January 2020
Here are FEP benefit changes for 2020
The following are the benefit changes for the 2020 Federal Employee Program® Standard and Basic Option plans and FEP Blue Focus.
Diabetes
- Standard Option and Basic Option — Syringes, pens and pen needles are covered at the reduced cost share for Preferred diabetic medications, test strips and supplies.
- We now offer a program with Livongo® to help members manage diabetes at no cost to the member.
Hearing aids
- Standard Option and Basic Option — Medically necessary bone-anchored hearing aids are covered without diagnosis restrictions.
Hospice
- Standard Option — A member cost share applies for traditional home hospice care for member and non-member facilities. The member and non-member facility copayment is $450 per episode (no deductible).
- Standard Option and Basic Option — Continuous home hospice care received from preferred providers is covered at no member cost share.
- Basic and FEP Blue Focus — Members pay all charges for traditional home hospice care from member and non-member facilities.
- Standard Option, Basic Option and FEP Blue Focus
- We define an episode of care for traditional home hospice as one home hospice treatment plan per calendar year.
- Continuous home hospice no longer requires 21 days of traditional home hospice care between each episode of care.
- Patients don’t need to be enrolled in a traditional home hospice program to be eligible for the first episode of continuous home hospice care. Patients must be enrolled in a home hospice program for subsequent episodes of continuous home hospice care.
- Patients can receive inpatient hospice care without 21 days of traditional home hospice care between each episode.
Lab tests
- FEP Blue Focus — No member cost share for the first 10 laboratory tests performed in each of the following laboratory test categories:
- Basic metabolic panels
- Cholesterol screenings
- Complete blood counts
- Fasting lipoprotein profiles
- General health panels
- Urinalysis
- 10 venipunctures
Maternity
- FEP Blue Focus
- We now cover up to four visits per year in full to treat depression associated with pregnancy.
- We provide preventive care benefits with no member cost share for screening pregnant members for syphilis.
- We provide preventive care benefits with no member cost share for reducing alcohol abuse for pregnant members when billed by an outpatient facility.
Pharmacy
- Standard Option, Basic Option and FEP Blue Focus — We now provide only pharmacy benefits for prescription vitamin D.
Surgery
- Standard Option and Basic Option — Enhanced benefit for hip and knee replacement or revision surgeries and certain spine surgeries performed outpatient at a designated Blue Distinction Center for hip, knee and spine surgeries.
- Members with the Standard Option pay a $100 copayment per day per facility with no deductible.
- Members with the Basic Option pay a $25 copayment per day per facility.
Telehealth
- Standard Option, Basic Option and FEP Blue Focus — Preventive telehealth benefit for nutritional counseling with no member cost share.
Transplant
- Standard Option, Basic Option and FEP Blue Focus — We provide autologous blood or bone marrow stem cell transplant benefits for scleroderma without a clinical trial.
If you have questions about benefits changes, contact Customer Service at 1-800-482-3600. |