Fepblue 2026

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35 votes

The document is a Retail Prescription Drug Claim Form for the Service Benefit Plan for Federal Employees and Retirees. It requires enrollees to provide personal and patient information, pharmacy details, and prescription information to claim benefits for prescription drugs. Instructions for completing the form, submitting claims, and necessary documentation are included.

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Click ‘Get Form’ to open the fepblue document in the editor.
Begin by filling out the Enrollee Information section. Enter your first and last name, street address, apartment number (if applicable), city, state, zip code, and email address. If this is a new address, mark the appropriate box.
Next, provide your Identification Number and ensure all details are accurate. This information is crucial for processing your claim.
In the Patient Information section, enter the patient's name, date of birth, sex, and relationship to you as the enrollee. If there is additional health insurance coverage, indicate 'Yes' or 'No' and provide any necessary documentation.
Fill in the Pharmacy Information by entering the pharmacy's name, ID number (if available), address, and phone number.
Complete the Prescription Information section for each prescription filled. Include RX numbers, dates filled, amounts charged, prescribing physician’s details, and whether it is a compound medication.
Finally, sign and date the Enrollee Certification at the bottom of the form to confirm that all information provided is complete and correct.

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Versions	Form popularity	Fillable & printable
2023	4.2 Satisfied (49 Votes)
2022	4.8 Satisfied (55 Votes)
2020	4.8 Satisfied (247 Votes)
2020	4.8 Satisfied (117 Votes)
2020	4.8 Satisfied (101 Votes)
2020	4.7 Satisfied (51 Votes)
2020	4.3 Satisfied (26 Votes)
2020	4.8 Satisfied (261 Votes)
2020	4.2 Satisfied (36 Votes)
2020	4.4 Satisfied (134 Votes)
2019	4.5 Satisfied (54 Votes)
2019	4.8 Satisfied (130 Votes)
2019	4.8 Satisfied (171 Votes)
2019	4.8 Satisfied (35 Votes)
2019	4.8 Satisfied (142 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does Blue Cross Blue Shield cover Mounjaro?

Tirzepatide (Mounjaro) coverage by Blue Cross Blue Shield (BCBS) may vary based on your specific plan and location. It is typically covered for management of type 2 diabetes.

Does Federal Blue Cross Blue Shield pay for Ozempic?

Blue Cross Blue Shield may cover Ozempic for Type 2 diabetes, although it depends on the specific plan and prior authorization requirements. Insurance plans wont often cover the drug for weight loss, but they may cover Wegovy, which has the same active ingredient under a different brand name.

Is Wegovy covered by BCBS FEP?

Members can log in to their MyBlue account at fepblue.org or using the fepblue app to access the Enhanced Provider Directory, which gives them information on our in-network providers and provides procedure cost estimates.

Does Fep Blue cover weight loss medications?

We cover approved weight-loss drugs through the Pharmacy Program to support members who are obese. You must receive prior approval for this benefit. We increased the Basic Option Tier 1, 2 and 3 cost share for covered drugs. Basic Option members can get up to 12, rather than 10, covered acupuncture visits a year.

Why did Fep Blue stop covering Wegovy?

The BCBS Federal Employee Program standard and basic plans will reduce coverage for GLP-1 drugs such as Wegovy, with some medications moved to excluded or non-covered formulary tiers due to rising costs.

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Is fepblue the same as BCBS?

Until recently, BCBS Federal Insurance provided coverage for Wegovy, making it accessible for eligible members. However, starting January 2025, BCBS Federal increased its out-of-pocket costs for Wegovy prescriptions to $600$700 per month. Other plans, such as FEP Blue Focus, will no longer cover Wegovy.

How to find Fep Blue preferred provider?

FEP Blue Focus offers quality health care coverage from in-network providers, plus budget-friendly benefits. With FEP Blue Basic, you can enjoy no deductible with care from in-network providers. FEP Blue Standard gives you the flexibility to receive care both in and out-of-network.

Fepblue 2026

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