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Brochure sections
Cover Page and Inside Cover
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
2023 Rate Information
Entire brochure in page-number order
 
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Blue Cross and Blue Shield Service Benefit Plan Brochure - 2023

Standard and Basic Options

 

How to request precertification for an admission or get approval for Other services

How to request precertification for an admission or get approval for Other services
Non-urgent care claims
Urgent care claims
Concurrent care claims
Emergency inpatient admission
Maternity care
If your facility stay needs to be extended
If your treatment needs to be extended
 

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