Federal Employee Program (FEP) Find information specific to your Service Benefit Plan Provider Directory Find participating doctors, clinics or hospitals. Explore Providers Pharmacy Guide Use the FEP Pharmacy Finder, see drug benefits and more. Learn More Benefit Highlights Find your benefits at a glance and stay updated on benefit changes that may affect you. Co-pay Option - Separate Medical and Prescription Drug Deductible.Services include certain Specialty Services which are Ambulatory Services performed in a non-hospital setting approved and designated by Blue Cross & Blue Shield of Mississippi. To be covered, certain Specialty Services to include hip, knee and shoulder replacement and spine.
Bcbs Federal Physical Therapy Benefits
Bcbs Federal Physical Therapy Benefits
Copay For Blue Cross Blue Shield Federal
Basic Option | |
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Preventive Care | Nothing for covered preventive screenings, immunizations and services |
Physician Care | $30 for primary care1 |
Virtual doctor visits by Teladoc® | $0 for first 2 visits |
Urgent Care Center | $35 copay |
Prescription Drugs | Preferred Retail Pharmacy: Tier 1 (Generics): $10 copay Tier 2 (Preferred brand): $55 copay2 Tier 3 (Non-preferred brand): 60% of our allowance ($75 minimum)2 Tier 4 (Preferred specialty): $65 copay2 Tier 5 (Non-preferred specialty): $90 copay2 Mail Service Pharmacy: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Tier 1 (Generics): $20 Tier 2 (Preferred brand): $100 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy: Tier 4 (Preferred specialty): $85 copay2 Tier 5 (Non-preferred specialty): $110 copay2 |
Maternity Care | $175 inpatient $0 outpatient |
Hospital Care | Inpatient (Precertification is required): $175 per day; up to $875 per admission Outpatient: $100 per day per facility1 |
Surgery | $150 in an office setting1 $200 in a non-office setting1 |
ER (accidental injury) | $175 per day per facility |
ER (medical emergency) | $175 per day per facility |
Lab work (such as blood tests) | $0 copay1 |
Diagnostic services (such as sleep studies, CT scans) | Up to $100 in an office1 Up to $150 in a hospital1 |
Chiropractic Care | $30 per treatment; up to 20 visits per year |
Dental Care | $30 copay per evaluation; up to 2 per year |
Rewards Program | Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 |