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88

 
 
Document Number:
FSB25-088
Revision #:
v1.0
Date Published:
1/1/2025
 

 

2025 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
Page 88

 

Benefit Description

Ambulance (cont.)

 
  • Costs associated with overseas air or sea transportation to other than the closest hospital equipped to adequately treat your condition.


Standard Option - You Pay
All charges

Basic Option - You Pay
All charges

 

Go to page 87.  Go to page 89.
 

Blue Cross Blue Shield Federal Employee Program
Confidential - Internal Plan use only