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Table of Contents
Introduction/Plain Language/Advisory
FEHB Facts
Section 1
Section 2
Section 3
Section 4
Section 5
5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals
5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
5(d). Emergency Services/Accidents
5(e). Mental Health and Substance Use Disorder Benefits
5(f). Prescription Drug Benefits
5(g). Dental Benefits
5(h). Wellness and Other Special Features
5(i). Services, Drugs, and Supplies Provided Overseas
Non-FEHB Benefits Available to Plan Members
Section 6
Section 7
Section 8
Section 9
Section 10
Index
Summary of Benefits – Standard Option
Summary of Benefits – Basic Option
2026 Rate Information
Entire brochure in page-number order
 
Blue Cross Blue Shield Federal Employee Program logo

FEHB Standard and Basic Options

 
 

 

2026 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Section 5.  Benefits
Page 35

 

Section 5. Benefits

 

See Section 2 for how our benefits changed this year and towards the end of the brochure for a benefits summary of each option. Make sure that you review the benefits that are available under the option in which you are enrolled.

Section 5. Standard and Basic Option Overview - 37
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals - 38
Diagnostic and Treatment Services - 39
Lab, X-ray and Other Diagnostic Tests - 40
Preventive Care, Adult - 42
Preventive Care, Child - 45
Maternity Care - 47
Family Planning - 49
Reproductive Services - 50
Allergy Care - 51
Treatment Therapies - 52
Physical Therapy, Occupational Therapy, Speech Therapy, and Cognitive Rehabilitation Therapy - 53
Hearing Services (Testing, Treatment, and Supplies) - 54
Vision Services (Testing, Treatment, and Supplies) - 54
Foot Care - 55
Orthopedic and Prosthetic Devices - 56
Durable Medical Equipment (DME) - 57
Medical Supplies - 58
Home Health Services - 59
Manipulative Treatment - 59
Alternative Treatments - 60
Educational Classes and Programs - 60
Section 5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals - 62
Surgical Procedures - 63
Reconstructive Surgery - 64
Oral and Maxillofacial Surgery - 65
Organ/Tissue Transplants - 66
Anesthesia - 72
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services - 74
Inpatient Hospital - 75
Outpatient Hospital or Ambulatory Surgical Center - 77
Blue Distinction® Specialty Care - 81
Residential Treatment Center - 82
Extended Care Benefits/Skilled Nursing Care Facility Benefits - 83
Hospice Care - 84
Ambulance - 86
Section 5(d). Emergency Services/Accidents - 88
Accidental Injury - 89
Medical Emergency - 90
Ambulance - 91
Section 5(e). Mental Health and Substance Use Disorder Benefits - 92
Professional Services - 93
Inpatient Hospital or Other Covered Facility - 94
Residential Treatment Center - 94
Outpatient Hospital or Other Covered Facility - 95
 

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