2020 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 4. Your Costs for Covered Services
 
Your costs for other care

Overseas care: We pay overseas claims at Preferred benefit levels. In most cases, our Plan allowance for professional provider services is based on our Overseas Fee Schedule. Most overseas professional providers are under no obligation to accept our allowance, and you must pay any difference between our payment and the provider’s bill. For inpatient facility care you receive overseas, we provide benefits in full for admissions to a Department of Defense (DoD) facility, or when the Overseas Assistance Center (provided by GMMI, Inc.) has arranged direct billing or acceptance of a guarantee of benefits with the facility. If a direct billing arrangement or guarantee of benefits is not accepted by the facility, you are responsible for the applicable deductible, copayment and/or coinsurance. For outpatient facility care you receive overseas, we provide benefits in full after you pay the applicable deductible and copayment or coinsurance. See Section 5(i) for more information about our overseas benefits.

Inpatient facility care: You must use Preferred facilities in order to receive benefits. See page 18  for the exceptions to this requirement.
 

List Item:

overseas
care
preferred
benefit
levels
fee
schedule
allowance
department
Defense
facility
DoD
assistance
center
GMMI
billing
outpatient
inpatient
abroad