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 2022 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 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 |
2022 PLAN RATES
| Standard Option | Basic Option | FEP Blue Focus | |
|---|---|---|---|
| Preventive Care | You pay nothing | You pay nothing | You pay nothing |
| Physician Care | $25 copay for primary care $35 copay for specialists |
$30 copay for primary care1 $40 copay for specialists1 |
$10 copay per visit for your first 10 primary and/or specialty care visits combined medical and mental health substance use1 |
| Virtual doctor visits by Teladoc® | $0 for first 2 visits $10 copay all additional visits |
$0 for first 2 visits $15 copay all additional visits |
$0 for first 2 visits $10 copay all additional visits |
| Urgent Care Center | Accidental Injury: $0 Medical Emergency: $30 copay |
$35 copay | $25 copay |
| Prescription Drugs | Preferred Retail Pharmacy: If you have Medicare Part B primary, your costs for prescription drugs may be lower. 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^: |
Preferred Retail Pharmacy^:
If you have Medicare Part B primary, your costs for prescription drugs may be lower. 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): $85 copay Tier 5 (Non-preferred specialty): $110 copay Mail Service Pharmacy: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Tier 1 (Generics): $20 Tier 2 (Preferred brand): $100 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy^: Tier 4 (Preferred specialty): $85 copay Tier 5 (Non-preferred specialty): $110 copay |
Preferred Retail Pharmacy^: Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): 40% of our allowance ($350 max) Mail Service Pharmacy: Not a benefit Specialty Pharmacy^: Tier 2 (Preferred Generic specialty, and Preferred brand specialty): 40% of our allowance ($350 maximum) |
| Maternity Care | $0 copay | $175 inpatient $0 outpatient |
$0 for doctor’s visits $1,500 for facility care |
| Hospital Care | Inpatient (Precertification is required): $350 per admission Outpatient: 15% of our allowance* |
Inpatient (Precertification is required): $175 per day; up to $875 per admission Outpatient: $100 per day per facility1 |
Inpatient (Precertification is required): 30% of our allowance* Outpatient: 30% of our allowance* |
| Surgery | 15% of our allowance* | $150 in an office setting1 $200 in a non-office setting1 |
30% of our allowance* |
| ER (accidental injury) | $0 within 72 hours | $175 copay per day per facility | $0 within 72 hours |
| ER (medical emergency) | 15% of our allowance* | $175 copay per day per facility
|
30% of our allowance* |
| Lab work (such as blood tests) | 15% of our allowance* | $01
|
$0 for first 10 specific lab tests** |
| Diagnostic services (such as sleep studies, CT scans) | 15% of our allowance* | Up to $100 in an office1 Up to $150 in a hospital1 |
30% of our allowance* |
| 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 year1,2 |
| Dental Care | The difference between the fee schedule amount and the Maximum Allowable Charge (MAC) |
$30 per evaluation; up to 2 evaluations per year |
Not a benefit |
| Rewards Program | Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 |
Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 |
Earn a reward, such as a Fitbit®, at no out-of-pocket cost for getting an annual physical4 |
| Network Coverage | 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 |
| Out-of-Pocket Maximum (PPO) | Self Only: $6,000 Self + One and Self & Family: $12,000 |
Self Only: $6,500 Self + One and Self & Family: $13,000 |
Self Only: $8,500 Self + One and Self & Family: $17,000 |
| Annual Deductible |
Self Only: $350 Self + One and Self & Family: $700 |
No deductible |
Self Only: $500 Self + One and Self & Family: $1,000
|
|
Standard Option Plan Page |
Basic Option Plan Page |
FEP Blue Focus Plan Page |
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.