Preventive Care You pay nothing You pay nothing You pay nothing Physician Care $10 copay per visit for your first 10 primary and/or specialty care visits combined Show $40 copay for specialists1 $25 copay for primary care $35 copay for specialists Mental Health Visits $10 copay per visit for your first 10 primary and/or specialty care visits combined $30 copay $25 copay Virtual doctor visits by Teladoc® $0 for first 2 visits $10 copay all additional visits $0 for first 2 visits $15 copay all additional visits $0 for first 2 visits $10 copay all additional visits Urgent Care Center $25 copay $35 copay Accidental Injury: $0 Medical Emergency: $30 copay Prescription Drugs Preferred Retail Pharmacy^: Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): 40% of our allowance ($350 max) Mail Service Pharmacy: Specialty Pharmacy^: If you have Medicare Part B primary, your costs for prescription drugs may be lower. Tier 1 (Generics): $15 copay Tier 2 (Preferred brand): $60 copay Tier 3 (Non-preferred brand): 60% of our allowance ($90 minimum) Tier 4 (Preferred specialty): $85 copay Tier 5 (Non-preferred specialty): $110 copay Mail Service Pharmacy: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Tier 1 (Generics): $20 Tier 2 (Preferred brand): $100 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy^: Tier 4 (Preferred specialty): $85 copay Tier 5 (Non-preferred specialty): $110 copay Preferred Retail Pharmacy: Mail Service Pharmacy: Tier 2 (Preferred brand): $90 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy^: Tier 5 (Non-preferred specialty): $85 copay $1,500 for facility care $250 inpatient $0 outpatient $0 copay Hospital Care Inpatient (Precertification is required): 30% of our allowance* Outpatient: 30% of our allowance* Inpatient (Precertification is required): $250 per day; up to $1,500 per admission Outpatient: $150 per day per facility1 Inpatient (Precertification is required): $350 per admission Outpatient: 15% of our allowance* Surgery 30% of our allowance* $150 in an office setting1$200 in a non-office setting1 15% of our allowance* ER (accidental injury) $0 within 72 hours $250 copay per day per facility $0 within 72 hours ER (medical emergency) 30% of our allowance* $250 copay per day per facility 15% of our allowance* Lab work (such as blood tests) $0 for first 10 specific lab tests** 15% of our allowance1 15% of our allowance* Diagnostic services (such as sleep studies, CT scans) 30% of our allowance* Up to $100 in an office1Up to $200 in a hospital1 15% of our allowance* Chiropractic Care $25 per visit; for up to 10 visits a year1,2 $30 per visit; up to 20 visits per year $25 per visit; up to 12 visits per year Dental Care Not a benefit $30 per evaluation; up to 2 evaluations per year The difference between the fee schedule amount and the Maximum Allowable Charge (MAC) Rewards Program Earn a reward at no out-of-pocket cost for getting an annual physical4Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 Self + One and Self & Family: $17,000 Self Only: $6,500 Self + One and Self & Family: $13,000 Self Only: $6,000 Self + One and Self & Family: $12,000 Annual Deductible Self Only: $500 Self + One and Self & Family: $1,000 No deductible Self Only: $350 Self + One and Self & Family: $700 FEP Blue Focus Plan Page Basic Option Plan Page Standard Option Plan Page What is the most popular federal health insurance?Albany, NY – February 3, 2021 – CDPHP is proud to announce that it is ranked No. 1 in the nation for federal employee health benefits (FEHB) for the second year in a row.
Which is best government insurance?15 Best Government Health Insurance Schemes in India for 2022. Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY). Pradhan Mantri Suraksha Bima Yojana (PMSBY). Central Government Health Scheme (CGHS). Employees State Insurance Scheme (ESIC). Universal Health Insurance Scheme (UHIS). Aam Aadmi Bima Yojana (AABY). What health insurance do most federal employees have?The Federal Employees Health Benefits (FEHB) program is the largest employer-sponsored health insurance program in the world, covering more than 8 million Federal employees, retirees, former employees, family members, and former spouses.
What is the best health insurance for federal retirees?Medicare is the best health insurance option for seniors and retirees. For those age 65 and older or who have a qualifying disability, the Medicare program will be the cheapest health insurance with the best benefits.
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