PSHB FEP Blue Focus
2026 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Index
Page 137
Index
Page 137
Index
Do not rely only on this page; it is for your convenience and may not show all pages where the terms appear. This Index is not an official statement of benefits.
Abortion - 42-43, 64-66, 109-110
Accidental injury - 74-77, 99, 128
Acupuncture - 52, 61
Affordable Care Act (ACA) - 13, 94-98
Allergy care - 45
Allogeneic transplants - 58-60
Alternative treatments - 52
Ambulance - 73
Ambulatory surgical center - 17-18, 66-69
Anesthesia - 42-43, 61
Angiographies - 37, 66-69
Appeals - 27, 114-116
Applied behavior analysis (ABA) - 46
Assistant surgeon - 54-55
Autism spectrum disorder - 46, 66-69
Autologous transplants - 57-60
Biopsies - 38-40, 54-55, 66-69
Birthing centers - 17-18
Blood and blood plasma - 51, 66-69
Blood or marrow stem cell - 57-60
Blue Distinction Centers - 17-18Blue Distinction Specialty Care - 17-18
Blue Health Assessment - 101
Bone density tests - 37, 66-69
Brand-name drugs - 83-84, 86-87, 89-90, 92-93
Breast pump and supplies - 42-43, 64-66
Breast reconstruction - 55
Cancer tests - 38-40
Cardiac rehabilitation - 20-23, 46, 66-69
Cardiovascular monitoring - 37, 66-69
Care Management Programs - 102-103
Case management - 102-103
Casts - 63-64, 66-69
Catastrophic protection - 30-31, 91-92
Cervical cancer screening - 38-42
CHAMPVA - 118-119
Changes for 2026 - 16
Chemotherapy - 46, 66-69
Children’s Equity Act - 11
Chiropractic manipulative treatment - 52, 66-69
Cholesterol tests - 37-40
Circumcision - 42-43, 54-55, 64-66
Claims and claims filingClinic visits - 36-37, 66-69, 78-79
Clinical trials - 58-60, 120-121, 129
Cognitive rehabilitation - 47, 66-70
Coinsurance - 28-29
Colonoscopy - 38-40, 54-55, 66-69
Colorectal cancer testsConfidentiality - 14-15
Congenital anomalies - 54-55, 129
Consultations - 36-37, 78-79
Contact lenses - 48
Contraceptives - 43-44, 66-69, 86-87, 92-98
Coordination of benefits - 118-127
Copayments - 28
CORE benefits - 129
Cosmetic surgery - 54-55, 129
Cost-share/cost-sharing - 28
Costs for covered services - 28-31
Coverage information - 9
Covered facility providers - 17-18
Covered professional providers - 17
Cryopreservation - 44-45
CT scans - 37, 66-69
Custodial or long-term care - 63-64, 80-81, 109-110, 129
Daily Habits - 101
Deductible - 28
Definitions - 128-136
Dental care - 99-100
Diabetic education - 52, 66-69
Diabetic supplies
Diagnostic tests - 37, 42-43, 48, 78-81
Dialysis - 46, 50-51, 66-69
Disease Management - 102-103
Disputed claims - 27, 114-117
Divorce - 12
DNA analysis of stool samples - 38-40
Donor expenses - 60
Drugs (see: Prescription drugs)
Durable medical equipment - 50-51, 129-130Educational classes and programs - 52
EEGs - 37, 66-69
EKGs - 37, 66-69
Emergency - 26, 73-77
Enrollment - 9-10
Exception situations - 19-20
Exclusions - 109-110
Experimental or investigational - 130
Extended care benefits - 70
Eyeglasses - 48
Facility providers - 17-18
Family planning - 43-44
Fecal occult blood test - 38-40
FEDVIP - 99, 120
fepblue mobile application - 104
fepblue.org - 4
Flexible benefits option - 103
Foot care - 49
Formulary/Preferred drug list - 82-84, 88-90
Fraud - 4
Generic drugs - 83-87, 89-93
Generic equivalents - 84-85
Genetic screening/testing - 20-23, 37, 66-69
Health Insurance Marketplace - 13
Health tools - 101
Healthy Families - 101
Hearing aids and hearing services - 49
Home health services - 51-52
Home nursing care (maternity) - 51-52
Hospice care - 70-72
HospitalHuman papillomavirus (HPV) tests - 38-42
Hypertension Management Program - 101-102
Iatrogenic infertility - 44-45
Identification cards - 17
Immunizations - 38-42, 94-98
Inpatient hospital benefits - 63-64
Inpatient professional services - 36-37, 78-79
Insulin - 86-87, 92-93
Insulin pumps - 50-51
Laboratory and pathology services - 37
Low-dose CT screening - 135
Mammograms - 38-40
Manipulative treatment - 52, 66-69
Maternity care - 25-27, 42-43
Maxillofacial surgery - 56
Medicaid - 119
Medical emergency - 74, 76-77
Medical foods - 51, 85-86, 91-92, 131
Medical supplies - 51, 63-72
Medically necessary - 131-132
Medicare - 1, 118-127
Medications and supplies - 86-87, 92-98
Medications to promote better health - 94-98
Member facilities - 109-110
Mental health/substance use disorder - 17, 69-70, 78 , 79 , 80 , 81, 103
MRIs - 37, 66-69
Multiple procedures - 53-55
MyBlue Customer eService - 102
National Doctor & Hospital Finder - 102
Abortion - 42-43, 64-66, 109-110
Accidental injury - 74-77, 99, 128
Acupuncture - 52, 61
Affordable Care Act (ACA) - 13, 94-98
Allergy care - 45
Allogeneic transplants - 58-60
Alternative treatments - 52
Ambulance - 73
Ambulatory surgical center - 17-18, 66-69
Anesthesia - 42-43, 61
Angiographies - 37, 66-69
Appeals - 27, 114-116
Applied behavior analysis (ABA) - 46
Assistant surgeon - 54-55
Autism spectrum disorder - 46, 66-69
Autologous transplants - 57-60
Biopsies - 38-40, 54-55, 66-69
Birthing centers - 17-18
Blood and blood plasma - 51, 66-69
Blood or marrow stem cell - 57-60
Blue Distinction Centers - 17-18Blue Distinction Specialty Care - 17-18
Blue Health Assessment - 101
Bone density tests - 37, 66-69
Brand-name drugs - 83-84, 86-87, 89-90, 92-93
Breast pump and supplies - 42-43, 64-66
Breast reconstruction - 55
Breast prostheses and surgical bras - 49
Breastfeeding support and supplies - 42-43, 64-66Cancer tests - 38-40
Cardiac rehabilitation - 20-23, 46, 66-69
Cardiovascular monitoring - 37, 66-69
Care Management Programs - 102-103
Case management - 102-103
Casts - 63-64, 66-69
Catastrophic protection - 30-31, 91-92
Cervical cancer screening - 38-42
CHAMPVA - 118-119
Changes for 2026 - 16
Chemotherapy - 46, 66-69
Children’s Equity Act - 11
Chiropractic manipulative treatment - 52, 66-69
Cholesterol tests - 37-40
Circumcision - 42-43, 54-55, 64-66
Claims and claims filingClinic visits - 36-37, 66-69, 78-79
Clinical trials - 58-60, 120-121, 129
Cognitive rehabilitation - 47, 66-70
Coinsurance - 28-29
Colonoscopy - 38-40, 54-55, 66-69
Colorectal cancer testsConfidentiality - 14-15
Congenital anomalies - 54-55, 129
Consultations - 36-37, 78-79
Contact lenses - 48
Contraceptives - 43-44, 66-69, 86-87, 92-98
Coordination of benefits - 118-127
Copayments - 28
CORE benefits - 129
Cosmetic surgery - 54-55, 129
Cost-share/cost-sharing - 28
Costs for covered services - 28-31
Coverage information - 9
Covered facility providers - 17-18
Covered professional providers - 17
Cryopreservation - 44-45
CT scans - 37, 66-69
Custodial or long-term care - 63-64, 80-81, 109-110, 129
Daily Habits - 101
Deductible - 28
Definitions - 128-136
Dental care - 99-100
Diabetic education - 52, 66-69
Diabetic supplies
Diabetic Meter Program - 94-98
Insulin pumps - 50-51
Insulin, test strips, and lancets - 86-87, 92-98
Needles and disposable syringes - 86-87, 92-93
Diagnostic and treatment services - 36-37Insulin pumps - 50-51
Insulin, test strips, and lancets - 86-87, 92-98
Needles and disposable syringes - 86-87, 92-93
Diagnostic tests - 37, 42-43, 48, 78-81
Dialysis - 46, 50-51, 66-69
Disease Management - 102-103
Disputed claims - 27, 114-117
Divorce - 12
DNA analysis of stool samples - 38-40
Donor expenses - 60
Drugs (see: Prescription drugs)
Durable medical equipment - 50-51, 129-130Educational classes and programs - 52
EEGs - 37, 66-69
EKGs - 37, 66-69
Emergency - 26, 73-77
Enrollment - 9-10
Exception situations - 19-20
Exclusions - 109-110
Experimental or investigational - 130
Extended care benefits - 70
Eyeglasses - 48
Facility providers - 17-18
Family planning - 43-44
Fecal occult blood test - 38-40
FEDVIP - 99, 120
fepblue mobile application - 104
fepblue.org - 4
Flexible benefits option - 103
Foot care - 49
Formulary/Preferred drug list - 82-84, 88-90
Fraud - 4
Generic drugs - 83-87, 89-93
Generic equivalents - 84-85
Genetic screening/testing - 20-23, 37, 66-69
Health Insurance Marketplace - 13
Health tools - 101
Healthy Families - 101
Hearing aids and hearing services - 49
Home health services - 51-52
Home nursing care (maternity) - 51-52
Hospice care - 70-72
HospitalHuman papillomavirus (HPV) tests - 38-42
Hypertension Management Program - 101-102
Iatrogenic infertility - 44-45
Identification cards - 17
Immunizations - 38-42, 94-98
Inpatient hospital benefits - 63-64
Inpatient professional services - 36-37, 78-79
Insulin - 86-87, 92-93
Insulin pumps - 50-51
Laboratory and pathology services - 37
Low-dose CT screening - 135
Mammograms - 38-40
Manipulative treatment - 52, 66-69
Maternity care - 25-27, 42-43
Maxillofacial surgery - 56
Medicaid - 119
Medical emergency - 74, 76-77
Medical foods - 51, 85-86, 91-92, 131
Medical supplies - 51, 63-72
Medically necessary - 131-132
Medicare - 1, 118-127
Medications and supplies - 86-87, 92-98
Medications to promote better health - 94-98
Member facilities - 109-110
Mental health/substance use disorder - 17, 69-70, 78 , 79 , 80 , 81, 103
MRIs - 37, 66-69
Multiple procedures - 53-55
MyBlue Customer eService - 102
National Doctor & Hospital Finder - 102