WebThis is a summary of the features of the Blue Cross and Blue Shield Service Beneft Plan. Before making a fnal decision, please read the Plan’s Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: RI 71-017). All benefts are subject to the defnitions, limitations and exclusions set WebBlue Cross and Blue Shield . FEP Service Benefit Plan . Basic Option (111, 112 or 113) Effective January 1, 2024 Maximum Allowable Charge (MAC) Under Basic Option, we …
Inpatient Hospital or Other Covered Facility
WebBCBS Customer Service. Call the toll-free number on the back of your member ID card for BCBS customer service. This is the customer service number for questions about your health insurance coverage, benefits or … WebBlue Cross and Blue Shield . FEP Service Benefit Plan Basic Option (111, 112 or 113) Effective January 1, 2024 Maximum Allowable Charge (MAC) Under Basic Option, we provide benefits for the services listed below. The member pays a $30.00 copayment per evaluation. For all other covered dental services, FEP pays 100% of creative volleyball gifts
Standard and Basic Option Overview
WebBasic Option, Self Only, Enrollment Code 111: Premium Rate Biweekly government share: $259.72 Biweekly your share: $86.67 Monthly government share: $562.73 Monthly your share: $187.78 Basic Option, Self Plus One, Enrollment Code 113: Premium Rate Biweekly government share: $560.52 Biweekly your share: $217.90 Monthly government share: … Web124. 2024 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option. Section 5 (g). Dental Benefits. Page 124. Basic Option Dental Benefits. Under Basic Option, we provide benefits for the services listed below. You pay a $30 copayment for each evaluation, and we pay any balances up to the Maximum Allowable Charge (MAC; … WebBasic Option Has no deductible Must see Preferred providers Most out-of-pocket costs are copays Can get Medicare Part B premium reimbursement Earn up to $170 in rewards with the Wellness Incentive Program Standard Option Has a deductible Can see any provider, even outside the network Out-of-pocket costs include deductible, copays and coinsurance creative volleyball names