For members with complex health conditions who need specialty drugs, you can get access to our Specialty Drug Program administered by AllianceRx Walgreens Prime. Medications handled by the specialty pharmacy include oral, inhaled, injected and infused drugs, and they often require complex care, a high level of support and specific guidelines for shipment and storage. See if your medication is on our Specialty Drug List.
The Specialty Pharmacy Program also offers personalized pharmacy care management services, including:
Fepblue.org/pharmacy Tier 1 (Preferred generic drugs) $5/prescription. Deductible does not apply. Not covered Covers 30-day supply, up to 90-day supply for additional copayments. Non-preferred generic drugs are excluded. Tier 2 (Preferred brand-name drugs, Preferred generic and Preferred brand-namespecialty drugs) 40% coinsurance. Deductibledoes not apply. You can get up to a 90-day supply for one copay. You also have access to a registered pharmacist 24/7. To participate in the Mail Service Pharmacy Program, complete the Mail Service Drug Prescription Form, call CVS Caremark at 1-800-262-7890 or place an order through your MyBlue member account.
FEP Blue Focus First two visits free, then $10 copay per visit Nutritional counseling sessions are covered in full for all members. 2020 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals Note: The calendar year deductible applies to almost all benefits in this Section. We say '(No deductible)' when it does not apply. Anniyan movie free download.
If you are prescribed a specialty drug, please call the Specialty Drug Program at 1-888-346-3731. A member of the Specialty Drug Pharmacy team will assist you with the transition to ensure your specialty drugs are received without interruption. Your doctor can also fill out the Specialty Medication Order Form.
Together, the Service Benefit Plan and Medicare can protect you from the high cost of medical care.
Medicare works best with your Service Benefit Plan coverage when Medicare Part A and Part B (also known as Original Medicare) are your primary coverage. That means Medicare pays for your service first, and then we pay our portion. Usually if you’re retired, Medicare is primary. If you’re still actively working, we’re your primary coverage.
What you’ll pay when Medicare Part A and Part B are primary. Basic Option and FEP Blue Focus members must see Preferred providers.
Basic Option | FEP Blue Focus | ||
---|---|---|---|
Primary Care Doctor | $0 copay | $0 copay | $0 copay |
Specialists | |||
Virtual Doctor Visits | |||
Urgent Care Centers | |||
Inpatient Hospital | |||
Outpatient Hospital | |||
Surgery | |||
ER - Accidental Injury | |||
ER - Medical Emergency | |||
Lab Work (such as lab tests and EKGs) | |||
Diagnostic Services (such as sleep studies, X-rays, CT scans) | |||
Chiropractic Care | $0 copay for up to 12 visits | $0 copay for up to 20 visits | $0 copay for up to 10 visits* |
Physical Therapy1 | $0 copay for up to 75 visits | $0 copay for up to 50 visits | $0 copay for up to 25 visits |
*Up to 10 visits combined for chiropractic care and acupuncture.
1Visit limits are combined for physical, speech and occupational therapy.
Rotmg huntress max stats. By combining your coverage, you get access to benefits not covered by Medicare Part A and Part B.
|
|
It’s never too early to start thinking about your retirement. Our guide to Preparing for Government Retirement can help you start planning and understand your options.
Please note: The Medicare information on this page focuses on the Original Medicare Plan and when Medicare Part A and Part B are your primary coverage, unless otherwise noted. 1982 honda cm450e review. The Service Benefit Plan information refers to Standard Option, Basic Option and FEP Blue Focus.