|
SB-FBF-002
|
Terms and Conditions and Privacy Policy
|
v1.0
|
01/01/2025 |
|
V24.00.1.1
|
Cover page
|
v1.0
|
01/01/2024 |
|
V24.00.1.2
|
Introduction
|
v1.0
|
01/01/2024 |
|
V24.00.1.3
|
Table of Contents
|
v1.1
|
01/01/2024 |
|
V24.00.2.1
|
A Choice of Plans and Options
|
v1.0
|
01/01/2024 |
|
V24.00.2.2
|
Enroll Through BENEFEDS
|
v1.0
|
01/01/2024 |
|
V24.00.2.3
|
Dual Enrollment
|
v1.0
|
01/01/2024 |
|
V24.00.2.4
|
Coverage Effective Date
|
v1.0
|
01/01/2024 |
|
V24.00.2.5
|
Pre-Tax Salary Deduction for Employees
|
v1.0
|
01/01/2024 |
|
V24.00.2.6
|
Annual Enrollment Opportunity
|
v1.0
|
01/01/2024 |
|
V24.00.2.7
|
Continued Group Coverage After Retirement
|
v1.0
|
01/01/2024 |
|
V24.00.3
|
2024 Program Highlights
|
v1.0
|
01/01/2024 |
|
V24.01.1
|
Federal Employees
|
v1.0
|
01/01/2024 |
|
V24.01.2
|
Temporary/Seasonal Employees
|
v1.0
|
01/01/2024 |
|
V24.01.3
|
Federal Annuitants
|
v1.0
|
01/01/2024 |
|
V24.01.4
|
Survivor Annuitants
|
v1.0
|
01/01/2024 |
|
V24.01.5
|
Compensationers
|
v1.0
|
01/01/2024 |
|
V24.01.6
|
TRICARE-eligible individual
|
v1.0
|
01/01/2024 |
|
V24.01.7
|
Family Members
|
v1.0
|
01/01/2024 |
|
V24.01.8
|
Not Eligible
|
v1.0
|
01/01/2024 |
|
V24.02.1
|
Enroll Through BENEFEDS
|
v1.0
|
01/01/2024 |
|
V24.02.2
|
Enrollment Types
|
v1.0
|
01/01/2024 |
|
V24.02.3
|
Dual Enrollment
|
v1.0
|
01/01/2024 |
|
V24.02.4
|
Opportunities to Enroll or Change Enrollment
|
v1.0
|
01/01/2024 |
|
V24.02.5
|
When Coverage Stops
|
v1.0
|
01/01/2024 |
|
V24.02.6
|
Continuation of Coverage
|
v1.0
|
01/01/2024 |
|
V24.02.7
|
FSAFEDS/High-Deductible Health Plans and FEDVIP
|
v1.0
|
01/01/2024 |
|
V24.03.1
|
Identification Cards/Enrollment Confirmation
|
v1.0
|
01/01/2024 |
|
V24.03.2
|
Plan Providers
|
v1.0
|
01/01/2024 |
|
V24.03.3
|
In-Network
|
v1.0
|
01/01/2024 |
|
V24.03.4
|
Out-of-Network
|
v1.0
|
01/01/2024 |
|
V24.03.5
|
Pre-Authorization
|
v1.0
|
01/01/2024 |
|
V24.03.6
|
FEHB First Payor
|
v1.0
|
01/01/2024 |
|
V24.03.7
|
Coordination of Benefits
|
v1.0
|
01/01/2024 |
|
V24.03.8
|
Limited Access Areas
|
v1.0
|
01/01/2024 |
|
V24.04.1
|
Copayment
|
v1.0
|
01/01/2024 |
|
V24.04.2
|
In-Network Services
|
v1.0
|
01/01/2024 |
|
V24.04.3
|
Out-of-Network Services
|
v1.0
|
01/01/2024 |
|
V24.05.0
|
Section 5 Vision Services and Supplies
|
v1.0
|
01/01/2024 |
|
V24.05.1
|
Diagnostic
|
v1.0
|
01/01/2024 |
|
V24.05.2
|
Eyewear
|
v1.0
|
01/01/2024 |
|
V24.05.3
|
Contact Lenses
|
v1.0
|
01/01/2024 |
|
V24.05.3.1
|
Warranty
|
v1.0
|
01/01/2024 |
|
V24.05.4
|
Child Benefit
|
v1.0
|
01/01/2024 |
|
V24.05.5
|
Medical Condition Benefit
|
v1.0
|
01/01/2024 |
|
V24.05.6
|
Low Vision
|
v1.0
|
01/01/2024 |
|
V24.05.7
|
Medically Necessary Contact Lenses
|
v1.0
|
01/01/2024 |
|
V24.05.8
|
Discounts
|
v1.0
|
01/01/2024 |
|
V24.05.9
|
Tools and Resources
|
v1.0
|
01/01/2024 |
|
V24.06.0
|
Section 6 International Services and Supplies
|
v1.0
|
01/01/2024 |
|
V24.06.1
|
International Claims Payment
|
v1.0
|
01/01/2024 |
|
V24.06.2
|
Finding an International Provider
|
v1.0
|
01/01/2024 |
|
V24.06.3
|
Filing International Claims
|
v1.0
|
01/01/2024 |
|
V24.06.4
|
Customer Service Website and Phone Numbers
|
v1.0
|
01/01/2024 |
|
V24.06.5
|
International Plan Allowances
|
v1.0
|
01/01/2024 |
|
V24.07
|
Section 7 General Exclusions – Things We Do Not Cover
|
v1.0
|
01/01/2024 |
|
V24.08.1
|
How to File a Claim for Covered Services
|
v1.0
|
01/01/2024 |
|
V24.08.2
|
Deadline for Filing Your Claim
|
v1.0
|
01/01/2024 |
|
V24.08.3
|
Disputed Claims Process
|
v1.0
|
01/01/2024 |
|
V24.09.01
|
Annuitants
|
v1.0
|
01/01/2024 |
|
V24.09.02
|
BENEFEDS
|
v1.0
|
01/01/2024 |
|
V24.09.03
|
Benefits
|
v1.0
|
01/01/2024 |
|
V24.09.04
|
Enrollee
|
v1.0
|
01/01/2024 |
|
V24.09.05
|
FEDVIP
|
v1.0
|
01/01/2024 |
|
V24.09.06
|
Plan Allowance
|
v1.0
|
01/01/2024 |
|
V24.09.07
|
Pre-Authorization
|
v1.0
|
01/01/2024 |
|
V24.09.08
|
Sponsor
|
v1.0
|
01/01/2024 |
|
V24.09.09
|
TEI certifying family member
|
v1.0
|
01/01/2024 |
|
V24.09.10
|
TRICARE-eligible individual (TEI) family member
|
v1.0
|
01/01/2024 |
|
V24.09.11
|
We/Us
|
v1.0
|
01/01/2024 |
|
V24.09.12
|
You
|
v1.0
|
01/01/2024 |
|
V24.10
|
Stop Health Care Fraud!
|
v1.0
|
01/01/2024 |
|
V24.11
|
Summary of Benefits
|
v1.0
|
01/01/2024 |
|
V24.12
|
Rate Information
|
v1.0
|
01/01/2024 |
