WebBasic Option and Medicare, you can get an . $800. Medicare Reimbursement Account. ... The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. ... 111: 104. Self + One; $252.51 . $472.12: Web105 Standard Option - Self and Family 111 Basic Option - Self Only 113 Basic Option - Self Plus One 112 Basic Option - Self and Family RI 71-005 . United States Office of …
Blue Cross® and Blue Shield® Service Benefit Plan
WebStandard Option also features a Retail Pharmacy Program, a Mail Service Prescription Drug Program, and a Specialty Drug Pharmacy Program. Basic Option does not have a … WebThis is a summary of the features of the Blue Cross and Blue Shield Service Beneft Plan. Before making a fnal decision, please read the Plan’s Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: RI 71-017). All benefts are subject to the defnitions, limitations and exclusions set christmas lighting controller diy
Federal Employee Program - Regence
WebBlue Cross and Blue Shield . FEP Service Benefit Plan Basic Option (111, 112 or 113) Effective January 1, 2024 Maximum Allowable Charge (MAC) Under Basic Option, we provide benefits for the services listed below. The member pays a $30.00 copayment per evaluation. For all other covered dental services, FEP pays 100% of WebBasic Option, Self Only, Enrollment Code 111: Premium Rate Biweekly government share: $259.72 Biweekly your share: $86.67 Monthly government share: $562.73 Monthly your share: $187.78 Basic Option, Self Plus One, Enrollment Code 113: Premium Rate Biweekly government share: $560.52 Biweekly your share: $217.90 Monthly government share: … WebOct 17, 2024 · Blue Cross and Blue Shield Service Benefit Plan Basic Option: 111: Self: $80.18: $86.67: 8.09%: Blue Cross and Blue Shield Service Benefit Plan Basic Option: 112: Self & Family: $212.09: $237.91: 12.17%: Blue Cross and Blue Shield Service Benefit Plan Basic Option: 113: Self Plus One: $196.13: $217.90: 11.10%: Blue Cross and … getaway new york upstate