The most current list can be found on our website at www.bcbsfepvision.com. 2. You should confirm that both the doctor and the retail location are participating prior to seeking services. Federal Employees Dental and Vision Insurance Program. Important things you should keep in mind about these benefits: Please remember that all benefits are subject to the definitions, limitations and exclusions in this brochure and are payable only when we determine they are necessary for the prevention, diagnosis, care or treatment of a covered condition and meet generally accepted protocols. The BCBS FEP Vision network is specific to routine vision care and is different from the network for your medical plan. Box 2010Latham, New York 12110-2010FAX: 1-800-403-1783Email: fepmemberhelp@davisvision.com. AskBlue - Let's discover which plan option is right for you. The exclusions in this section apply to all benefits. You must: a) Write to us within 6 months from the date of our decision; andb) Send your request to us at the address shown below; andc) Include a statement about why you believe our initial decision was wrong, based on specific benefit provisions in this brochure; andd) Include copies of documents that support your claim, such as doctor's letters, and explanation of benefits (EOB) forms. We will make a decision within 35 days of the date we receive your request in writing. For a health care or limited expense account, each participant must contribute a minimum of $100 to a maximum of $3,050. You must also actively re-enroll in a health care or limited expense account during the NEXT Open Season to be carryover eligible. Provider networks may be more extensive in some areas than others. Blue Cross Blue Shield FEP Vision is the largest FEDVIP vision plan, providing over 1.7 million federal employees, federal retirees, retired uniformed service members and their families, plus families of active duty service members, the value and peace of mind they need to keep their . for federal employees, retirees and their families. Please see Section 4, Your Cost For Covered Services. How to Enroll Virtual Benefits Experience a previously ineligible employee who transferred to a covered position; a survivor annuitant if not already covered under FEDVIP; or.
FEHB : Brochure Creation Tool - OPM.gov For more details visit our website athttps://bcbsfepvision.com/additional-discounts/. Pursuant to Section 1557, BCBS FEP Visiondoes not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex. (from single vision to bifocal). locations. VSP. BENEFEDS 2023 Blue Cross Blue Shield Association. Note: All lenses include scratch-resistant coating with no additional copayment. Search for an eye care provider Contact us at 1-888-550-2583 orTTY: 1-800-523-2847 for the names ofparticipating providers or to request aprovider directory. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. BCBS FEP Vision complies with all applicable Federal civil rights laws, to include both Title VII of the Civil Rights Act of 1964 and Section 1557 of the Affordable Care Act. To file a claim for covered vision care services received outside the United States and Puerto Rico, send completed claim forms and itemized bills to: Blue Cross Blue Shield FEP VisionP.O. Some TRICARE beneficiaries may not be eligible to enroll in both. An eligible family members coverage also ends upon the effective date of the cancellation.
Blue Cross Blue Shield FEP Vision Brochure - 2023 See how you can get rewarded for taking charge of your health. Yes, I'm a Member No, I'm not a Member. 711 Troy Schenectady Road, Suite 301 . Learn More. If you do not re-enroll, or if you are not employed by an agency that participates in FSAFEDS and actively making allotments from your pay through December 31st, your funds will not be carried over. We list in-network plan providers in the provider directory, which is updated frequently. To maximize the benefits offered through both FEP options always use in-network providers. Medical Plans. Use your webcam to see what the frames look like on you or you can select a model. After pre-authorization by BCBS FEP Vision, covered low vision services (both in- and out-of-network) will include one comprehensive low vision evaluation every 5 years, with a maximum charge of $300; maximum low vision aid allowance of $600 with a lifetime maximum of $1,200 for items such as high-power spectacles, magnifiers and telescopes; and follow-up care four visits in any five-year period, with a maximum charge of $100 each visit. Plans for federal employees, retirees, retired uniformed service members, and . Online EOBs You can view, download, and print your explanation of benefits (EOB) forms. BCBS FEP Vision also offers several in-network e-commerce options such as:1800contacts.com, befitting.com, glasses.com,visionworks.com and warbyparker.com. You are responsible for any difference between the amount billed and our payment. Members receive a free glucose meter, unlimited test strips, and personalized coaching. Your child over age 21 if they are not enrolled in school (unless they are disabled or incapable of self-support), Your child over age 23 if they are enrolled in school (unless they are disabled or incapable of self-support). Participating providers will bill you for anything over the $60 less the discount so you do not have to file a claim. Carriers and plans - Blue Cross Blue Shield FEP Vision ; . If you have an HCFSA or LEX HCFSA FSAFEDS account and you havent exhausted your funds by December 31, Current FSAFEDS participants must re-enroll to participate next year. See Section 5, Vision Services and Supplies for complete benefit information, BCBS FEP Vision isresponsible for the selection of in-network providers in your area. Carefully review your explanation of benefits (EOBs) statements, which are available online at www.bcbsfepvision.com. BCBS FEP Vision Collection frames and all eyeglass lenses manufactured in BCBS FEP Vision laboratories are guaranteed for one year from the original date of dispensing. How We Have Changed for 2023. BCBS FEP Vision home. 20% discount does not apply. The application provides members with 24/7 access to helpful features, tools and information related to Blue Cross and Blue Shield FEP Vision benefits.
Vision & Eye Insurance - Accepted Eye Care Plans | LensCrafters This year,Open Season runs from November 14, 2022 through midnight Eastern timeDecember12, 2022. All eligible dependents listed on your enrollment share your identification number. You are responsible for charges billed over the amounts shown. The provider is then responsible for verifying eligibility by contacting BCBS FEP Vision either by telephone or via the web. Section 715 of the National Defense Authorization Act for Fiscal Year 2017 (FY 2017 NDAA), Public Law 114-38, expanded FEDVIP eligibility to certain TRICARE-eligible individuals. If your vision care provider is in theparticipating network, theywill file the claim for you, and payment will be sent directly to the vision care provider. Get access to exclusive health and wellness deals. Benefit applies to children 13 years of age and under. an employee returning to service following a break in service of at least 31 days. Or you may fax your claim to 518-220-6555. It is your responsibility to ensure that the provider chosen is an active participant in the program, at the time you receive services. Note: Collection frames with retail values up to $195 are available at no cost at most participating independent providers. All vision plans provide nationwide and international coverage. You can also use out-of-network benefits for many vision companies like: MetLife.
Find a Provider - BCBS FEP Vision At MyEyeDr. FEHB Temporary Continuation of Coverage (TCC) enrollees, Anyone receiving an insurable interest annuity who is not also an eligible family member. You may also request or view the most current directory via our website at www.bcbsfepvision.com . Your Hearing Network: BCBS FEP Vision members have access to a hearing health care program through Your Hearing Network (YHN). High Option You Pay: Any amount over the $200 Plan allowance after a 20% discount. Or you may fax your claim to 518-220-6555. Youcan submit your out-of-network claim electronically using the mobile app, member log-in portal on our website or you can obtain claim formson the website at. Some TRICARE beneficiaries may not be eligible to enroll in both. We added $50 to your frame allowance at MyEyeDr. Avoid using providers who say that an item or service is not usually covered, but they know how to bill us to get it paid. If you are an eligible employee, annuitant, or TRICARE-eligible individual, you may enroll in a dental and/or vision plan during the November 14, through midnight EST December 12, 2022, Open Season. Rural zip codes: at least 80% of FEDVIP eligibles in a network access area (zip code plus 35 driving-miles) must have access to a vision care preferred provider. If you see an AQI value of 50 or below, it means you have good air quality. Clinical documentation may be requested from your doctor to support the medically necessary contact lenses. Error: Please enter a valid email address. You may enroll in a dental plan or a vision plan, or both.
Blue Cross Blue Shield FEP Dental - Home Blue Cross and Blue Shield Federal Employee Program (FEP) Announces Participating providersusually charge separately for the evaluation, fitting, or follow-up care relating to contact lenses. If you are enrolled in Standard Option, you must stay in-network for covered services. Contact us at 1-888-550-2583 or TTY: 1-800-523-2847 for the names of participating providers or to request a provider directory. Services/Material: Vision CareExamWe Pay: Up to $30Services/Material: Single Vision LensesWe Pay: Up to $25Services/Material: Bifocal LensesWe Pay: Up to $35Services/Material: Trifocal LensesWe Pay: Up to $45Services/Material: Lenticular LensesWe Pay: Up to $45Services/Material: Elective Contact LensesWe Pay: Up to $75Services/Material: Medically Necessary Contact LensesWe Pay: Up to $225Services/Material: FramesWe Pay: Up to $30. Please see Section 3, How You Obtain Care, for more information. For Specialty lenses (including, but not limited to, toric, multifocal and gas permeable lenses), you receive $60 toward the contact lens evaluation and fitting, plus a 15% discount off the balance over $60*. Aetna Vision Preferred (external link) How would your daily activities be impacted? Be sure to review Section 1, Eligibility,of this brochure, prior to submitting your enrollment or obtaining benefits.
BENEFEDS | Federal Benefits Enrollment (FEDVIP, FSAFEDS, FLTCIP) 1. Virtual Frame Try-onDescription: Our frame try-on tool, allows you to try our Exclusive Collection frames from the convenience of your phone, tablet, or computer. Track your glasses at our labs and submit an out-of-network claim at the snap of a photo. The address for our administrative office is: Blue Cross Blue Shield FEP Vision711 Troy Schenectady Road, Suite 301Latham, New York 12110 1-888-550-BLUE (2583)TTY: 1-800-523-2847www.bcbsfepvision.com. You will be required to submit your claim to the FSAFEDS Health Care Flexible Spending Account (HCFSA) or Limited Expense Heath Care Flexible Spending Account (LEX HCFSA). The treatment of low vision and is obtained by the participating provider. In addition, uniformed services active-duty family members who are enrolled in a TRICARE health plan are eligible for FEDVIP vision coverage.
Health Plans for Georgia Federal Employees | Anthem Ophthalmologists and optometrists specializing in low vision care can evaluate and prescribe optical devices, and provide training and instruction to maximize the remaining usable vision for our members with low vision. We'd suggest starting in one of these areas: Easily view and share your member ID card, Earn $50 when you take the Blue Health Assessment, Earn a reward for having your annual checkup. The prescription must have changed at least a 0.5 diopter or the seg height changed at least a 5.0 millimeter, or lens type changed, e.g. no longer meet the definition of an eligible employee, annuitant, or TRICARE-eligible individual; as a Retired Reservist you begin active duty; as sponsor or primary enrollee leaves active duty. Access your ID card and personalize it with a pic (optional). You can also select from several nationwide vision plans. your child over age 22 (unless they are disabled and incapable of self-support). BCBS FEP Vision covers frames, lenses, and eye exams. Postal Service employee, you are eligible to enroll in FEDVIP, if you are eligible for the Federal Employees Health Benefits (FEHB) Program or the Health Insurance Marketplace (Exchange) and your position is not excluded by law or regulation. Thats why we give you resources like the Prescription Drug Cost Tool. Urban and suburban zip codes: at least 90% of FEDVIP eligibles in a network access area (zip code plus 15 driving-miles) must have access to a vision care preferred provider. Coverage is effective January 1, 2023. High Option members will have a $250 allowance and Standard Option members will have a $190 allowance at these locations. You may also request or view the most current directory via our website at www.bcbsfepvision.com. The materials portion of the members benefit does not need to be exhausted first in order for the member to receive this discount. If you have an HCFSA or LEX HCFSA FSAFEDS account and you havent exhausted your funds by December 31st of the plan year, FSAFEDS can automatically carry over up to $610 of unspent funds into another health care or limited expense account for the subsequent year. you pay any amount over $250 frame allowance. Changes to both our High and Standard Options include: Changes to our Standard Option only include: If you are a Federal or U.S. Answer a few questions and get a personalized health action plan. You are eligible to enroll in FEDVIP or continue FEDVIP enrollment into compensation status. Read and accept the terms, and click Register to start saving!
The Helsinki and Uusimaa Hospital District (HUS) selects - GlobeNewswire TEI family members include a sponsors spouse, unremarried widow, unremarried widower, unmarried child, and certain unmarried persons placed in a sponsors legal custody by a court. AskBlue BCBS FEP Vision Plan FinderDescription: Need help choosing between High Option and Standard Option? 2. Internationalproviders are under no obligation to file claims on behalf of our members. Visit, Each year, an Open Season will be held, during which you may enroll or change your dental and/or vision plan enrollment. Additional discounts are not applicable at Costco, LensCrafters, Sam's Club, Walmart, Target Optical, Pearle Vision and Warby Parker locations. Postal employees, and TRICARE-eligible individuals when you: Under FEDVIP, there is no 31-day extension of coverage. See. You are responsible for covered charges up to our negotiated plan allowance. You cannot change plans, outside of Open Season,because of changes to the provider network. See full details below. Your re-enrollment must be for at least the minimum of $100. We will base our decision on the information we already have. If you do not have access to the internet or would like further information, please contact us by calling 1-888-550-2583 or TTY: 1-800-523-2847. FEP members with type 1 and type 2 diabetes are eligible for our diabetes management program (including members with Medicare as primary.) If additional cards are needed, you may request them through our website, www.bcbsfepvision.com, or call us at 1-888-550-2583 or TTY: 1-800-523-2847 . Standard Option You Pay: Any amount over the $140 Plan allowance after a 20% discount. If you are enrolled in SelfPlus One, you and your designatedeligible family member are entitled to these benefits. These individuals, if enrolled in a TRICARE health plan, are also eligible for FEDVIP vision coverage.
We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control and Prevention (CDC), and state and local public health departments. Your family members may also be able to continue enrollment after your death. Check out the changes and updates to our plan in 2023. We negotiate rates with vision care providers to help save you money. 20% discount does not apply.Standard Option You Pay: Any amount over the $140 Plan allowance after a 20% discount. Shop online retailers You can access our online retail partners website by clicking on the retailer's name. When you visit a BCBS FEP Vision network doctor, yourvision care exam is covered in full and prescription glasses or contacts are covered after any co-payments. Try our visionsimulator by visitinghttps://bcbsfepvision.com/visionsimulator. In addition to the annual Open Season, there are certain events that allow you to make specific types of enrollment changes throughout the year. If the provider you use is not part of our network, benefits will be considered out-of-network. Collection is subject to change. We added $50 to your frame allowance at MyEyeDr. Please tell us a bit more about yourself: Interested in BCBS FEP: New Federal Employee. If you're a member, you can access additional provider information (such as address, phone number and specialty) by searching for providers using your MyBlue account here. We have 30 days from the date we receive your request to: a) Pay the claim or b) Write to you and maintain our denial or c) Ask you or your provider for more information. The prescription must have changed at least a 0.5 diopter or the seg height changed at least a 5.0 millimeter, or lens type changed, e.g. Innofactor Plc Inside Information, released on February 12, 2020, at 14:20 Finnish time. The decision of the independent third party is binding on us and is the final administrativereview of your claim. Please contact us at. You can print a temporary ID card online, view it in our mobile app or contact customer service to verify your eligibility in the plan. To help us personalize your experience, tell us if you're currently a member of Blue Cross Blue Shield FEP Vision. If you live in a limited access area, overseas or if you obtain services from a non-participating provider (High Option only), you are responsible for filing the claim. Additionally, a 15% discount applies to any amount over $140. The cost of the evaluation, fitting and follow-up care is not covered. locations. your former spouse after a divorce decree or annulment is final (even if a court orderstipulatesotherwise); or.
What's New for 2023 - BCBS FEP Vision You may cancel your enrollment only during the annual Open Season. The timeframe for requesting a QLE change is from 31 days before to 60 days after the event. OPM has contracted with dental and vision insurers to offer an array of choices to Federal employees and annuitants. Out-of-Network: Expenses in excess of fee schedule allowance of $30, Nothing for frames up to $140 frame allowance. BENEFEDS is a secure enrollment website (www.BENEFEDS.com) sponsored by OPM.
2023 Plan Rates and Benefits: BCBS FEP Vision SM - FEP Blue Your family members will still be eligible to enroll in the TRICARE Dental Plan (TDP). Includes dilation, if professionally indicated Includes refraction only if vision health exam is billed to medical, BCBS FEP Vision doctors provide a comprehensive exam that focuses on your eye health and overall wellness, Out-of-Network: Expenses in excess of the fee schedule allowance of $30. Pre-authorization is required. a) Write to us within 6 months from the date of our decision; and, b) Write to you and maintain our denial or. For a complete description, please view the benefit brochure. or at any other time. TRICARE enrollees automatically pay premiums through payroll deduction or automatic bank withdrawal (ABW) using post-tax dollars. We will then decide within 30 more days. Sign up for 24/7 access to health and wellness resources. Please contact us at fepmemberhelp@davisvision.comto let us know you would like to submit your claim via email. you pay any amount over $190 frame allowance.
Federal Employee Program (FEP) - Blue Cross and Blue Shield of Alabama *Note: Additional discounts are available from participating providers except Costco, LensCrafters, Target Optical, Pearle Vision,Sams Club, Walmart and Warby Parker. We do not coordinate benefits with non-FEHB health plans. Let only the appropriate providers review your clinical record or recommend services. Collection is available at participating independent provider offices. At MyEyeDr. Your enrollment carries over from year to year, unless you change it. If you are planning to enroll in an FSAFEDS Health Care Flexible Spending Account (HCFSA) or Limited Expense Health Care Flexible Spending Account (LEX HCFSA), you should consider how coverage under a FEDVIP plan will affect your annual expenses, and thus the amount that you should allot to an FSAFEDS account. Please note that pre-authorization does not apply when you receive care outside of the United States and Puerto Rico. If we do not receive the information within 60 days, we will decide within 30 days of the date the information was due. When you visit an out-of-network provider, you will be reimbursed according to theschedule shown in the chart below. We have options to use your benefits! View this virtual experience on your computer or mobile device by going to bcbsfepvisionos.com.
Plan Providers - 2022-bcbs-fep-vision.fepbrochures-bcbsa.com We will respond with instructions on how to securely submit your claim. *NOTE: Access StandardsUrban and suburban zip codes: at least 90% of FEDVIP eligibles in a network access area (zip code plus 15 driving-miles) must have access to a vision care preferred provider.Rural zip codes: at least 80% of FEDVIP eligibles in a network access area (zip code plus 35 driving-miles) must have access to a vision care preferred provider. How to Enroll Enrolling in BCBS FEP Vision is easy.
PDF A Nationwide Vision Plan, available nationwide and overseas - BENEFEDS I'm an Active U.S. A qualifying life event (QLE) is an event that allows you to enroll, or if you are already enrolled, allows you to change your enrollment outside of an Open Season. Doctor Finder. If you are currently enrolled in aFEDVIPvision plan and want to switch to BCBS FEP Vision, you must change enrollment through BENEFEDS. Introduction. You are leaving fepblue.org. Be the first to know about our benefits, wellness incentives and rewards you're eligible for with your plan. We offer additional benefits for children age 13 and under. You, and your family members, do not have a right to benefits that were available before January 1, 2023 unless those benefits are also shown in this brochure. Please note that insurance premiums are not eligible expenses for either type of FSA. When you're ready to buy, click on the Live Chat link, or call 1-877-753-6727 to discuss options for using your out-of-network benefits.
Blue Cross Blue Shield - EyeMed Vision Benefits Fraud increases the cost of health care for everyone and increases your Federal Employees Dental and Vision Insurance Program premium. Uniformed Services; Benefits & Rates; Save With Discounts; Tools & Resources; How to Enroll; Menu.
Federal Employees Dental and Vision Insurance Program brochure When this occurs and the value of the Contact Lenses received is less than theallowance, you may submit a claim for the remaining balance (the combined reimbursement will not exceed $140).
For Providers | FEP | Premera Blue Cross Find a Doctor Overseas Providers Find the best doctors, clinics, specialists and hospitals outside the U.S. Our overseas network includes over 14,000 providers. BCBS FEP Vision covers frames, lenses, and eye exams. It scores air quality from 0 all the way up to 500. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. To determine if you are in a limited access areacall us at1-888-550-2583 or TTY: 1-800-523-2847. As your health needs evolve, our diverse plans are designed to evolve with you. Postal Service Employee, I'm a Uniformed Services Retiree/Family Member, See Why We're the #1 Choice for Federal Employees, Earn up to $170 in Health & Wellness Incentives.
How to Enroll - BCBS FEP Vision What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. We're honored to offer you and your family quality health care plus tools that help you get the most out of your budget. BCBS FEP Vision is responsible for the selection of in-network providers in your area. Cover page Page numbers referenced within this brochure apply only to the printed brochure Blue Cross Blue Shield FEP VisionSM www.bcbsfepvision.com 1-888-550-2583 2023 IMPORTANT: Rates Changes for 2023 Summary of Benefits A Nationwide Vision Plan, available nationwide and overseas Enrollment Options for this Plan: High Option - Self Only
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