2020 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals


Note: The calendar year deductible applies to almost all benefits in this Section. We say "(No deductible)" when it does not apply.
 
Benefit Description

Educational Classes and Programs
  • Smoking, tobacco, and E-cigarette cessation treatment including:
     
    • Individual counseling for smoking, tobacco, and E-cigarette use cessation

      Note: Benefits are not available for group counseling.

       
    • Smoking, tobacco, and E-cigarette cessation classes

      Note: See Section 5(f) for our coverage of smoking, tobacco, and E-cigarette cessation drugs.

You Pay
Preferred: Nothing (no deductible)

Non-preferred (Participating/Non-participating): You pay all charges
 
Benefit Description
  • Diabetic education

    Note: See pages 4043, and 47 for our coverage of nutritional counseling services that are not part of a diabetic education program.

You Pay
Preferred: 30% of the Plan allowance

Non-preferred (Participating/Non-participating): You pay all charges
 
Benefit Description
Not covered:

 
  • Marital, family, educational, or other counseling or training services, or applied behavior analysis (ABA), when performed as part of an educational class or program
     
  • Premenstrual syndrome (PMS), lactation (except as described on page 48), headache, eating disorder (except as described on page 40), and other educational clinics
     
  • Recreational or educational therapy, and any related diagnostic testing except as provided by a hospital as part of a covered inpatient stay
     
  • Services performed or billed by a school or halfway house or a member of its staff

You Pay
All charges
 

List Item:

educational
classes
programs
smoking
tobacco
e-cigarettes
vape
vaping
cessation
treatments
diabetic
education
marital
family
counseling
applied
behavior
analysis
premenstrual
syndrome
lactation
headache
eating
disorder
recreational
diagnostic
halfway
house
school