What’s New for 2023
Take a look at some of the changes and updates to the Service Benefit Plan in 2023.
Coverage you can count on
We’re committed to making sure you and your family have the right benefits to fit your health care needs. Here are the changes and updates we’re making to our three benefit plans.
Changes to all of our plans
Health and wellness updates
- We will make updates to your preventive care benefits throughout the year. See a list of covered preventive care services.
Maternity and fertility updates
- We increased the number of free mental health visits for members who are pregnant or recently gave birth to eight visits.
- Pregnant members can receive a blood pressure monitor at no cost to them. You will be able to order the monitor via your MyBlue account, by calling the National Information Center or by mailing a Pregnancy Blood Pressure Monitor Request Form to the address listed on the form.
- We will cover egg or sperm storage for members facing infertility due to a medical procedure or treatment. You can use this benefit once per lifetime.
Medical and pharmacy updates
- We removed the limit on covered non-sibling donors for transplant services.
- We lowered the age we will begin covering weight-loss (bariatric) surgery for members to age 16.
- We will cover approved weight-loss drugs through the Pharmacy Program to support members who are obese. You must receive prior approval for this benefit.
Plan-specific changes
FEP Blue Focus Changes
- We will waive the calendar year deductible for all overseas services.
We also made changes to our approved drug lists (formularies),
Basic Option Changes
- We will cover up to 12 acupuncture visits a year. Previously, we covered 10 visits.
- We increased the cost share for diagnostic tests, inpatient admission, outpatient services and emergency services.
- We increased tiers 1, 2 and 3 cost share for covered drugs.
We also made changes to our approved drug lists (formularies),
Standard Option Changes
- We added four new drug classes to the Standard Option Generic Incentive Program. Through this program, Standard Option members who switch from a brand name drug on our Generic Incentive Program list to a generic can get their first four (4) generic fills and refills free.
- We will cover Preferred insulins at a flat copay amount rather than a coinsurance (percentage of our allowance) amount. Members will pay $35 for a 30-day supply or $65 for a 31 to 90-day supply.
We also made changes to our approved drug lists (formularies),
New 2023 brochures
2023 Blue Cross and Blue Shield Service Benefit Plan – FEP Blue Focus
2023 Blue Cross and Blue Shield Service Benefit Plan – Standard Option and Basic Option
Sign up for MyBlue®
You can learn more about your coverage with MyBlue, our member-only portal. Get 24/7 access to tools like the Blue Health Assessment and Online Health Coach plus resources that help you keep your health care spending in check, like the Financial Dashboard and FEP Healthcare Cost Advisor tool. When you’re on the go, access your benefits with fepblue, our free mobile app.
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