2026 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Index
Page 160

Do not rely only on this page; it is for your convenience and may not show all pages where the terms appear. This Index is not an official statement of benefits.

Abortion - 133-134
Accidental injury - 88-91, 120-121, 151
Acupuncture - 60, 72-73
Affordable Care Act (ACA) - 113-118
Allergy care - 51-52
Allogeneic transplants - 68-70
Alternative treatments - 60
Ambulance - 32, 86-87
Ambulatory surgical center - 18-20, 77-81
Anesthesia - 72-73
Angiographies - 40-41, 77-81
Appeals - 27, 137
Applied behavior analysis (ABA) - 52-53, 77-81
Assistant surgeon - 20-21, 63-64
Autism spectrum disorder - 52-53, 77-81
Autologous transplants - 68-70
Average wholesale price (AWP) - 155-156
Biopsies - 63-64, 77-81
Birthing centers - 18-20
Blood and blood plasma - 58-59, 77-81
Blood or marrow stem cell transplants - 67-70
Blue Distinction Centers - 18-20, 81-82Blue Distinction Specialty Care - 18-20
Blue Health Assessment - 124-125
Bone density tests - 40-41, 77-81
Brand-name drugs - 98-101, 107-110
Breast pump and supplies - 47-48
Breast reconstruction - 64-65Breastfeeding support and supplies - 47-48
Cancer tests - 42-44
Cardiac rehabilitation - 52-53, 77-81
Cardiovascular monitoring - 40-41, 77-81
Care Management Programs - 126-127
Case management - 126-127
Casts - 63-64, 75-81
Catastrophic protection - 33, 107-110, 163, 165
Cervical cancer screening - 42-46
CHAMPVA - 141-142
Changes for 2026 - 15-17
Chemotherapy - 52-53
Children’s Equity Act - 10-11
Chiropractic manipulative treatment - 59-60
Cholesterol tests - 42-44
Circumcision - 47-48, 63-64
Claims and claims filing - 37, 135
Clinic visits - 39-40, 93-94
Clinical trials - 22-25, 70, 144
Cognitive rehabilitation - 53-54, 74-87
Coinsurance - 28-29
Colorectal cancer testsConfidentiality - 13-14
Congenital anomalies - 63-64, 152
Consultations - 39-40
Contact lenses - 54-55
Contraceptive devices and drugs - 49-50, 102-106, 110-118
Coordination of benefits - 141-150
Copayments - 28
Cosmetic surgery - 63-64, 152
Cost-sharing - 28
Costs for covered services - 28-34
Coverage information - 9
Covered facility providers - 18-20
Covered professional providers - 18
Cryopreservation - 50-51
CT scans - 40-41, 77-81
Custodial care - 18-20
Daily Habits - 124
Deductible - 28
Definitions - 151-159
Dental care - 65-66, 120-123
Diabetes Management Program - 124
Diabetic education - 60-61, 77-81
Diabetic suppliesDiagnostic and treatment services - 39-40, 77-81
Diagnostic tests - 40-41, 47-48, 93-95
Dialysis - 18-20, 52-53, 57-58, 77-81, 83-84
Disease Management - 126-127
Disputed claims process - 138-140
Divorce - 12
DNA analysis of stool samples - 42-44
Donor expenses (transplants) - 70-72
Drugs (see: Prescription drugs)
Durable medical equipment (DME) - 57-58Educational classes and programs - 60-61
EEGs - 40-41, 77-81
EKGs - 40-41, 77-81
Emergency - 88-91
Enrollment - 9-10
Exception situations - 20-22
Exclusions - 133-134
Experimental or investigational - 133-134, 152-153
Extended care benefits - 83-84
Eyeglasses - 54-55
Facility providers - 18-20
Family planning - 49-50
Fecal occult blood test - 42-44
FEDVIP - 144
fepblue mobile application - 128
fepblue.org - 4
Flexible benefits option - 127-128
Foot care - 55-56
Formulary/Preferred drug list - 98-101, 107-110
Foundation for the Accreditation of Cellular Therapy (FACT) accredited facility - 18-20, 67
Fraud - 4-5
Freestanding ambulatory facilities - 18-20
Generic drugs - 98-101, 107-110
Generic Incentive Program - 101-102
Genetic screening/testing - 22-25, 40-41, 77-81
Health Insurance Marketplace - 12
Health tools - 124
Healthy Families - 124
Hearing aids and hearing services - 54, 56-57
Home health services - 59
Home nursing care (maternity) - 59
Hospice care - 84-86
HospitalHuman papillomavirus (HPV) tests - 42-46
Hypertension Management Program - 125
Iatrogenic infertility - 50-51
Immunizations - 42-46, 113-118
Inpatient hospital benefits - 75-77
Inpatient professional services - 39-40, 93-94
Insulin - 102-106, 110-113
Insulin pumps - 57-58
Laboratory and pathology services - 40-41, 75-81, 89-91
Low-dose CT screening - 157
Mail Service Prescription Drug Program - 97-106, 110-113, 136-137
Mammograms - 42-44
Manipulative treatment - 59-60, 77-81
Maternity care - 26-27, 47-48
Maxillofacial surgery - 65-66
Medicaid - 142
Medical emergency - 88, 90-91
Medical foods - 58-59, 101-102, 107-110, 154
Medical supplies - 58-59, 101-102
Medically necessary - 154
Medicare - 1, 141-150