2026 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Section 5.  Benefits
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Not Covered (Inpatient or Outpatient) - 95
Section 5(f). Prescription Drug Benefits - 97
Covered Medications and Supplies - 113
Section 5(g). Dental Benefits - 120
Accidental Injury Benefit - 120
Dental Benefits - 121
Section 5(h). Wellness and Other Special Features - 124
Health Tools - 124
Services for the Deaf and Hearing Impaired - 124
Web Accessibility for the Visually Impaired - 124
Travel Benefit/Services Overseas - 124
Healthy Families - 124
Diabetes Management Program - 124
Blue Health Assessment - 124
Pregnancy Care Incentive Program - 125
Annual Incentive Limitation - 126
Reimbursement Account for Basic Option Members Enrolled in Medicare Part A and Part B - 126
MyBlue® Customer eService - 126
National Doctor & Hospital Finder - 126
Care Management Programs - 126
Flexible Benefits Option - 127
Telehealth Services - 128
The fepblue Mobile Application - 128
Weight Loss Management Program - 128
Section 5(i). Services, Drugs, and Supplies Provided Overseas - 129
Non-FEHB Benefits Available to Plan Members - 132