2023-standard-and-basic-options.fepbrochures-bcbsa.com

Standard and Basic Options

WEBSection 6. General Exclusions - Services, Drugs, and Supplies We Do Not Cover. Section 7. Filing a Claim for Covered Services. Section 8. The Disputed Claims Process. Section 9. …

Actived: 7 days ago

URL: https://www.2023-standard-and-basic-options.fepbrochures-bcbsa.com/

Blue Health Assessment

WEBBlue Health Assessment The Blue Health Assessment (BHA) questionnaire is an easy and engaging online health evaluation program which can be completed in 10-15 minutes. …

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Coverage information

WEBCoverage information. No pre-existing condition limitation. Minimum essential coverage (MEC) Minimum value standard. Where you can get information about enrolling in the …

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Your catastrophic protection out-of-pocket maximum for …

WEBNon-preferred Provider maximum – For a Self Only enrollment, your out-of-pocket maximum for your deductible, and for eligible coinsurance and copayment amounts, is …

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General features of our Standard and Basic Options//We have a …

WEBSection 1. How This Plan Works. Our fee-for-service Plan offers services through a PPO. This means that certain hospitals and other healthcare providers are “Preferred …

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Table of Contents

WEBWhen you have other health coverage - 142. • TRICARE and CHAMPVA - 142. • Workers’ Compensation - 143. • Medicaid - 143. When other Government agencies are …

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Summary of Benefits for the Blue Cross and Blue Shield Service …

WEB81 - 85. Emergency benefits: Accidental injury. PPO: $35 copayment for urgent care; $250 copayment for emergency room care. Non-PPO: $250 copayment for emergency room …

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Summary of Benefits for the Blue Cross and Blue Shield Service …

WEB95 - 96. Emergency benefits: Medical emergency. PPO urgent care: $30 copayment; PPO and Non-PPO emergency room care: 15%* of our allowance; Regular benefits for …

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Home Health Services

WEBThere is no calendar year deductible under Basic Option. Benefit Description. Home Health Services. Home nursing care (skilled) for two hours per day when: Standard Option - …

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Durable Medical Equipment (DME)

WEBDurable medical equipment (DME) is equipment and supplies that are: Prescribed by your attending physician (i.e., the physician who is treating your illness or injury); Medically …

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Differences between our allowance and the bill

WEBYou are responsible for your coinsurance, so you pay 35% of the $100 Plan allowance or $35. Plus, because there is no agreement between the Non-participating physician and …

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2023 Rate Information for the Blue Cross and Blue Shield Service

WEBMonthly government share: $1,214.46. Monthly your share: $472.12. Basic Option, Self and Family, Enrollment Code 112: Premium Rate. Biweekly government share: $611.42. …

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Blue Health Assessment

WEBThe Blue Health Assessment (BHA) questionnaire is an easy and engaging online health evaluation program which can be completed in 10-15 minutes. Your BHA answers are …

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Reimbursement Account for Basic Option Members Enrolled in …

WEBReimbursement Account for Basic Option Members Enrolled in Medicare Part A and Part B. Basic Option members enrolled in Medicare Part A and Part B are eligible to be …

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TRICARE and CHAMPVA

WEBTRICARE is the healthcare program for eligible dependents of military persons, and retirees of the military. TRICARE includes the CHAMPUS program. CHAMPVA provides health …

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