The member/member, spouse and their dependent children are included in the benefit. Separate types of patient contracts may have different rules and regulations regarding the age and status when dependent children are no longer covered.
Glossary of Health Insurance Terms
As you explore our site, you may come across an unfamiliar word or term. We've developed a glossary that we hope will help you.
Family coverage
FDA
Food and Drug Administration of the Federal government.
Federal Employee Point of Service Program (FEP POS)
A benefit program for United States government employees, their families and retirees. BCBSKS administers this program for the employees in the state of Kansas excluding Johnson and Wyandotte counties. This program has different coverage than the regular FEP Program. You should call FEP Customer Service for the specific information.
Federal Employee Program (FEP)
A benefit program for United States government employees, their families and retirees. BCBSKS administers this program for the employees in the state of Kansas excluding Johnson and Wyandotte counties. This program has different coverage than the FEP POS program. You should call FEP Customer Service for the specific information.
Federal Tax Number
See "Employer Identification Number."
Fee for service
A method of payment to providers where there is a set amount for each procedure billed.
Fee schedule
A listing of allowed charges for given procedures.
FEP
See "Federal Employee Program."
FEP POS
See "Federal Employee Point of Service Program."
FFS
See "Fee for Service."
Final level appeal
The last step in the BCBSKS appeal procedure. A committee designated by the board of directors makes the decision in this step.
First dollar coverage
A patient insurance contract where there is no deductible and at the effective date of the contract all covered services are paid at 100 percent of the allowed charge or a percentage of the allowed charge. An example would be when all covered services are paid at 80/20 percent; with the insurer paying the 80 percent and the patient being responsible for 20 percent.
First level appeal
See "Initial appeal."
First-Pass-Pay
When a claim enters into our computer system and processes the initial time through.
Fiscal agent
See "Medicaid fiscal agent."
For cause
Includes, but is not limited to, any of the following: (1) breach of contract; (2) a civil case ruling, settlement in a civil or criminal matter, a verdict or plea of guilty or a plea of nolo contendere, and/or any other instance determined by BCBSKS as moral turpitude; and/or (3) any act of defamation, slander, and libel toward BCBSKS and its subsidiaries (as determined by BCBSKS).