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Cover Page and Inside Cover
Table of Contents
Introduction/Plain Language/Advisory
FEHB Facts
Section 1
Section 2
Section 3
Section 4
Section 5
5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals
5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
5(d). Emergency Services/Accidents
5(e). Mental Health and Substance Use Disorder Benefits
5(f). Prescription Drug Benefits
5(g). Dental Benefits
5(h). Wellness and Other Special Features
5(i). Services, Drugs, and Supplies Provided Overseas
Non-FEHB Benefits Available to Plan Members
Section 6
Section 7
Section 8
Section 9
Section 10
Index
Summary of Benefits – Standard Option
Summary of Benefits – Basic Option
2025 Rate Information
Entire brochure in page-number order
 
Blue Cross Blue Shield Federal Employee Program logo
 
 

 

2025 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Section 2. Changes for 2025
Changes to our Standard Option only

 

Changes to our Standard Option only
 
  • For members enrolled in our Medicare Prescription Drug Program, you now have a $35 copayment for each purchase of up to a 30-day supply, ($105 copayment for a 31 to 90-day supply), with no deductible for your Tier 2 preferred brand name drugs. (See page 111.)
     
  • For members enrolled in our Medicare Prescription Drug Program, you now have a $20 copayment for each purchase of up to a 30-day supply, ($60 copayment for a 31 to 90-day supply), with no deductible for your Tier 2 preferred brand name asthma medications. (See page 113.)
     
  • For members enrolled in our Medicare Prescription Drug Program, you now have a $20 copayment for each purchase of up to a 30-day supply, ($50 copayment for a 31 to 90-day supply), with no deductible for your Tier 2 preferred diabetic medications and supplies. (See page 113.)
 

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