The Blue Cross and Blue Shield Service Benefit Plan, also known as the BCBS Federal Employee Program® (BCBS FEP®), has been part of the Federal Employees Health Benefits Program (FEHBP) since its inception in 1960. It covers about 5.5 million federal employees, retirees and their families out of the nearly 8 million people who receive their benefits through the FEHBP. Show
The Blue Cross Blue Shield Association negotiates annually with the U.S. Office of Personnel Management (OPM) to determine the benefits and premiums for the Blue Cross and Blue Shield Service Benefit Plan. The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. Those Plans, including Regence, are responsible for processing claims and providing customer service to BCBS FEP members. Claims are processed according to the benefits, rules, guidelines and regulations of the federal government, which supersede state laws. Blue Cross and/or Blue Shield Plans offer three coverage options: Basic Option, Standard Option and FEP Blue Focus. Identifying membersAll FEP member numbers start with the letter "R", followed by eight numerical digits. Note: On the provider remittance advice, the member number shows as an "8" rather than "R". The enrollment code on member ID cards indicates the coverage type. View sample member ID cards. Pre-authorizationBoth the Basic and Standard Option plans require that some services and supplies be pre-authorized. The Blue Focus plan has specific prior-approval requirements. View the lists:
Submit pre-authorization requests via Availity Essentials. Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association© Copyright Health Care Service Corporation. All Rights Reserved. File is in portable document format (PDF). To view this file, you may need to install a PDF reader program. Most PDF readers are a free download. One option is Adobe® Reader® which has a built-in screen reader. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com You are leaving this website/app ("site"). This new site may be offered by a vendor or an independent third party. The site may also contain non-Medicare related information. In addition, some sites may require you to agree to their terms of use and privacy policy. Health Plan SearchAnthem Blue Cross of California - Federal Employee Program (FEP) - PPOPlease NoteThe following hospital and/or physician groups accept Federal Employee Program (FEP) - PPO. While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. Please check with your health plan if you have questions about coverage and network providers for specific products. Hospitals Accepting This Plan
Medical Groups and Clinics Accepting This Plan
More ResourcesWhat type of insurance is BCBS Federal Employee Program?FEP offers a comprehensive suite of resources to help current and prospective members choose the best medical, dental and vision plan for them and their families, including the AskBlue medical, dental and vision plan finder tools, prescription drug cost tool and health cost advisor tool.
Is BCBS Federal Employee Program a PPO or HMO?Anthem Blue Cross of California - Federal Employee Program (FEP) - PPO Accepted By These Sutter Hospitals & Medical Groups.
How much will Fehb go up in 2023?OPM recently released a first look at the 2023 Federal Employees Health Benefits Open Season and employees and annuitants will, on average, pay 8.7% more in FEHB premiums next year, the largest percentage increase in the last decade.
What are the different FEHB plans?Plans are of three main types: Preferred Provider Organization (PPO) and Fee-for-Service (FFS) plans, High Deductible (HDHP) and Consumer-Driven (CDHP) plans.
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Anthem blue cross blue shield federal employee program
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