WebBasic Option provides comprehensive medical benefits and is a very popular plan. You choose your doctors from our nationwide network of preferred providers. No need for … WebSummary of Benefits – Basic Option. 2024 Rate Information. ... 2024 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option Section 5. Benefits Section 5(e). Mental Health and Substance Use Disorder Benefits Inpatient Hospital or …

FEP Basic Option Plan - Blue Cross and Blue Shield

WebSection 6. General Exclusions - Services, Drugs, and Supplies We Do Not Cover. Section 7. Filing a Claim for Covered Services. Section 8. The Disputed Claims Process. Section 9. Coordinating Benefits With Medicare and Other Coverage. Section 10. WebBasic Option Has no deductible Must see Preferred providers Most out-of-pocket costs are copays Can get Medicare Part B premium reimbursement Earn up to $170 in rewards with the Wellness Incentive Program Standard Option Has a deductible Can see any provider, even outside the network Out-of-pocket costs include deductible, copays and coinsurance cycler\u0027s knee

Let’s compare plans: What you’ll pay for common services at …

WebDec 13, 2024 · Basic Option members will pay $30 for dental evaluations, and then 30% of our allowance for all other dental care resulting from an accidental injury. Previously you paid $30 for all covered accidental injury dental services. Please note that this is a summary of changes to the Blue Cross and Blue Shield Service Benefit Plan in 2024. WebBlue Cross and Blue Shield . FEP Service Benefit Plan . Basic Option (111, 112 or 113) Effective January 1, 2024 Maximum Allowable Charge (MAC) Under Basic Option, we provide benefits for the services listed below. The member pays a $30.00 copayment per evaluation. For all other covered dental services, FEP pays 100% of Web67 rows · Blue Cross and Blue Shield Service Benefit Plan: 111: Non-Postal: Basic Self: Monthly: 170.31: Blue Cross and Blue Shield Service Benefit Plan: 112: Non-Postal: … cycle routs in redditch