annual physical⁴	Earn $50 for completing the Blue Health Assessment ³ Earn up to $120 for completing three eligible Daily Habits goals³	Earn $50 for completing the Blue Health Assessment ³ Earn up to $120 for completing three eligible Daily Habits goals³
Annual Deductible	Self Only: $750 Self + One and Self & Family: $1,500	No deductible	Self Only: $350 Self + One and Self & Family: $700
Out-of-Pocket Maximum (PPO)	Self Only: $10,000 Self + One and Self & Family: $20,000	Self Only: $7,500 Self + One and Self & Family: $15,000	Self Only: $6,000 Self + One and Self & Family: $12,000
FEP Medicare Prescription Drug Program Out-of-Pocket Maximum	Not a benefit	$2,100 per member	$2,100 per member

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).

^* Deductible applies.
^** Please see brochure for covered lab services.
^{^} What you’ll pay for a 30-day supply of covered drugs.
¹ You pay 35% coinsurance for agents, drugs and/or supplies you receive during your care.
² Up to 10 visits combined for chiropractic care and acupuncture.
³ You must be the contract holder or spouse, 18 or older, on a FEP Blue Standard OR FEP Blue Basic plan to earn incentive rewards.
⁴ You must be the contract holder or spouse, 18 or older, on an FEP Blue Focus plan to earn this reward.
⁵ You pay 30% coinsurance for agents, drugs and/or supplies you receive during your care.

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 (FEP Blue Standard and FEP Blue Basic: 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.

A closer look at medical out-of-pocket costs

See costs of typical services when you use Preferred providers.

Download the 2025 Benefits at a Glance Brochure


	FEP Blue Focus View plan page	FEP Blue Basic View plan page	FEP Blue Standard View plan page
Virtual doctor visits by Teladoc Health^®	$0 copay	$0 copay	$0 copay
Preventive Care	$0 copay for covered preventive screenings, immunizations and services	$0 copay for covered preventive screenings, immunizations and services	$0 copay for covered preventive screenings, immunizations and services
Physician and Mental Health Care	$10 per visit for your first 10 primary and/or specialty care visits¹	$35 copay for primary care ¹ $50 copay for specialists ¹ $35 copay for mental health visits	$30 copay for primary care $40 copay for specialists $30 copay for mental health visits
Urgent Care Center	$25 copay	$50 copay	Accidental Injury: $0 Medical Emergency: $30 copay
Chiropractic Care	$25 for up to 10 visits a year¹^,²	$35 for up to 20 visits a year	$30 for up to 12 visits a year
Prescription Drugs	Retail Pharmacy^{^}: Generics: $5 copay Preferred brand: 40% coinsurance Specialty Pharmacy^{^}: Preferred specialty: 40% coinsurance	If you have Medicare Part B primary, your costs for prescription drugs may be lower. Retail Pharmacy^{^}: Generics: $15 copay Preferred brand: $75 copay Non-preferred brand: 60% coinsurance Preferred specialty: $120 copay Non-preferred specialty: $200 copay Mail Service Pharmacy^{^}: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Generics: $20 copay Preferred brand: $100 copay Non-preferred brand: $125 copay Specialty Pharmacy^{^}: Preferred specialty: $120² Non-preferred specialty: $200 copay²	If you have Medicare Part B primary, your costs for prescription drugs may be lower. Retail Pharmacy: Generics: $7.50 copay^{^} : Preferred brand: 30% coinsurance Non-preferred brand: 50% coinsurance Preferred specialty: 30% coinsurance ^{^} : Non-preferred specialty: 30% coinsurance ^{^} : Mail Service Pharmacy: Generics: $15 copay Preferred brand: $90 copay Non-preferred brand: $125 copay Specialty Pharmacy^{^}: Preferred specialty: $65 copay Non-preferred specialty: $85 copay
FEP Medicare Prescription Drug Program	Retail Pharmacy^{^}: Generics: $5 copay Preferred brand: 40% coinsurance Non-preferred brand: 40% coinsurance Specialty: 40% coinsurance Mail Service Pharmacy: Not a benefit	Retail Pharmacy^{^}: Generics: $10 copay Preferred brand: $45 copay Non-preferred brand: 50% coinsurance Specialty: $75 copay Mail Service Pharmacy: Generics: $15 copay Preferred brand: $95 copay Non-preferred brand: $125 copay Specialty: $150 copay	Retail Pharmacy^{^}: Generics: $5 copay Preferred brand: $35 copay Non-preferred brand: 50% coinsurance Specialty: $60 copay Mail Service Pharmacy: Generics: $5 copay Preferred brand: $85 copay Non-preferred brand: $125 copay Specialty: $150 copay
Maternity Care	$0 for doctor's visits $1,500 for facility care	$350 inpatient $0 outpatient	$0 copay
Hospital Care	30% coinsurance for outpatient care¹ 30% coinsurance for inpatient care¹ (precertification is required)	$250 copay for outpatient care per day per facility¹ $350 per day copay for inpatient care; up to $1,750 per admission (precertification is required)	15% coinsurance for outpatient care^* $350 per admission copay for inpatient care (precertification is required)
Surgery	30% coinsurance^*	$150 copay per surgeon in an office¹ $200 copay per surgeon in other settings¹	15% coinsurance^*
ER (accidental injury)	$0 within 72 hours	$350 copay per day per facility	$0 within 72 hours
ER (medical emergency)	30% coinsurance¹	$350 copay per day per facility	15% coinsurance^*
Lab work (such as blood tests)	$0 for first 10 specific lab tests^**	15% coinsurance¹	15% coinsurance^*
Diagnostic services (such as sleep studies, CT scans)	30% coinsurance^*	Up to $100 in an office¹ Up to $250 in a hospital¹	15% coinsurance^*
Dental Care	Not a benefit	$35 per evaluation; up to 2 evaluations per year	See 2025 FEP Blue Standard and FEP Blue Basic brochure
Rewards Program	Earn $150 on your MyBlue Wellness Card for getting an annual physical⁴	Earn $50 for completing the Blue Health Assessment ³ Earn up to $120 for completing three eligible Daily Habits goals³	Earn $50 for completing the Blue Health Assessment ³ Earn up to $120 for completing three eligible Daily Habits goals³
Annual Deductible	Self Only: $500 Self + One and Self & Family: $1,000	No deductible	Self Only: $350 Self + One and Self & Family: $700
Out-of-Pocket Maximum (PPO)	Self Only: $9,000 Self + One and Self & Family: $18,000	Self Only: $7,500 Self + One and Self & Family: $15,000	Self Only: $6,000 Self + One and Self & Family: $12,000
FEP Medicare Prescription Drug Program Out-of-Pocket Maximum	$2,000 per member	$2,000 per member	$2,000 per member

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).

^* Deductible applies.
^** Please see brochure for covered lab services.
^{^} What you’ll pay for a 30-day supply of covered drugs.
¹ You pay 30% coinsurance for agents, drugs and/or supplies you receive during your care.
² Up to 10 visits combined for chiropractic care and acupuncture.
³ You must be the contract holder or spouse, 18 or older, on a FEP Blue Standard OR FEP Blue Basic plan to earn incentive rewards.
⁴ You must be the contract holder or spouse, 18 or older, on an FEP Blue Focus plan to earn this reward.

Explore Our FEHB Plans

Jump to

Each plan offers more ways to get the coverage you need

FEP Blue Focus^®

FEP Blue Basic^®

FEP Blue Standard^®

2026 FEHB Plan Rates

2025 FEHB Plan Rates

A closer look at medical out-of-pocket costs

A closer look at medical out-of-pocket costs

Not sure which plan is right for you?

Explore Our FEHB Plans

Jump to

Each plan offers more ways to get the coverage you need

FEP Blue Focus®

FEP Blue Basic®

FEP Blue Standard®

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2026 FEHB Plan Rates

2025 FEHB Plan Rates

A closer look at medical out-of-pocket costs

A closer look at medical out-of-pocket costs

Not sure which plan is right for you?

FEP Blue Focus^®

FEP Blue Basic^®

FEP Blue Standard^®