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Cover Page and Inside Cover
Table of Contents
Introduction/Plain Language/Advisory
PSHB Facts
Section 1
Section 2
Section 3
Section 4
Section 5
5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals
5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals
5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
5(d). Emergency Services/Accidents
5(e). Mental Health and Substance Use Disorder Benefits
5(f). Prescription Drug Benefits
5(f)(a). FEP Medicare Prescription Drug Plan
5(g). Dental Benefits
5(h). Wellness and Other Special Features
5(i). Services, Drugs, and Supplies Provided Overseas
Non-PSHB Benefits Available to Plan Members
Section 6
Section 7
Section 8
Section 8(a)
Section 9
Section 10
Index
Summary of Benefits – FEP Blue Focus
2026 Rate Information
Entire brochure in page-number order
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Blue Cross Blue Shield Federal Employee Program logo

PSHB FEP Blue Focus

 
 

 

2026 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services
Page 71

 

Benefit Description

Hospice Care (cont.)


Please check with your Local Plan, and/or visit www.fepblue.org/provider to use our National Doctor & Hospital Finder, for listings of Preferred hospice providers.

Note: If Medicare Part A is the primary payor for the member’s hospice care, our benefits will be limited to those services listed in this Section.

Members with a terminal medical condition (or those acting on behalf of the member) are encouraged to contact the Case Management Department at their Local Plan for information about inpatient hospice services and Preferred hospice providers.


You Pay
Preferred: 30% of the Plan allowance (deductible applies)

Non-preferred (Participating/Non-participating): You pay all charges

 

Benefit Description
Covered services:


We provide benefits for the hospice services listed below:

 
  • Advanced care planning 
     
  • Dietary counseling
     
  • Durable medical equipment rental
     
  • Medical social services
     
  • Medical supplies
     
  • Nursing care
     
  • Oxygen therapy
     
  • Periodic physician visits
     
  • Physical therapy, occupational therapy, and speech therapy related to the terminal medical condition
     
  • Prescription drugs and medications
     
  • Services of home health aides (certified or licensed, if the state requires it, and provided by the home hospice agency)


You Pay
See the following

 

Benefit Description

Traditional Home Hospice Care

Periodic visits to the member’s home for the management of the terminal medical condition and to provide limited patient care in the home. 

You Pay
Preferred facilities: Nothing (no deductible)

Non-preferred facilities (Member/Non-member): You pay all charges

 

Hospice Care - continued on next page
 

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