2025 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 2. Changes for 2025

 

Section 2. Changes for 2025

 

Do not rely only on these change descriptions; this Section is not an official statement of benefits. For that, go to Section 5 (Benefits). Also, we edited and clarified language throughout the brochure; any language change not shown here is a clarification that does not change benefits.

 

Changes to our FEP Blue Focus
 
  • We will no longer combine the separate Medicare Prescription Drug Program catastrophic protection out-of-pocket maximum, to the regular medical catastrophic protection out-of-pocket maximum. (See pages 30 and 92.)
     
  • You will no longer have a copayment for telehealth professional services when obtained through our preferred telehealth provider. (See pages 36 and 80.)
     
  • Under our family planning services, we will now provide coverage for salpingectomies. (See page 43.)
     
  • Under our gender affirming surgical benefits, we now provide coverage for suction-assisted chest lipectomy related to a mastectomy. (See page 55.)
     
  • We have reduced the pharmacy drug catastrophic protection out-of-pocket maximum to $2,000 for FEP Blue Focus members enrolled in the FEP Medicare Prescription Drug Program. (See page 92.)
     
  • We will now waive the $10 per visit copayments for care you receive overseas. (See page 105.)
     
  • We now waive the cost-shares associated with the care you received in the outpatient department of an overseas emergency room. (See page 105.)