November 13, 2013

HHA-13-20
DC-13-19
ASC-13-20
MS-13-24

BC-13-24
SA-13-19
HP-13-19
 

To:

All Blue Cross and Blue Shield of Kansas Contracting Providers

From:

Connie Winkley – Education/Communication Coordinator
Institutional Provider Relations
Blue Cross and Blue Shield of Kansas, Inc.
An Independent Licensee of the Blue Cross and Blue Shield Association

Subject:

2014 Federal Employee Program (FEP) Group Health Plan

Blue Cross and Blue Shield Federal Employee Program

The Federal Employee Program (FEP) group health plan will renew with BCBSKS effective January 1, 2014. The 2014 Blue Cross and Blue Shield Service Benefit Plan information can be located on the Blue Cross and Blue Shield Federal Employee Program Website: www.fepblue.org.

The Blue Cross and Blue Shield Service Benefit Plan continues to offer two plan options: Standard Option and Basic Option.

Standard Option members receive services by choosing a Preferred provider from a network of hospitals, physicians, dentists, pharmacies and other healthcare providers. When the member uses a Preferred provider, the provider files the claim, payment is made to the provider and both Preferred and Participating providers must accept the Plan's payment as payment in full, except for any applicable deductibles, co-pays or co-insurance. Members can choose to use Non-participating providers, but the out-of-pocket expenses may be higher than if the member uses Preferred or Participating providers.

Some of the 2014 changes to the Standard Option include:

Basic Option members must receive care performed by Preferred providers, except in certain situations, such as emergency care. Most care under Basic Option is subject to a copayment amount. Preferred providers file your claims and payment will be made to the provider.  There are no benefits for care performed by a Non-participating provider and the member will pay all charges.

Some of the 2014 changes to the Basic Option include:

Some of the 2014 changes that are included in both the Standard and Basic Options include:

For additional information and details on all the 2014 changes to the Blue Cross and Blue Shield Service Benefit Plan, please click on a link below.

If you have questions regarding the 2014 Service Benefit Plan member benefits, please contact your BCBSKS Institutional Provider Representative.  Denny Hartman can be reached at 1-316-269-1602; Cindy Garrison at 1-785-291-8862 and Janne Adams-Denton at 1-785-291-8813.

 

cw