FEHB Standard and Basic Options
2026 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
Page 87
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
Page 87
Benefit Description
Not covered:
Standard Option - You PayAll charges
Basic Option - You Pay
All charges
Not covered:
- Wheelchair van services and gurney van services
- Ambulance and any other modes of transportation to or from services including but not limited to physician appointments, dialysis, or diagnostic tests not associated with covered inpatient hospital care
- Ambulance transport that is requested, beyond the nearest facility adequately equipped to treat the member’s condition, by patient or physician for continuity of care or other reason
- Commercial air flights
- Repatriation from an international location back to the United States. See definition of repatriation in Section 10. Members traveling overseas should consider purchasing a travel insurance policy that covers repatriation to your home country.
- Costs associated with overseas air or sea transportation to other than the closest hospital equipped to adequately treat your condition.
Standard Option - You Pay
Basic Option - You Pay
All charges