FEP Blue Focus® for FEHB
Get quality health care coverage that’s easy on your wallet, plus access to a network with over 2 million doctors and hospitals and over 55,000 retail pharmacies.
Benefits at a glance:
Get the details
Want to see detailed benefits for this plan? Download the 2025 Blue Cross and Blue Shield Service Benefit Plan Brochure – FEP Blue Focus below.
See Plan Brochure
2026 FEP Blue Focus Rates
| Enrollment Code | Bi-weekly | Monthly |
|---|---|---|
| Self Only (131) | $66.81 | $144.76 |
| Self + 1 (133) | $143.63 | $311.21 |
| Self & Family (132) | $157.97 | $342.28 |
FEP Blue Focus Benefits
See costs for typical services when you use Preferred providers.
| FEP Blue Focus | |
|---|---|
| Virtual doctor visits by Teladoc Health® |
$0 copay |
| Preventive Care | $0 copay for covered preventive screenings, immunizations and services |
| Physician and Mental Health Care | $10 per visit for your first 10 primary and/or specialty care5 |
| Urgent Care Center | $25 copay |
| Chiropractic Care |
$25 copay per treatment; for up to 10 visits per year combined for chiropractic care and acupuncture5 |
| Prescription Drugs |
Retail Pharmacy^: Generics: $5 copay Preferred brand: 40% coinsurance2
Specialty Pharmacy^: Preferred specialty: 40% coinsurance2 |
| Maternity Care |
$0 for doctor's visits $2,500 copay for facility care |
| Hospital Care |
30% coinsurance for outpatient care1 30% coinsurance for inpatient care1 (precertification is required) |
| Surgery |
30% coinsurance1 |
| ER (accidental injury) | $0 within 72 hours |
| ER (medical emergency) |
30% of our allowance1 |
| Lab work (such as blood tests) |
$0 for first 10 specific lab tests3,4 |
| Diagnostic services (such as sleep studies, X-rays, CT scans) |
30% coinsurance1 |
| Dental Care | Not covered |
| Rewards Program |
Earn $150 MyBlue Wellness Card for getting an annual physical6 |
| Annual Deductible |
Self Only: $750 Self + One and Self & Family: $1,500 |
| Out-of-Pocket Maximum (PPO) |
Self Only: $10,000 Self + One and Self & Family: $20,000 |
| Network Coverage | In-network care only, except in certain situations like emergency care |
Under FEP Blue Focus, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care.
Coinsurance (a type of cost sharing) is the percentage of coinsurance you pay. We contract with providers to pay them a set rate, or an allowance. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first).
- * FEP Blue Focus Traditional Pharmacy drug tiers: Tier 1 Preferred Generics, Tier 2 Preferred Brand Name, Preferred Specialty and Preferred Brand Name Specialty.
- ^ What you’ll pay for a 30-day supply of covered drugs.
- 1 Deductible applies. $750 for Self Only and $1,500 for Self + One and Self & Family.
- 2 Specialty drugs are limited to a 30-day supply.
- 3 Professional charges for facility-based intensive outpatient treatment and professional charges for outpatient diagnostic tests to include psychological testing are not part of the 10 for $10 benefit.
- 4 Please see brochure for covered lab services.
- 5 You pay 30% coinsurance for agents, drugs and/or supplies you receive during your care.
- 6 You must be the contract holder or spouse, 18 or older, on a FEP Blue Focus plan to earn incentive rewards.
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 brochure (RI 71-017). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.
Get to know FEP Blue Focus
Watch this video to take a closer look at our budget-friendly option and how it can help you focus on the essentials of good health.
Have questions? Check out our enrollment & benefits FAQs.