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Cover Page and Inside Cover
Table of Contents
Introduction/Plain Language/Advisory
FEHB Facts
Section 1
Section 2
Section 3
Section 4
Section 5
5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals
5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
5(d). Emergency Services/Accidents
5(e). Mental Health and Substance Use Disorder Benefits
5(f). Prescription Drug Benefits
5(g). Dental Benefits
5(h). Wellness and Other Special Features
5(i). Services, Drugs, and Supplies Provided Overseas
Non-FEHB Benefits Available to Plan Members
Section 6
Section 7
Section 8
Section 9
Section 10
Index
Summary of Benefits – FEP Blue Focus
2025 Rate Information
Entire brochure in page-number order
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Blue Cross Blue Shield Federal Employee Program logo
 
 

 

2025 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
2025 Rate Information for the Blue Cross and Blue Shield Service Benefit Plan

 

To compare your FEHB health plan options please go to www.opm.gov/fehbcompare.

To review premium rates for all FEHB health plan options please go to www.opm.gov/FEHBpremiums or www.opm.gov/Tribalpremium.


Premiums for Tribal employees are shown under the Monthly Premium Rate column. The amount shown under employee contribution is the maximum you will pay. Your Tribal employer may choose to contribute a higher portion of your premium. Please contact your Tribal Benefits Officer for exact rates.

 

FEP Blue Focus Option, Self Only, Enrollment Code 131:
Premium Rate
Biweekly government share: $177.53
Biweekly your share: $59.17
Monthly government share: $384.64
Monthly your share: $128.21

FEP Blue Focus Option, Self Plus One, Enrollment Code 133:
Premium Rate
Biweekly government share: $381.65
Biweekly your share: $127.21
Monthly government share: $826.90
Monthly your share: $275.63

FEP Blue Focus Option, Self and Family, Enrollment Code 132:
Premium Rate
Biweekly government share: $419.78
Biweekly your share: $139.92
Monthly government share: $909.51
Monthly your share: $303.17
 

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