Blue Cross® and Blue Shield® Service Benefit Plan
2020
A Fee-For-Service Plan (FEP Blue Focus) with a Preferred Provider Organization
IMPORTANT
- Rates: Back Cover
- Changes for 2020: Page 15
- Summary of Benefits: Page 141
This Plan’s health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 9 for details. This Plan is accredited. See page 13.
Sponsored and administered by: The Blue Cross and Blue Shield Association and participating Blue Cross and Blue Shield Plans
Who may enroll in this Plan: All Federal employees, Tribal employees, and annuitants who are eligible to enroll in the Federal Employees Health Benefits Program
Enrollment codes for this Plan:
131 FEP Blue Focus - Self Only
133 FEP Blue Focus - Self Plus One
132 FEP Blue Focus - Self and Family
RI 71-017
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