FEHB FEP Blue Focus
2026 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Index
Page 132
Index
Page 132
Index
Do not rely only on this page; it is for your convenience and may not show all pages where the terms appear. This Index is not an official statement of benefits.
Abortion - 105-106
Accidental injury - 76-79, 95, 123
Acupuncture - 53, 63, 68-71
Affordable Care Act (ACA) - 12-13, 90-93
Allergy care - 45-46
Allogeneic transplants - 60-61
Alternative treatments - 53
Ambulance - 74-75
Ambulatory surgical center - 68-71
Anesthesia - 63
Angiographies - 37, 68-71
Appeals - 27, 110-112
Applied behavior analysis (ABA) - 46-47
Assistant surgeon - 35, 55-57
Autism spectrum disorder - 46-47
Autologous transplants - 59-61
Biopsies - 38-40, 56-57, 68-71
Birthing centers - 17-19
Blood and blood plasma - 51, 68-71
Blood or marrow stem cell - 59-63
Blue Distinction Centers - 17-19, 59-60Blue Distinction Specialty Care - 17-19
Blue Health Assessment - 97
Bone density tests - 37, 68-71
Brand-name drugs - 86, 88-89
Breast pump and supplies - 42-43
Breast reconstruction - 57-58Breastfeeding support and supplies - 42-43, 66-68
Cancer tests - 38-40
Cardiac rehabilitation - 46-47, 68-71
Cardiovascular monitoring - 37, 68-71
Care Management Programs - 98-99
Case management - 98-99
Casts - 55-57, 65-66, 68-71
Catastrophic protection - 30, 136
Cervical cancer screening - 38-42
CHAMPVA - 113-114
Changes for 2026 - 16
Chemotherapy - 46-47, 68-71
Children’s Equity Act - 10-11
Chiropractic manipulative treatment - 53
Cholesterol tests - 37-40
Circumcision - 42-43, 56-57
Claims and claims filingClinic visits - 36-37, 68-71, 80-81
Clinical trials - 60-61, 116, 124
Cognitive rehabilitation - 47, 68-72
Coinsurance - 28
Colonoscopy - 38-40, 56-57, 68-71
Colorectal cancer testsConfidentiality - 14-15
Congenital anomalies - 56-57, 124
Consultations - 36-37, 80-81
Contact lenses - 48-49
Contraceptives - 44, 68-71, 88-93
Coordination of benefits - 113-122
Copayments - 28
CORE benefits - 124
Cosmetic surgery - 56-58, 124
Cost-share/cost-sharing - 28
Costs for covered services - 28-31
Coverage information - 9
Covered facility providers - 17-19
Covered professional providers - 17
Cryopreservation - 45
CT scans - 37
Custodial or long-term care - 65-66, 72, 82, 124
Daily Habits - 97
Deductible - 28
Definitions - 123-131
Dental care - 95-96, 136
Diabetic education - 53-54, 68-71
Diabetic supplies
Diagnostic tests - 37, 42-43, 48-49, 80-83
Dialysis - 46-47, 50-51, 68-71
Disease Management - 98-99
Disputed claims - 110-112
Divorce - 12
DNA analysis of stool samples - 38-40
Donor expenses - 62
Drugs (see: Prescription drugs)
Durable medical equipment - 50-51Educational classes and programs - 53-54
EEGs - 37, 68-71
EKGs - 37, 68-71
Emergency - 76-79
Enrollment - 9-10
Exception situations - 20
Exclusions - 105-106
Experimental or investigational - 125
Extended care benefits - 72
Eyeglasses - 48-49
Facility providers - 17-19
Family planning - 44
Fecal occult blood test - 38-40
FEDVIP - 31, 95, 115
fepblue mobile application - 100
fepblue.org - 4
Flexible benefits option - 99
Foot care - 49
Formulary/Preferred drug list - 85-86
Fraud - 4-5
Generic drugs - 86, 88-89
Generic equivalents - 86
Genetic screening/testing - 20-23, 37, 68-71
Health Insurance Marketplace - 12-13
Health tools - 97
Healthy Families - 97
Hearing aids and hearing services - 47-48
Home health services - 52-53
Home nursing care (maternity) - 52-53
Hospice care - 72-74
HospitalHuman papillomavirus (HPV) tests - 38-42
Hypertension Management Program - 97-98
Iatrogenic infertility - 45
Identification cards - 17
Immunizations - 38-42, 90-93
Inpatient hospital benefits - 65-66
Inpatient professional services - 36-37, 80-81
Insulin - 88-89
Insulin pumps - 50-51
Laboratory and pathology services - 37
Low-dose CT screening - 129
Mammograms - 38-40
Manipulative treatment - 53, 68-71
Maternity care - 25-26, 42-43
Maxillofacial surgery - 58
Medicaid - 114
Medical emergency - 76-79
Medical foods - 51, 87-88, 126
Medical supplies - 51
Medically necessary - 126-127
Medicare - 113-122
Medications and supplies - 84-94
Medications to promote better health - 90-93
Member facilities - 127-128
Mental health/substance use disorder - 80-83
MRIs - 37, 68-71
Multiple procedures - 55-57
MyBlue Customer eService - 98
National Doctor & Hospital Finder - 98
Neurological testing - 37, 68-71
Never Events - 6-8, 127
Newborn care - 26, 36-37, 42-43, 66-68
Abortion - 105-106
Accidental injury - 76-79, 95, 123
Acupuncture - 53, 63, 68-71
Affordable Care Act (ACA) - 12-13, 90-93
Allergy care - 45-46
Allogeneic transplants - 60-61
Alternative treatments - 53
Ambulance - 74-75
Ambulatory surgical center - 68-71
Anesthesia - 63
Angiographies - 37, 68-71
Appeals - 27, 110-112
Applied behavior analysis (ABA) - 46-47
Assistant surgeon - 35, 55-57
Autism spectrum disorder - 46-47
Autologous transplants - 59-61
Biopsies - 38-40, 56-57, 68-71
Birthing centers - 17-19
Blood and blood plasma - 51, 68-71
Blood or marrow stem cell - 59-63
Blue Distinction Centers - 17-19, 59-60Blue Distinction Specialty Care - 17-19
Blue Health Assessment - 97
Bone density tests - 37, 68-71
Brand-name drugs - 86, 88-89
Breast pump and supplies - 42-43
Breast reconstruction - 57-58Breastfeeding support and supplies - 42-43, 66-68
Cancer tests - 38-40
Cardiac rehabilitation - 46-47, 68-71
Cardiovascular monitoring - 37, 68-71
Care Management Programs - 98-99
Case management - 98-99
Casts - 55-57, 65-66, 68-71
Catastrophic protection - 30, 136
Cervical cancer screening - 38-42
CHAMPVA - 113-114
Changes for 2026 - 16
Chemotherapy - 46-47, 68-71
Children’s Equity Act - 10-11
Chiropractic manipulative treatment - 53
Cholesterol tests - 37-40
Circumcision - 42-43, 56-57
Claims and claims filingClinic visits - 36-37, 68-71, 80-81
Clinical trials - 60-61, 116, 124
Cognitive rehabilitation - 47, 68-72
Coinsurance - 28
Colonoscopy - 38-40, 56-57, 68-71
Colorectal cancer testsConfidentiality - 14-15
Congenital anomalies - 56-57, 124
Consultations - 36-37, 80-81
Contact lenses - 48-49
Contraceptives - 44, 68-71, 88-93
Coordination of benefits - 113-122
Copayments - 28
CORE benefits - 124
Cosmetic surgery - 56-58, 124
Cost-share/cost-sharing - 28
Costs for covered services - 28-31
Coverage information - 9
Covered facility providers - 17-19
Covered professional providers - 17
Cryopreservation - 45
CT scans - 37
Custodial or long-term care - 65-66, 72, 82, 124
Daily Habits - 97
Deductible - 28
Definitions - 123-131
Dental care - 95-96, 136
Diabetic education - 53-54, 68-71
Diabetic supplies
Diabetic Meter Program - 90-93
Insulin pumps - 50-51
Insulin, test strips, and lancets - 88-93
Needles and disposable syringes - 88-89
Diagnostic and treatment services - 36-37Insulin pumps - 50-51
Insulin, test strips, and lancets - 88-93
Needles and disposable syringes - 88-89
Diagnostic tests - 37, 42-43, 48-49, 80-83
Dialysis - 46-47, 50-51, 68-71
Disease Management - 98-99
Disputed claims - 110-112
Divorce - 12
DNA analysis of stool samples - 38-40
Donor expenses - 62
Drugs (see: Prescription drugs)
Durable medical equipment - 50-51Educational classes and programs - 53-54
EEGs - 37, 68-71
EKGs - 37, 68-71
Emergency - 76-79
Enrollment - 9-10
Exception situations - 20
Exclusions - 105-106
Experimental or investigational - 125
Extended care benefits - 72
Eyeglasses - 48-49
Facility providers - 17-19
Family planning - 44
Fecal occult blood test - 38-40
FEDVIP - 31, 95, 115
fepblue mobile application - 100
fepblue.org - 4
Flexible benefits option - 99
Foot care - 49
Formulary/Preferred drug list - 85-86
Fraud - 4-5
Generic drugs - 86, 88-89
Generic equivalents - 86
Genetic screening/testing - 20-23, 37, 68-71
Health Insurance Marketplace - 12-13
Health tools - 97
Healthy Families - 97
Hearing aids and hearing services - 47-48
Home health services - 52-53
Home nursing care (maternity) - 52-53
Hospice care - 72-74
HospitalHuman papillomavirus (HPV) tests - 38-42
Hypertension Management Program - 97-98
Iatrogenic infertility - 45
Identification cards - 17
Immunizations - 38-42, 90-93
Inpatient hospital benefits - 65-66
Inpatient professional services - 36-37, 80-81
Insulin - 88-89
Insulin pumps - 50-51
Laboratory and pathology services - 37
Low-dose CT screening - 129
Mammograms - 38-40
Manipulative treatment - 53, 68-71
Maternity care - 25-26, 42-43
Maxillofacial surgery - 58
Medicaid - 114
Medical emergency - 76-79
Medical foods - 51, 87-88, 126
Medical supplies - 51
Medically necessary - 126-127
Medicare - 113-122
Medications and supplies - 84-94
Medications to promote better health - 90-93
Member facilities - 127-128
Mental health/substance use disorder - 80-83
MRIs - 37, 68-71
Multiple procedures - 55-57
MyBlue Customer eService - 98
National Doctor & Hospital Finder - 98
Neurological testing - 37, 68-71
Never Events - 6-8, 127
Newborn care - 26, 36-37, 42-43, 66-68