2025 FEHB Plan Rates and Benefits: Service Benefit Plan
With Open Season running November 11 through December 9, 2024, now’s the time to learn about some of the updates we’re making for next year.
New benefits for 2025:
Telehealth visits
- We will cover all of your telehealth visits from Teladoc Health® at no out-of-pocket cost to you.
Family planning and maternity updates
- We increased the options for free breast pump kits available to members who are pregnant or nursing. To order your free kit, call 1-800-411-BLUE (2583).
- We added fallopian tube removal (salpingectomy) to our list of fully-covered family planning services.
Preventive care updates
- We will cover adult RSV vaccines. This is currently covered as a preventive benefit for children only.
- We will cover the monkeypox (Mpox) vaccine for members at high risk for monkeypox infection.
Overseas benefits
- We will waive the cost share for primary care, specialists and outpatient emergency room (ER) services for members overseas.
Changes to FEP Blue Basic only
- We increased the copays for specialist visits, inpatient admissions, outpatient visits and services, urgent care visits and services, Preferred brand name (Tier 2) drugs and specialty (Tier 4 and 5) drugs.
- We increased the out-of-pocket maximum to $7,500 for Self Only and to $15,000 for Self + One and Self & Family.
Please note that this is a summary of changes to the Blue Cross and Blue Shield Service Benefit Plan in 2025. This is not an official statement of benefits. Please refer to the brochures to see a full list of benefit changes.
| Bi-weekly | Monthly |
|
| Self Only (131) | $59.17 | $128.21 |
| Self + 1 (133) | $127.21 |
$275.63 |
| Self & Family (132) | $139.92 |
$303.17 |
| Bi-weekly | Monthly |
|
| Self Only (111) | $113.16 |
$245.18 |
| Self + 1 (113) | $274.14 |
$593.97 |
| Self & Family (112) | $303.61 |
$657.82 |
| Bi-weekly | Monthly |
|
| Self Only (104) | $174.81 |
$378.76 |
| Self + 1 (106) | $384.14 |
$832.31 |
| Self & Family (105) | $424.65 |
$920.07 |
If you have questions about our benefit plans, call the National Information Center weekdays from 8 a.m. to 8 p.m. ET at 1-800-411-BLUE (2583). For customer service-related questions, please call your local customer service number found here or on the back of your member ID card.
These rates do not apply to all enrollees. If you are in a special enrollment category, contact the agency or Tribal employer that manages your health benefits enrollment.
This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal Employees Health Benefits Program brochures (FEP Blue Standard and FEP Blue Basic: RI 71-005; FEP Blue Focus: RI 71-017) and the Postal Service Health Benefits Program brochures (FEP Blue Standard and FEP Blue Basic:RI 71-020; FEP Blue Focus: RI 71-025). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.
The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies.
The Blue Cross® and Blue Shield® words and symbols, Federal Employee Program® and FEP® are all trademarks owned by Blue Cross Blue Shield Association.