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FEP Blue Focus

Get quality healthcare coverage that’s easy on your wallet. FEP Blue Focus was designed with your needs and budget in mind.

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FEP Blue Focus Benefits

See costs for typical services when you use Preferred providers.

FEP Blue Focus
Preventive Care Nothing for covered preventive screenings, immunizations and services
Physician Care $10 copay per visit for your first 10 primary and/or specialty care visits combined medical and mental health substance use5
Virtual doctor visits by Teladoc®

$0 for first 2 visits

$10 copay all additional visits

Urgent Care Center $25 copay
Prescription Drugs

Preferred Retail Pharmacy^:
Tier 1 (Generics): $5 copay
Tier 2 (Preferred brand): 40% of our allowance ($350 max)2

Mail Service Pharmacy
Not covered

Specialty Pharmacy^
Tier 2 (Preferred Generic specialty, and Preferred brand specialty): 40% of our allowance ($350 maximum)2

Maternity Care

$0 for doctor's visits

$1,500 copay for facility care

Hospital Care

Inpatient (Precertification is required): 30% of our allowance1

Outpatient: 30% of our allowance1

Surgery 30% of our allowance1
ER (accidental injury) $0 within 72 hours
ER (medical emergency) 30% of our allowance1
Lab work (such as blood tests) $0 for first 10 specific lab tests3,4
Diagnostic services (such as sleep studies, X-rays, CT scans) 30% of our allowance1
Chiropractic Care $25 copay per treatment; for up to 10 visits per year combined for chiropractic care and acupuncture5
Dental Care Not covered
Rewards Program Earn a reward, such as a Fitbit®, at no out-of-pocket cost for getting an annual physical6
Network Coverage In-network care only, except in certain situations like emergency care
Out-of-Pocket Maximum (PPO)

Self Only: $8,500

Self + One and Self & Family: $17,000

Annual Deductible

Self Only: $500

Self + One and Self & Family: $1,000

Under FEP Blue Focus, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care.

Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).

^ What you’ll pay for a 30-day supply of covered drugs.

1 Deductible applies. $500 for Self Only and $1,000 for Self + One and Self & Family.

2 Specialty drugs are limited to a 30-day supply.

3 Professional charges for facility-based intensive outpatient treatment and professional charges for outpatient diagnostic tests to include psychological testing are not part of the 10 for $10 benefit.

4 Please see brochure for covered lab services.

5 You pay 30% of our allowance for agents, drugs and/or supplies you receive during your care.

6 You must be the contract holder or spouse, 18 or older, on a FEP Blue Focus plan to earn incentive rewards.

This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s federal brochure (RI 71-017). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.

Get to know FEP Blue Focus

Watch this video to take a closer look at our budget-friendly option and how it can help you focus on the essentials of good health.

Have questions? Check out our enrollment & benefits FAQs.