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Sections
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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
2027 Rate Information
 
Blue Cross Blue Shield Federal Employee Program logo

FEHB FEP Blue Standard and FEP Blue Basic Options

 

 

2027 Blue Cross and Blue Shield Service Benefit Plan
FEP Blue Standard and FEP Blue Basic
Section 3. How You Get Care
• Transitional care

Specialty care: You may continue seeing your specialist and receiving any PPO benefits for up to
90 days if you are undergoing treatment for a chronic or disabling condition and you lose access to
your specialist because:
  • we drop out of the Federal Employees Health Benefits (FEHB) Program and you enroll in another FEHB Plan, or
  • we terminate our contract with your specialist for reasons other than for cause,

Contact us at the number on the back of your ID card or, if we drop out of the Program, contact
your new Plan.

If you are pregnant and you lose access to your specialist based on the above circumstances, you
can continue to see your specialist and your Preferred benefits will continue until the end of your
postpartum care, even if it is beyond the 90 days.

Note: If you lose access to your specialist because you changed your carrier or plan option
enrollment, contact your new Plan.

 

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