FEPBlue Customer Service

FEPBlue logo

FEPBlue is a health insurance program that provides comprehensive healthcare coverage to federal employees and their families. FEPBlue’s products include a range of health insurance plans, including medical, dental, and vision coverage. FEPBlue is committed to providing excellent customer service, with representatives available to assist customers with their healthcare needs. To reach FEPBlue’s customer service department, customers can call 1-800-411-BLUE (2583). 

About Fepblue

FEP Blue is a health insurance plan offered by the Blue Cross Blue Shield Association to federal employees, retirees, and their families. It is part of the Federal Employee Program (FEHB) and provides comprehensive coverage for medical, dental, and vision care.

The FEP Blue plan offers three coverage options: Standard Option, Basic Option, and FEP Blue Focus. Each option has different benefits and costs, so it is important to choose the one that best fits your needs.

The Standard Option provides comprehensive coverage for medical, dental, and vision care. It has higher premiums than the Basic Option, but it also has lower out-of-pocket costs. The Basic Option has lower premiums, but higher out-of-pocket costs. It is a good option for those who are generally healthy and do not anticipate needing many medical services.

FEP Blue Focus is the newest coverage option and is designed for those who want a lower-cost plan with basic coverage. It is a good option for those who are generally healthy and do not anticipate needing many medical services. It has lower premiums than the Standard and Basic options, but also has higher out-of-pocket costs.

FEP Blue offers a variety of resources to help members manage their health care. Members can access their benefits, claims, and health information through the MyBlue portal or the FEP Blue app. The app also allows members to track their wellness goals and earn rewards for completing healthy activities.

In summary, FEP Blue is a comprehensive health insurance plan offered by the Blue Cross Blue Shield Association to federal employees, retirees, and their families. It offers three coverage options to fit different needs and budgets. Members have access to a variety of resources to help them manage their health care.

Enrollment Process

Enrolling in the FEP Blue Service Benefit Plan is a simple and straightforward process that can be done online or by mail. The plan is available to all Federal employees and annuitants, as well as their families.

To enroll in the FEP Blue Service Benefit Plan, Federal employees can visit the FEP Blue website and follow the online enrollment process. Alternatively, employees can also enroll by filling out the SF 2809 form and mailing it to the address provided on the form.

Annuitants can enroll in the FEP Blue Service Benefit Plan by visiting the OPM website and following the online enrollment process. Alternatively, annuitants can also enroll by filling out the SF 2809 form and mailing it to the address provided on the form.

When enrolling in the FEP Blue Service Benefit Plan, it is important to carefully review the available plans and options to ensure that the plan selected meets the individual’s needs. The FEP Blue website provides detailed information about the different plans and options available, as well as tools to help individuals choose the right plan.

It is recommended that individuals review their enrollment options during the annual Open Season, which occurs every year from mid-November to mid-December. During this time, individuals can make changes to their enrollment status, including adding or removing dependents, changing plans, or enrolling in the plan for the first time.

Overall, the enrollment process for the FEP Blue Service Benefit Plan is designed to be simple and accessible for all Federal employees and annuitants. By carefully reviewing the available plans and options, individuals can select a plan that meets their specific needs and provides access to high-quality healthcare services.

Coverage Details

FEP Blue offers comprehensive coverage for medical, dental, and vision services to federal employees, retirees, and their families. The Blue Cross and Blue Shield Service Benefit Plan is the foundation of FEP Blue, providing access to a nationwide network of doctors, hospitals, and other healthcare providers.

Medical coverage includes a range of services, such as hospitalization, outpatient care, prescription drugs, and preventive care. FEP Blue members have access to a variety of medical plans, including high-deductible health plans (HDHPs), preferred provider organization (PPO) plans, and health maintenance organization (HMO) plans.

Dental coverage is available through FEP Blue’s dental plan, which provides coverage for preventive care, basic services, and major services. Members can choose from a variety of dental plans, including PPO and HMO plans.

Vision coverage is available through FEP Blue’s vision plan, which provides coverage for eye exams, glasses, and contact lenses. Members can choose from a variety of vision plans, including PPO and HMO plans.

FEP Blue also offers supplemental dental and vision plans, which provide additional coverage for dental and vision services not covered by the standard plans. Members can choose from a variety of supplemental plans, including orthodontia coverage and enhanced vision benefits.

Overall, FEP Blue’s coverage is designed to meet the diverse needs of federal employees, retirees, and their families. With a range of medical, dental, and vision plans to choose from, FEP Blue members can find the coverage that best fits their needs and budget.

Claims Management

FEP Blue provides its members with an efficient and user-friendly claims management system. Members can easily submit their claims and track their status through the MyBlue® Customer eService portal.

To submit a claim, members need to download and complete the appropriate form from the FEP Blue website. Once the form is completed, members can submit it through the online portal or mail it to the appropriate address. It is important to note that claims must be submitted by December 31 of the year following the year that the service was received.

FEP Blue’s claims processing system is designed to be accurate and timely. Medical and pharmacy claims are processed within 30 days of receipt, while explanation of benefits (EOBs) are typically available within 14 days. In case of any delays or issues, members can contact FEP Blue’s customer service team for assistance.

Members can also track their deductibles through the MyBlue® Customer eService portal. The portal provides a summary of the member’s healthcare finances in the Financial Dashboard, which includes information on deductibles, out-of-pocket maximums, and other plan details.

Overall, FEP Blue’s claims management system is designed to provide members with a hassle-free experience. The system is accurate, efficient, and user-friendly, making it easy for members to manage their healthcare finances.

Pharmacy Services

FEP Blue offers a range of pharmacy services to its members. Members can use the FEP Blue prescription drug cost tool to estimate their out-of-pocket costs for their medications. The tool provides information on the cost of medications at different pharmacies in the member’s area, allowing them to compare prices and choose the most affordable option.

Members can also submit pharmacy claims online through the FEP Blue website or by mail. The website provides a list of participating pharmacies where members can fill their prescriptions. Members can also use the FEP Blue mobile app to find participating pharmacies and manage their prescriptions.

FEP Blue’s pharmacy services also include a Specialty Pharmacy Program for members who require specialty medications. Members can call the Specialty Pharmacy Program team to receive assistance with any questions or concerns about their specialty drug benefits.

Overall, FEP Blue’s pharmacy services aim to provide members with convenient and cost-effective access to their prescription medications.

Provider Network

FEP Blue offers an extensive network of in-network providers, including doctors and hospitals, to its members. In-network providers have agreed to accept negotiated rates for covered services, resulting in lower out-of-pocket costs for members.

To find in-network providers, members can use the online Provider Directory, which includes over 1.3 million providers across the United States. The directory allows members to search for providers by specialty, location, and name. Members can also filter their search results by provider type, such as primary care physician or specialist, and by language spoken.

FEP Blue also offers an overseas provider network, which includes over 14,000 providers worldwide. Members can access additional provider information, such as address, phone number, and specialty, by searching for providers using their MyBlue account.

If a member chooses to receive care from an out-of-network provider, they may be subject to higher out-of-pocket costs or may not have coverage for certain services. Members should always check with FEP Blue before receiving care from an out-of-network provider to understand their coverage and potential costs.

Overall, FEP Blue’s provider network is extensive and offers members a wide range of in-network options for their healthcare needs.

MyBlue and Mobile App

Fepblue offers its members access to MyBlue, a customer eService platform that allows them to manage their accounts and benefits online. Members can access MyBlue through the Fepblue website or the mobile app, which is available for free on the App Store and Google Play.

With MyBlue, members can check the status of their claims, change their address of record, request claim forms, request an ID card, and track how they use their benefits. The platform also provides online EOBs, which members are automatically enrolled in.

The Fepblue mobile app puts members’ benefits in the palm of their hand. Members can access their ID card and benefits anytime, anywhere. They can view and share their member ID card, know how close they are to meeting their annual deductible or out-of-pocket maximum, and see important visit limit information for benefits and services, such as acupuncture visits.

In addition, the mobile app provides access to medical and pharmacy claims, including Explanation of Benefits (EOBs). Members can also use the app to find in-network providers, estimate costs for medical procedures, and check their MyBlue Wellness Card balance.

Overall, MyBlue and the Fepblue mobile app provide members with convenient and easy-to-use tools for managing their healthcare benefits.

Benefits and Incentives

FEP Blue offers a variety of benefits and incentives to help members achieve their health goals. These benefits include access to preventive care, wellness programs, and discounts on health-related products and services.

Preventive care is an important aspect of maintaining overall health and well-being. FEP Blue members have access to a wide range of preventive care services, including annual wellness visits, immunizations, and cancer screenings. These services are covered at no cost to the member, making it easier to stay on top of important health screenings and check-ups.

In addition to preventive care, FEP Blue offers a variety of wellness programs to help members achieve their health goals. These programs include weight management, smoking cessation, and stress reduction programs. Members can also earn incentives for participating in these programs, such as gift cards or discounts on health-related products and services.

FEP Blue members can also earn incentives for achieving certain health goals. For example, members can earn up to $170 in incentives for completing the Blue Health Assessment and participating in other wellness programs. These incentives can be used to offset the cost of deductibles, co-payments, and other out-of-pocket expenses.

Overall, FEP Blue offers a comprehensive set of benefits and incentives to help members achieve their health goals. By providing access to preventive care, wellness programs, and incentives for achieving health goals, FEP Blue is committed to helping members maintain their health and well-being.

Costs and Premiums

FEP Blue offers a range of health insurance plans with different costs and premiums to meet the needs of federal employees and their families. The costs and premiums of each plan may vary depending on the location and type of plan chosen.

Premiums

Premiums are the monthly payments you make to maintain your health insurance coverage. FEP Blue offers a variety of plans with different premium rates. The premium rates are determined by the type of plan, the level of coverage, and the location of the enrollee.

For example, the 2023 Plan Rates and Benefits for the Service Benefit Plan indicate that the premium rates for the Standard Option plan range from $57.47 to $436.81 per month, depending on the enrollee’s location and type of coverage (self-only, self-plus-one, or self-and-family). The Basic Option plan premium rates range from $25.14 to $191.72 per month, depending on the same factors.

Out-of-Pocket Costs

Out-of-pocket costs are the expenses you pay for health care services that are not covered by your insurance plan. These costs include deductibles, copayments, and coinsurance.

FEP Blue offers plans with different out-of-pocket costs. For example, the 2023 Plan Rates and Benefits for the Service Benefit Plan indicate that the Standard Option plan has an annual deductible of $500 for self-only coverage and $1,000 for self-plus-one and self-and-family coverage. The Basic Option plan has a $350 annual deductible for all types of coverage.

In addition to deductibles, FEP Blue plans have copayments and coinsurance for various services. For example, the Standard Option plan has a $25 copayment for primary care office visits and a 20% coinsurance for specialty care office visits. The Basic Option plan has a $20 copayment for primary care office visits and a 20% coinsurance for specialty care office visits.

Overall, FEP Blue offers a range of plans with different premiums and out-of-pocket costs to meet the needs of federal employees and their families. It is important to carefully review the details of each plan to determine the best fit for your health care needs and budget.

Overseas Services

FEP Blue understands that federal employees may need medical care while traveling or living overseas. That’s why they offer a range of services to help their members receive the care they need, no matter where they are in the world.

One of the key services that FEP Blue offers to their overseas members is the Overseas Assistance Center. This center provides members with information on how to access medical care while abroad, as well as assistance with filing claims and obtaining reimbursements. Members can contact the Overseas Assistance Center by phone or email, and representatives are available to assist with questions or concerns 24/7.

FEP Blue also offers a range of resources to help members find healthcare providers while overseas. Members can search for providers in the FEP Blue network using the Find a Doctor tool on the FEP Blue website. If a member needs assistance finding a provider, they can contact the Overseas Assistance Center for help.

In addition to these services, FEP Blue also offers prescription drug coverage for their overseas members. Members can fill prescriptions at participating pharmacies around the world, and FEP Blue will reimburse them for the cost of the medication. FEP Blue also offers a Pharmacy Program that can help members save money on their prescription drug costs while overseas.

Overall, FEP Blue is committed to providing their overseas members with the same high level of service and support that they provide to their members in the United States. With a range of resources and services available, FEP Blue makes it easy for federal employees to access the medical care they need, no matter where they are in the world.

ID Card Information

FEP Blue members receive an ID card that contains important information related to their coverage. The member ID card includes the member’s ID number, the plan they are enrolled in (FEP Blue Focus, Basic Option, or Standard Option), and the effective date of coverage. It is important to keep this card up-to-date and carry it with you at all times.

In addition to the basic information, the ID card also includes important customer service numbers, such as precertification, retail pharmacy, overseas assistance, and the Nurse Line. These support numbers are also available on the FEP Blue website. It is important to note that an updated ID card does not necessarily mean that there have been updates to the member’s benefits.

If a member loses their ID card or needs a replacement, they can request a new one through the FEP Blue website or by calling customer service. Members should also make sure that their ID card information is accurate and up-to-date, including their name, address, and contact information.

Overall, the FEP Blue ID card is an important tool for members to access their benefits and receive necessary medical care. By keeping their ID card up-to-date and carrying it with them at all times, members can ensure that they have access to the care they need when they need it.

Understanding Medicare

As a federal employee, you may be eligible for Medicare, a federal health insurance program that provides coverage for people who are 65 years or older, under 65 with certain disabilities, or those with End-Stage Renal Disease (ESRD).

If you are enrolled in the Federal Employees Health Benefits (FEHB) program and are eligible for Medicare, you can use both programs to help pay for your healthcare costs. Medicare becomes your primary coverage, and FEHB becomes your secondary coverage.

It’s important to note that you must enroll in Medicare Parts A and B to use your FEHB coverage with Medicare. You can enroll in Medicare during your Initial Enrollment Period (IEP), which is a seven-month period that begins three months before the month you turn 65 and ends three months after the month you turn 65.

Once you are enrolled in Medicare, you can use your FEHB coverage to help pay for deductibles, copayments, and coinsurance that Medicare doesn’t cover. You can also use your FEHB coverage for services that Medicare doesn’t cover, such as routine dental and vision care.

If you’re unsure about how to enroll in Medicare or how to use your FEHB coverage with Medicare, you can contact FEP Blue’s customer service for assistance. They can answer any questions you have and help you navigate the enrollment process.

Frequently Asked Questions

What is the customer service number for FEP Blue Dental?

The customer service number for FEP Blue Dental can be found on the back of your dental ID card. If you do not have your dental ID card, you can contact the FEP Blue Dental customer service department at 1-855-504-2583.

What is the difference between Fepblue standard and basic?

FEP Blue Standard and Basic are two different health care plans offered by the Federal Employees Health Benefits (FEHB) Program. The main difference between the two plans is the level of coverage provided. FEP Blue Standard offers comprehensive coverage, while FEP Blue Basic offers more limited coverage at a lower cost.

What is the customer service number for Blue Shield Texas?

The customer service number for Blue Shield Texas can be found on the back of your member ID card. If you do not have your member ID card, you can contact the Blue Shield Texas customer service department at 1-800-810-BLUE (2583).

How do I speak to a representative at BCBS IL?

To speak to a representative at BCBS IL, you can call the customer service number on the back of your member ID card. Alternatively, you can visit the BCBS IL website and use the online chat feature to speak with a representative.

What is the customer service number for BCBS federal provider phone number for claims?

The customer service number for BCBS federal provider phone number for claims can be found on the back of your provider ID card. If you do not have your provider ID card, you can contact the BCBS federal provider phone number for claims department at 1-800-492-8872.

What is the phone number for FEP Texas?

The phone number for FEP Texas can be found on the back of your member ID card. If you do not have your member ID card, you can contact the FEP Texas customer service department at 1-800-442-4607.

Scroll to Top