After you determine the Service Benefit Plan Option that’s right for you, note the enrollment code for your family status (Self or Self & Family) and the Option of your choice. Then, contact your agency’s personnel office to learn how to enroll blue cross blue shield enrollment code 111.
Plan Option FEHB Enrollment Code
Standard Option Self Only 104 Self & Family 105
Basic Option Self Only 111 Self & Family 112
You may be able to enroll online using your agency’s preferred method: bluecross blue shield enrollment code 111
U.S. Postal Service: PostalEASE system or the telephone enrollment
Employee Express: See a list of agencies participating in Employee Express
Department of Defense: DoD automated enrollment system
Department of Energy: DOE automated systems
Health and Human Services and Environmental Protection: MyPay
Employees of agencies paid through the National Finance Center: Employee Personal Page
Or, you can fill out the SF 2809 Form and submit a copy to your Human Resources office. Note: Online resources provided by OPM at www.opm.gov/insure
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Enrollment & Benefits
Think you’ve found the Option that is right for you?
If you are already enrolled in the Blue Cross and Blue Shield Service Benefit Plan Option that is right for you, you don’t have to do anything. Your coverage will automatically continue into the following year.
If you are a tribal employee and would like to enroll in the Federal Employees Health Benefits (FEHB) Program, you must contact your employer’s Human Resources representative. The Office of Personnel Management (OPM) has a variety of resources available on its website where you can find information on FEHB specific to tribal employers and employees.
If you are new to the program or need to make changes to your current plan, follow these steps to get started.
Steps for Enrollment
- Select the Service Benefit Plan option that you would like to participate in.
- Confirm your desired family status (Self or Self & Family) and the Option of your choice. Make note of the corresponding Federal Employees Health Benefits Program (FEHB) enrollment code:
Self Self and Family
Standard Option 104 105
Basic Option 111 112
How to continue coverage in an FEHB Plan?
Temporary Continuation of Coverage (TCC) allows former employees to continue their healthcare coverage for up to 18 months and eligible family members to continue their healthcare coverage for up to 36 months. Members enrolling in TCC are responsible for both the employee and employer share of the premium, plus an additional 2% administrative fee.
How to continue coverage with the local Blue Cross Blue Shield Plan?
Conversion coverage allows any employee, annuitant or family member to continue non-FEHB coverage with the local Blue Cross Blue Shield Plan. Unlike TCC or Spouse Equity, any member whose FEHB coverage has terminated for any reason is eligible. Coverage remains in effect as long as the policy is in force.
Members who do not qualify for or decide not to enroll in TCC or Spouse Equity are eligible for conversion. Members whose TCC or Spouse Equity coverage ends may also apply for conversion coverage offered by the terminated member’s local Blue Cross Blue Shield Plan.
Benefits and rates for conversion coverage will differ from those under the FEHB Program. Benefits which may have been provided under the FEHB coverage are not guaranteed and do not in any way affect the benefits available to the member under conversion coverage. However, the local Blue Cross and Blue Shield Plan will not ask you questions about your health and will not impose a waiting period for pre-existing conditions.
For more information on conversion coverage offered by your local Blue Cross Blue Shield Plan, please contact the customer service number on the back of your Blue Cross Blue Shield Service Benefit Plan member ID card.
What is the difference between Standard Option and Basic Option?
While both Options offer comprehensive benefits for you and your family, they are structured differently to complement different healthcare needs. Under Basic Option, you must use Preferred providers to provide all the medical care you and your family need. You pay a copayment for most services, and there is no deductible. Standard Option provides benefits regardless of whether you use a Preferred or Non-preferred provider; however, your out-of-pocket expenses will likely be lower if you choose a Preferred provider. For more information about the differences between the two Options, please visit the Compare Plans section of this website or consult the Blue Cross and Blue Shield Service Benefit Plan brochure or use askblue.fepblue.org to learn more about the differences between Basic Option and Standard Option.
Whether you decide to enroll in Standard Option or Basic Option, please be sure to use the appropriate enrollment code:
Self Self and Family
Standard Option 104 105
Basic Option 111 112
Does the Service Benefit Plan offer dental benefits?
Yes. Both Standard Option and Basic Option offer some level of dental benefits. Basic Option provides coverage for preventive dental care services only while Standard Option provides coverage for preventive dental care and some other non-routine services. Additional information is available in the Basic Option Dental Benefits and Standard Option Dental Benefits sections of this website or consult the Blue Cross and Blue Shield Service Benefit Plan brochure for more details.
What is Temporary Continuation of Coverage (TCC) and what are the requirements to enroll under the TCC provisions of the Federal Employees Health Benefits (FEHB) law?
Temporary Continuation of Coverage (TCC) is available to:
Employees who lose their FEHBP coverage because they leave their federal jobs; except in involuntary separations due to misconducts
Children who lose their FEHBP family member status because they become age 26 or marry
Former spouses who lose their FEHBP family member status because of divorce or annulment
TCC allows former employees to continue their healthcare coverage for up to 18 months and former family members (children and former spouses) to continue healthcare coverage for up to 36 months.
TCC enrollees must pay the full premium for the plan they select (that is, both the employee and Government shares of the premium) plus a 2 percent administrative charge. For more specific information about TCC, please contact your employing office’s health benefits officer.
When is Open Season?
The US Office of Personnel Management (OPM) holds Open Season each year from the Monday of the second full workweek in November through the Monday of the second full workweek in December. Your Open Season election generally will take effect the following January. Please contact your employing office’s health benefits officer for additional information.
Where can I call to get benefit information about the Service Benefit Plan?
During Open Season, you may call our Open Season Information Center at 1-800-411-BLUE. You may also contact your local Blue Cross Blue Shield Plan year-round for information about the Service Benefit Plan. To locate the contact information for your Local Plan, please visit the Contact Us section of this website. For current members, you can also find the phone number on the back of your identification card.
Does Standard Option or Basic Option provide coverage if I am overseas?
Yes, the Service Benefit Plan provides overseas coverage for you and your covered family members. Physician care and care by other covered professional providers performed outside the U.S. are paid at the Preferred level using an Overseas Fee Schedule or a provider negotiated amount. Under both options, you pay the difference between our payment and the amount billed, in addition to any applicable coinsurance, copayment and/or deductible amounts. For more information, please visit the Overseas Benefits section of this website or consult the Blue Cross and Blue Shield Service Benefit Plan brochure. [banner_abajo]