You need prior Plan approval for certain services

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Cover Page and Inside Cover

Table of Contents

Introduction/Plain Language/Advisory

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

Summary of Benefits – FEP Blue Focus

2025 Rate Information

Entire brochure in page-number order

Blue Cross and Blue Shield Service Benefit Plan Brochure - 2025

FEHB FEP Blue Focus

You need prior Plan approval for certain services

You need prior Plan approval for certain services

Inpatient hospital admission, inpatient residential treatment center admission

Special prior authorization situations related to coordination of benefits (COB)

Prior notification - Maternity care

How to request precertification for an admission or get approval for Other services

Non-urgent care claims

Urgent care claims

Concurrent care claims

Emergency inpatient admission

If your facility stay needs to be extended

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