FOR 2018

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Want more information about coverage? Download the 2018 Service Benefit Plan brochure or call the National Information Center at 1-800-411-BLUE (2583), weekdays from 8 a.m. to 8 p.m. Eastern time.

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Telehealth Services

Members can speak to board-certified healthcare providers via phone or online video chat through our telehealth services. These professionals can treat minor injuries and illnesses. They can also provide counseling for substance use disorders and mental healthcare services. (In an emergency, always call 911 or go to your local emergency services immediately.)

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Wellness Incentive Updates

You must be the contract holder and/or a covered spouse to earn incentive rewards with the Blue Health Assessment, Online Health Coach, Diabetes Management Incentive Program, Pregnancy Care Incentive Program, Hypertension Management Program and/or Tobacco Cessation Incentive Program.

Pregnant members do not have to register for My Pregnancy Assistant to earn rewards through the Pregnancy Care Incentive Program.

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Overseas Care Updates

Through our overseas benefits, we will cover inpatient care at overseas Department of Defense (DoD) facilities in full.

You must receive precertification (approval) for residential treatment center and skilled nursing facility admissions.

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Medicare Updates

As part of our Medicare benefits, Basic Option members with Medicare Part A and B can receive up to a $600 Medicare reimbursement account. Check back in 2018 for details about the reimbursement process.

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Preventive Care Updates

You can receive generic cholesterol-lowering drugs (known as statins), regardless of age.

Members ages 50 to 59 can receive aspirin to prevent heart disease and colon cancer.

We provide benefits for latent tuberculosis infection screenings for members 18 and over.

We expanded benefits for colon cancer screenings to include DNA analysis of stool samples.

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Provider/Facility Care Updates

We provide benefits for skilled nursing facility care for all Standard Option members—not just to Standard Option members with Medicare Part A primary.

We cover vasectomies in full as part of our family planning benefits.

We limit our coverage of blood and stem cell transplants to the treatment of specific diseases.

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Pharmacy Updates

2018 Basic Option Formulary

2018 Standard Option Formulary

We cover medical foods you receive by mouth. You must purchase the food using the Retail or Mail Service Pharmacy and receive prior approval.

We reduced your out-of-pocket cost for generic and Preferred brand name asthma drugs. We also reduced your out-of-pocket cost for generic drugs used to lower high blood pressure.

We've expanded the Basic Option "Managed Not Covered" list to include additional non-covered drugs.

If you buy a brand name drug instead of a generic, you’ll pay more out-of-pocket. You’ll pay the brand name cost share plus the difference between the cost of the brand name and the generic drug. However, if your provider tells us you can only take the brand name drug, you will not have to pay the difference between the cost of the two drugs.

We increased the out-of-pocket cost for Non-preferred brand name drugs (Tier 3) for both the Retail and Mail Service Pharmacies.

We removed the age limit on drugs to treat gender dysphoria.

The Specialty Pharmacy Program will be administered by AllianceRx Walgreens Prime. Your specialty drug out-of-pocket costs will stay the same. CVS Caremark will continue to administer the Retail and Mail Service Pharmacies. You can view the 2018 Specialty Drug List or call us at 1-888-346-3731 for more information.

2018 Pharmacy Locator

2018 Pharmacy Benefit Summary Book

2018 Abbreviated Formulary

2018 Standard Option Generic Incentive Program

2018 Drug Cost Tools
Retail and Mail Service Pharmacy Programs Specialty Pharmacy Program

This is a summary of the features of the 2018 Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochure (RI 71-005). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochure (RI 71-005).

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Take charge of your health with our app.

With the fepblue mobile app, you can view your benefits information, find a Preferred provider, contact the Nurse Line and much more.

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View 2018 Rates and Compare Plans

See a side-by-side comparison of our Standard Option and Basic Option.

Compare Plans

Standard Option

Provides the flexibility to receive care outside the network.
2018 Standard Option Benefits

Basic Option

Enjoy a lower premium and no deductible.
2018 Basic Option Benefits

Thank You for Being a Caregiver
We pledge to honor and support all caregivers who are vitally needed at this time. Because we’re in this together. You can learn more here.

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