What’s New for 2024
Take a look at some of the changes and updates in 2024.
Coverage you can count on
We’re committed to making sure you and your family have the right benefits to fit your healthcare needs. Here are the changes and updates we’re making to our three benefit plans.
FEP Medicare Prescription Drug Program
We are introducing a new pharmacy benefit called the FEP Medicare Prescription Drug Program, or MPDP. Through this program, eligible members with Medicare Part A and/or Part B get additional approved prescription drugs in some tiers and pay lower out-of-pocket costs for higher-cost drugs, all within the same FEP premium.
Learn More
Reproductive Care Updates: What we cover
- Specific artificial insemination procedures
- The associated prescription drugs for covered services for all members. You must receive prior approval for artificial insemination.
- Members diagnosed with infertility can receive up to three (3) annual drug cycles for in vitro fertilization (IVF). You must receive prior approval and buy your prescriptions through our pharmacy programs.
- FEP Blue Standard™ members diagnosed with infertility can get any assisted reproductive technology (ART) procedure (not listed as an exclusion in the brochure). We will cover up to $25,000 annually once you receive prior approval.
- Up to 40% in exclusive savings through WINFertility’s Treatment Program Bundles on Blue365®. This is another way members can receive top quality fertility care at an affordable, predictable price.
Changes to all of our plans
New Member ID Cards
- We will send updated member ID cards to all members beginning in the fall of 2023. New enrollees, FEP Blue Focus® members and members enrolled in the new MPDP will get their cards first. Everyone else will receive their ID cards in 2024.
Mental Health Updates
- We will cover marital and family counseling for all members.
New Overseas Provider
- We have a new overseas assistance provider: GeoBlue. Learn more about our overseas benefits here.
Wellness Incentive Program Updates
- Members can use their MyBlue® Wellness Card at select Blue365® retailers for non-qualified medical expenses. You can spend up to $150 at these retailers during the calendar year.
- The Diabetes Management Incentive Program ended on December 31, 2023.
Additional Benefit Updates
- We will cover medically necessary genetic testing for members who may be at high-risk for certain conditions. You must receive prior approval. View the plan brochures for details.
Plan-specific updates
FEP Blue Focus®
- We made changes to the out-of-pocket maximum and deductible for members with Medicare primary. See more here.
We’ve also made changes to our approved drug lists (formularies):
FEP Blue Basic™
- FEP Blue Basic members must receive prior approval before buying hearing aids.
- We increased the copay for primary care and specialists by $5.
We’ve also made changes to our approved drug lists (formularies):
FEP Blue Standard™
- FEP Blue Standard members with infertility can get any assisted reproductive technology (ART) procedure, not listed as an exclusion in the brochure. We will cover up to $25,000 annually once you receive prior approval.
- FEP Blue Standard members must receive prior approval before buying hearing aids.
- We increased the copay for primary care and specialists by $5.
We’ve also made changes to our approved drug lists (formularies):
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 brochures (FEP Blue Standard and FEP Blue Basic: RI 71-005; FEP Blue Focus: RI 71-017). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal brochures.
The FEP Medicare Prescription Drug Program (MPDP) is a prescription drug plan with a Medicare contract. Enrollment in MPDP depends on contract renewal.