FEHB FEP Blue Focus
2026 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5. FEP Blue Focus Benefits
Page 32
Section 5. FEP Blue Focus Benefits
Page 32
Section 5. FEP Blue Focus Benefits
See Section 2 for how our benefits changed this year. Near the end of the brochure is a summary of benefits for this plan and Section 5 provides an overview of FEP Blue Focus.
Section 5. FEP Blue Focus Overview - 34
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 35
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 35
Diagnostic and Treatment Services - 36
Lab, X-ray and Other Diagnostic Tests - 37
Preventive Care, Adult - 38
Preventive Care, Child - 40
Maternity Care - 42
Family Planning - 44
Reproductive Services - 45
Allergy Care - 45
Treatment Therapies - 46
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 47
Hearing Services - 47
Vision Services (Testing, Treatment, and Supplies) - 48
Foot Care - 49
Orthopedic and Prosthetic Devices - 49
Durable Medical Equipment (DME) - 50
Medical Supplies - 51
Home Health Services - 52
Alternative/Manipulative Treatment - 53
Educational Classes and Programs - 53
Section 5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals - 55Lab, X-ray and Other Diagnostic Tests - 37
Preventive Care, Adult - 38
Preventive Care, Child - 40
Maternity Care - 42
Family Planning - 44
Reproductive Services - 45
Allergy Care - 45
Treatment Therapies - 46
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 47
Hearing Services - 47
Vision Services (Testing, Treatment, and Supplies) - 48
Foot Care - 49
Orthopedic and Prosthetic Devices - 49
Durable Medical Equipment (DME) - 50
Medical Supplies - 51
Home Health Services - 52
Alternative/Manipulative Treatment - 53
Educational Classes and Programs - 53
Surgical Procedures - 56
Reconstructive Surgery - 57
Oral and Maxillofacial Surgery - 58
Organ/Tissue Transplants - 62
Anesthesia - 63
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services - 64Reconstructive Surgery - 57
Oral and Maxillofacial Surgery - 58
Organ/Tissue Transplants - 62
Anesthesia - 63
Inpatient Hospital - 65
Maternity – Facility - 66
Outpatient Hospital or Ambulatory Surgical Center - 68
Residential Treatment Center - 71
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 72
Hospice Care - 72
Ambulance - 74
Section 5(d). Emergency Services/Accidents - 76Section 5(e). Mental Health and Substance Use Disorder Benefits - 80Maternity – Facility - 66
Outpatient Hospital or Ambulatory Surgical Center - 68
Residential Treatment Center - 71
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 72
Hospice Care - 72
Ambulance - 74
Professional Services - 80
Inpatient Hospital or Other Covered Facility - 82
Residential Treatment Center - 82
Outpatient Hospital or Other Covered Facility - 82
Section 5(f). Prescription Drug Benefits - 84
Inpatient Hospital or Other Covered Facility - 82
Residential Treatment Center - 82
Outpatient Hospital or Other Covered Facility - 82