Compare Medicare Benefits

See what you get with FEP and Medicare

Combining your FEP coverage with Medicare gives you additional benefits not covered by Medicare alone. Our three plan options provide the coverage and benefits you need today and as your health care needs change throughout retirement.

Pay zero out-of-pocket costs for covered services

You’ll pay nothing for these services when Medicare Part A and Part B are primary. FEP Blue Basic and FEP Blue Focus members must stay in-network.

Primary Care Visits
Inpatient Hospital
ER – Medical Emergency
Specialist Visits
Outpatient Hospital
Lab Work (lab tests and EKGs)
Virtual Doctor Visits
Surgery
Diagnostic Services (X-rays, CT scans)
Urgent Care Centers
ER – Accidental Injury

Covering the things Medicare doesn’t cover

Combining coverage gives you access to benefits not covered by Medicare.

	FEP Blue Focus^®	FEP Blue Basic™	FEP Blue Standard™
Hearing Aids	Get hearing aid discounts through our Blue365® Discount Program.	Receive an allowance of up to $2,500 every five years for the purchase of hearing aids and hearing aid supplies. Get hearing aid discounts through our Blue365® Discount Program. You can combine this discount with the hearing aid benefit above.	Receive an allowance of up to $2,500 every five years for the purchase of hearing aids and hearing aid supplies. Get hearing aid discounts through our Blue365® Discount Program. You can combine this discount with the hearing aid benefit above.
Routine Foot Care	If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments.	If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments.	If you have a long-term condition such as diabetes, your Service Benefit Plan coverage will cover necessary routine foot care, and when combined with Medicare coverage, you’ll pay nothing out-of-pocket for these treatments.
Acupuncture	10 visits per year at no cost to you	12 visits per year at no cost to you	24 visits per year at no cost to you
Dental Care	Not covered	You pay nothing for 2 preventive cleanings a year	Please see the brochure
Overseas Care	All three of our plans cover you abroad. Learn more about overseas coverage.	All three of our plans cover you abroad. Learn more about overseas coverage.	All three of our plans cover you abroad. Learn more about overseas coverage.

Get up to $800 back with a Medicare Reimbursement Account

FEP Blue Basic members who have Medicare Part A and Part B can get up to $800 back with a Medicare Reimbursement Account.

Learn More

Try our Prescription Drug Cost Tool

Our Prescription Drug Cost Tool lets you check drug costs 24/7, see if your drug is covered under your selected plan and compare costs of covered drugs for all three plans. If you’re a member and logged in to MyBlue®, you can access a personalized drug cost tool that shows you the cost of prescription drugs for your specific plan.

Check Drug Costs See Personalized Costs

Your pharmacy benefits with and without MPDP

Eligible members with Medicare get lower out-of-pocket costs for higher cost drugs and more approved prescription drugs than the traditional pharmacy benefit with the FEP Medicare Prescription Drug Program (MPDP). You can compare our traditional pharmacy benefits for each plan with what you get with MPDP. Please note that MPDP only has four drug tiers—and specialty drugs are tier 4 drugs.

	FEP Blue Focus Traditional Pharmacy Benefit with Medicare Part B	FEP Blue Focus with MPDP Pharmacy Benefit
In-network Retail Pharmacy^{^}	Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): 40% of our allowance ($350 max)	Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): 40% of our allowance ($350 max) Tier 3 (Non-preferred brand): 40% of our allowance ($350 max) Tier 4 (Specialty): 40% of our allowance ($350 max)
FEP Mail Service Pharmacy What you'll pay for up to a 90-day supply of covered drugs	Not a benefit	Not a benefit
FEP Specialty Pharmacy^†	Tier 2 (Preferred specialty): 40% of our allowance ($350 max)	Your specialty drug benefits are in Tier 4 (see above)
Annual Pharmacy Out-of-Pocket Maximum^*	Not a benefit	$3,250 per member

	FEP Blue Basic Traditional Pharmacy Benefit with Medicare Part B	FEP Blue Basic with MPDP Pharmacy Benefit
In-network Retail Pharmacy^{^}	Tier 1 (Generics): $10 copay Tier 2 (Preferred brand): $50 copay Tier 3 (Non-preferred brand): 50% of our allowance ($60 min) Tier 4 (Preferred specialty): $80 copay Tier 5 (Non-preferred specialty): $100 copay	Tier 1 (Generics): $10 copay Tier 2 (Preferred brand): $45 copay Tier 3 (Non-preferred brand): 50% of our allowance ($60 min) Tier 4 (Specialty): $75 copay
FEP Mail Service Pharmacy What you'll pay for up to a 90-day supply of covered drugs	Tier 1 (Generics): $20 copay Tier 2 (Preferred brand): $100 copay Tier 3 (Non-preferred brand): $125 copay	Tier 1: $15 copay Tier 2: $95 copay Tier 3: $125 copay Tier 4: $150 copay
FEP Specialty Pharmacy^†	Tier 4 (Preferred specialty): $80 copay Tier 5 (Non-preferred specialty): $100 copay	Your specialty drug benefits are in Tier 4 (see above)
Annual Pharmacy Out-of-Pocket Maximum^*	Not a benefit	$3,250 per member

	FEP Blue Standard Traditional Pharmacy Benefit with Medicare Part B	FEP Blue Standard with MPDP Pharmacy Benefit
In-network Retail Pharmacy^{^}	Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): 30% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Preferred specialty): 30% of our allowance Tier 5 (Non-preferred specialty): 30% of our allowance	Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): 15% of our allowance Tier 3 (Non-preferred brand): 50% of our allowance Tier 4 (Specialty): $60 copay
FEP Mail Service Pharmacy What you'll pay for up to a 90-day supply of covered drugs	Tier 1 (Generics): $10 copay Tier 2 (Preferred brand): $90 copay Tier 3 (Non-preferred brand): $125 copay	Tier 1 (Generics): $5 copay Tier 2 (Preferred brand): $85 copay Tier 3 (Non-preferred brand): $125 copay Tier 4 (Specialty): $150 copay
FEP Specialty Pharmacy^†	Tier 4 (Preferred specialty): $65 copay Tier 5 (Non-preferred specialty): $85 copay	Your specialty drug benefits are in Tier 4 (see above)
Annual Pharmacy Out-of-Pocket Maximum^*	Not a benefit	$2,000 per member

^ What you'll pay for a 30-day supply of covered drugs. You can see what you'll pay for a 31- to 90-day supply of covered drugs in the benefits brochure.

^† What you'll pay for up to a 30-day supply of covered drugs.

* You still have an overall medical out-of-pocket maximum. Your MPDP pharmacy out-of-pocket maximum is part of it, not added to it.

Explore More

View Our Summary Book

Learn more about the benefits of combining Medicare coverage with FEP.

Learn More

Get to Know to MPDP

Learn more about the FEP Medicare Prescription Drug Program.

Learn More

Preparing for Medicare

See what you need to know about Medicare and your health care coverage options.

Learn More

Choose the Right Plan

See what you get with FEP and Medicare

Pay zero out-of-pocket costs for covered services

Covering the things Medicare doesn’t cover

Not sure which plan is right for you?

Get up to $800 back with a Medicare Reimbursement Account

Try our Prescription Drug Cost Tool

Your pharmacy benefits with and without MPDP

Explore More

View Our Summary Book

Get to Know to MPDP

Preparing for Medicare

Not sure which plan is right for you?