We can help you select the right Service Benefit Plan option to combine with Medicare.
Combining your Service Benefit Plan coverage with Medicare is a choice. Our three plan options provide the coverage and benefits you need today and as your health care needs change throughout retirement.
Combining coverage gives you access to benefits not covered by Medicare.
Receive an allowance of up to $2,500 every five years for the purchase of hearing aids and hearing aid supplies. Prior approval will be required in 2024.
Get hearing aid discounts through our Blue365® Discount Program. You can combine this discount with the hearing aid benefit above.
Receive an allowance of up to $2,500 every five years for the purchase of hearing aids and hearing aid supplies. Prior approval will be required in 2024.
Get hearing aid discounts through our Blue365® Discount Program. You can combine this discount with the hearing aid benefit above.
Acupuncture
Receive up to 10 visits per year at no cost to you
You’ll pay nothing for these services when Medicare Part A and Part B are primary. FEP Blue Basic and FEP Blue Focus members must see Preferred providers.
Primary Care Visits Inpatient Hospital ER – Medical Emergency Specialist Visits Outpatient Hospital Lab Work (lab tests and EKGs) Virtual Doctor Visits Diagnostic Services (X-rays, CT scans) Urgent Care Centers ER – Accidental InjuryEligible members with Medicare get lower out-of-pocket costs for higher cost drugs and additional approved prescription drugs in some tiers than the traditional pharmacy benefit. Learn more here.
Tier 1 (Generics): $5 for up to a 30-day supply; $15 for a 31 to 90-day supply
Tier 2 (Preferred brand): 40% of our allowance ($350 max) for up to a 30-day supply; 40% of our allowance ($1,050 max) for a 31 to 90-day supply
Tier 3 (Non-preferred brand): 40% of our allowance ($350 max) for up to a 30-day supply; 40% of our allowance ($1,050 max) for a 31 to 90-day supply
Tier 4 (Specialty drugs): 40% of our allowance ($350 max) for up to a 30-day supply; 40% of our allowance ($1,050 max) for a 31 to 90-day supply
Tier 1 (Generics): $10 for up to a 30-day supply; $30 for a 31 to 90-day supply
Tier 2 (Preferred brand): $45 for up to a 30-day supply; $135 for a 31 to 90-day supply
Tier 3 (Non-preferred brand): 50% of our allowance ($60 min) for up to a 30-day supply; $175 min for a 31 to 90-day supply
Tier 4 (Specialty drugs): $75 for up to a 30-day supply; $195 for a 31 to 90-day supply
Tier 1 (Generics): $5 for up to a 30-day supply; $15 for a 31 to 90-day supply
Tier 2 (Preferred brand): 15% of our allowance for up to a 90-day supply
Tier 2 (Preferred brand): $95 copay
Tier 3 (Non-preferred brand): $125 copay
Tier 3 (Non-preferred brand): $125 copay
Your specialty drug benefits are in Tier 4 (see above)
Your specialty drug benefits are in Tier 4 (see above)
Your specialty drug benefits are in Tier 4 (see above)
This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (FEP Blue Standard and FEP Blue Basic: RI 71-005; FEP Blue Focus: RI 71-017). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.
Our Prescription Drug Cost Tool lets you check drug costs 24/7, see if your drug is covered under your selected plan and compare costs of covered drugs for all three plans.