Prescription Drug Coverage for PSHB - FEP Blue

This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (FEP Blue Standard and FEP Blue Basic: RI 71-020; FEP Blue Focus: 71-025). All benefits are subject to the definitions, …

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$200
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Summary Of Benefits And Coverage: What This Plan Covers

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prescription drugs. Tier 5 (Non-preferred specialty drugs) Retail: $200/prescription (30-day supply) Specialty pharmacy: $200/prescription (30-day supply; $500/prescription (31 to 90-day supply) …

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How Much Does Medicare Drug Coverage Cost? | Medicare

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Initial coverage stage: After you reach your full deductible (if your plan has a deductible), you’ll pay 25% of the cost as coinsurance for your generic and brand-name drugs until your out-of …

medicare.gov

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Compare Our PSHB Plans - FEP Blue

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See the differences between benefits and coverage for our PSHB plans side by side. ... See 2025 FEP Blue Standard and FEP Blue Basic PSHB brochure Rewards Program Earn $150 on your …

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FAQs about Prescription Drug Coverage for PSHB - FEP Blue Coupon?

Does FEP Blue focus cover prescription drugs?

FEP Blue Focus members can apply for coverage of a drug not covered on their drug list with the Non-Formulary Exception Process (NFE) form Have questions about our prescription drug coverage? See how your Service Benefit Plan coverage works with different types of prescription drugs. ...

Does FEP Blue focus cover FEHB & PSHB?

If you’re an FEP member and happy with your coverage, you do not need to do anything—for both FEHB and PSHB coverage. FEP Blue Focus is well suited for those who don’t use their health care benefts often, only use in-network (Preferred) providers and don’t have many prescription drug needs. ...

How many drug tiers does FEP Blue focus® offer?

There are only two drug tiers under the traditional pharmacy benefit for FEP Blue Focus®. There are four drug tiers under MPDP for all our plans. Preferred specialty and Non-preferred specialty drugs are limited to a 30-day supply; only one fill allowed. All refills must be obtained from the Specialty Drug Pharmacy Program. ...

Does FEP blue basictm offer a prescription drug benefit?

For FEP Blue BasicTM members, we have a program to reimburse you up to $800 for paying your Medicare Part B premiums. Learn more on page 16. We have a prescription drug benefit exclusively for members who have Medicare. It’s called the FEP Medicare Prescription Drug Program (MPDP). ...

Does FEP blue basic cover non-preferred providers?

Under FEP Blue Basic, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). ^ What you’ll pay for a 30-day supply of covered drugs. ...

Does FEP blue basic cover Medicare?

When you combine your Original Medicare or Medicare Advantage coverage with FEP Blue Basic, we reimburse you up to $800 per year for paying Medicare Part B premiums. If your spouse also has Medicare, they can receive this benefit too, making the reimbursement $1,600. You can use this benefit even if Medicare isn’t your primary coverage. ...