Blue cross blue shield federal enrollment code 111

Blue Cross-Blue Shield, the largest medical services organization in the United States, Blue Cross Blue Shield federal enrollment Code 111 is currently the first U.S. health insurer, providing prepaid medical coverage plans, “designed According to different types of demands and needs “. Currently, Blue Cross 2019 Obamacare Health insurance is the cheapest in the United States. The monthly rates to be paid range from 30 to 60 dollars. Of course, they are very cheap odds compared to the private Blue Cross. If your income is too low, the federal government will give you free health insurance.

The Federal Employee Program (FEP) is a nationwide Federal Employees Health Benefits program administered through local Blue Cross and Blue Shield Association plans. This program should not be confused with HMSA’s Federal Employees Health Benefits (FEHB) program (coverage code 87). The FEP membership cards are identified by coverage codes 104, 105, and 106 for the Standard Option and 111, 112, and 113 for the Basic Option. FEP Blue Focus enrollment codes are 131, 132 and 133.

Basic Option members must use preferred providers for all medical care (with some exceptions, such as emergency care). There’s a copayment for most services and no deductible.

Blue cross blue shield federal enrollment code 111
Premiums for both Standard Option and Basic Option will not increase for 2019. FEP Blue Focus premiums will be almost 30 percent lower than other FEP health plans. Additionally, BCBS’s FEDVIP plans, FEP BlueVision and FEP BlueDental, have premium decreases across their high and standard option offerings.

Blue Cross and Blue Shield Compare Benefit Options for 2019

Choosing health Insurance in the USA can be complex, the main thing is to choose the insurance that best suits your needs. The most appropriate type of health insurance depends to a large extent on your personal needs. In principle be sure to check with your national Insurance The international coverage you offer and review what are your scopes and limitations.

Standard Option Basic Option FEP Blue Focus
Has a deductible Has no deductible Has a deductible
Can see any provider, even outside the network Must see Preferred providers Must see Preferred providers
Out-of-pocket costs include copayments and coinsurance Most out-of-pocket costs are copayments Out-of-pocket costs include copayments and coinsurance

2019 PLAN RATES

Standard Option
Enrollment code Bi-weekly Monthly
Self Only 104 $112.23 $243.17
Self + 1 106 $256.54 $555.83
Self & Family 105 $268.21 $581.13
Basic Option
Enrollment code Bi-weekly Monthly
Self Only 111 $73.72 $159.74
Self + 1 113 $170.57 $369.56
Self & Family 112 $177.24 $384.02
FEP Blue Focus
Enrollment code Bi-weekly Monthly
Self Only 131 $53.14 $115.15
Self + 1 133 $114.25 $247.55
Self & Family 132 $125.67 $272.29

COMPARE BENEFIT OPTIONS FOR 2019

See costs for typical services when you use Preferred providers.

Benefits Standard Option Basic Option FEP Blue Focus
Rewards Program Contract holders and covered spouses can earn $50 for completing the Blue Health Assessment. Then, earn up to $120 for achieving three eligible Online Health Coach goals.
Contract holders and covered spouses can earn $50 for completing the Blue Health Assessment. Then, earn up to $120 for achieving three eligible Online Health Coach goals.
Contract holders and covered spouses can earn a reward, such as a Fitbit®, at no out-of-pocket cost for getting an annual physical.
Preventive Care, including Nutritional Counseling You pay nothing You pay nothing You pay nothing
Physician Care $25 for primary care

$35 for specialists

$30 for primary care

$40 for specialists

$10 for each for your first 10 combined professional visits
Telehealth Services $10 copay $15 copay First two visits are free, then $10 per visit after that
Lab and Diagnostic Services 15% of our allowance* You pay nothing2 for lab tests, pathology services and EKGs; $402 for diagnostic tests such as home sleep studies, EEGs, ultrasounds and X-rays; $1002 for angiography, bone density tests, CT scans, MRIs, PET scans, genetic testing, nuclear medicine and sleep studies in an office setting; $1502 at a hospital 30% of our allowance*
Hospital Care Inpatient: $350 per admission

Outpatient: 15% of our allowance*

Inpatient: $175 per day; up to $875 per admission

Outpatient: $100 per day per facility2

Inpatient: 30% of our allowance*

Outpatient: 30% of our allowance*

Surgical Services 15% of our allowance* $150 in an office setting2

$200 in a non-office setting2

30% of our allowance*
Maternity Care $0 copay $175 inpatient

$0 outpatient

$0 pre-/postnatal professional care; $1,500 for facility care
Urgent Care Center $30 copay $35 copay $25 copay
Emergency Care Accidental Injury: $0 within 72 hours

Medical Emergency: 15% of our allowance*

Accidental Injury and Medical Emergency: $125 per day + cost of doctor care Accidental Injury: $0 within 72 hours

Medical Emergency: 30% of our allowance*

Prescription Drugs


See the 2019 Blue Cross and Blue Shield Service Benefit Plan brochures for information on supply and refill limits

Preferred Retail Pharmacy3:

Tier 1 (Generics): $7.50 copay

Tier 2 (Preferred brand): 30% of our allowance

Tier 3 (Non-preferred brand): 50% of our allowance

Tier 4 (Preferred specialty): 30% of our allowance

Tier 5 (Non-preferred specialty): 30% of our allowance

Mail Service Pharmacy:

Tier 1 (Generics): $15 copay

Tier 2 (Preferred brand): $90 copay

Tier 3 (Non-preferred brand): $125 copay

Specialty Pharmacy:

Tier 4 (Preferred specialty): $50 copay

Tier 5 (Non-preferred specialty): $70 copay

Preferred Retail Pharmacy3:

Tier 1 (Generics): $10 copay

Tier 2 (Preferred brand): $55 copay

Tier 3 (Non-preferred brand): 60% of our allowance ($75 minimum)

Tier 4 (Preferred specialty): $65 copay

Tier 5 (Non-preferred specialty): $90 copay

Mail Service Pharmacy:

Available to members with Medicare Part B primary only. Visit the Medicare page for more information.

Specialty Pharmacy:

Tier 4 (Preferred specialty): $70 copay

Tier 5 (Non-preferred specialty): $95 copay

Preferred Retail Pharmacy3:

Tier 1 (Generics): $5 copay3

Tier 2 (Preferred brand): 40% of our allowance ($350 max)3

Mail Service Pharmacy

Not a benefit

Specialty Pharmacy

Tier 2 (Preferred Generic specialty, and Preferred brand specialty): 40% of our allowance ($350 maximum)3

Chiropractic Care $25 per visit; up to 12 visits per year $30 per visit; up to 20 visits per year $25 per visit; for up to 10 visits a year1
Dental Care The difference between the fee schedule amount and the Maximum Allowable Charge (MAC) $30 copay per evaluation; up to 2 per year Not a benefit
Provider Care In-network and out-of-network care In-network care only, except in certain situations like emergency care In-network care only, except in certain situations like emergency care
How You Pay for Services Mixture of copayments and coinsurance Set copayments for most services Mixture of copayments and coinsurance
Out-of-Pocket Maximum (PPO) Self only: $5,000

Self + One and Self & Family: $10,000

Self only: $5,500

Self + One and Self & Family: $11,000

Self only: $6,500

Self + One and Self & Family: $13,000

Annual Deductible $350 per individual

$700 per family

No deductible

 

$500 per individual

$1,000 per family

It is important to know health insurance in the United States, because you need coverage for any illness or emergency, because otherwise you should take care of the cost of medical services, especially in the presence of a serious illness It is essential.