The Federal Employee Program (FEP) provides outpatient professional care benefits for services billed as diabetic education programs by covered professional providers, when the patient has a diagnosis of diabetes.
FEP provides education for diabetic education provided by licensed medical practitioners acting within the scope of their licensure under applicable state laws. The FEP FEHB program membership cards are identified by coverage codes 104, 105, and 106 for the FEP Blue Standard Option and 111, 112, and 113 for the FEP Blue Basic Option. FEP Blue Focus enrollment codes are 131, 132 and 133.
| Coverage Code | Preferred Provider | Non-PPO Provider | Notes | ||
|---|---|---|---|---|---|
| Plan Pays | Member Pays | Plan Pays | Member Pays | ||
|
104 |
85% of the Plan allowance | 15% of the Plan allowance | 65% of the Plan allowance | 35% of the plan allowance (deductible applies), plus any difference between our allowance and the billed amount. | $350 calendar year deductible applies. |
|
105 |
85% of the Plan allowance | 15% of the Plan allowance | 65% of the Plan allowance | 35% of the Plan allowance (deductible applies), plus any difference between our allowance and the billed amount | $350 calendar year deductible per person or all family members’ deductible combined reach $700 applies. |
| 106 | 85% of the Plan allowance | 15% of the Plan allowance (deductible applies) | 65% of the Plan allowance | 35% of the Plan allowance (deductible applies), plus any difference between our allowance and the billed amount | $350 calendar year deductible per person or all family members’ deductible combined reach $700 applies. |
|
111 |
100% of the plan allowance, after members copayment |
Primary Care Provider or other health care professional: $35 copayment, per visit. Preferred Specialist: $50 copayment, per visit |
No benefits | No benefits | No calendar year deductible |
|
112 |
100% of the Plan allowance, after member’s copayment |
Primary care Provider or other health care professional: $35 copayment, per visit Preferred Specialist: $50 copayment, per visit |
No benefits | No benefits | No calendar year deductible |
| 113 | 100% of the Plan allowance, after member’s copayment |
Primary care Provider or other health care professional: $35 copayment, per visit Preferred Specialist: $50 copayment, per visit |
No benefits | No benefits | No calendar year deductible |
| 131 | 70% of the Plan allowance | 30% of the Plan allowance (deductible applies) | No benefits | No benefits | $500 calendar year deductible applies |
| 132 | 70% of the Plan allowance | 30% of the Plan allowance (deductible applies) | No benefits | No benefits | $500 calendar year deductible per person or all family members’ deductible combined reach $1,000 applies. |
| 133 | 70% of the Plan allowance | 30% of the Plan allowance (deductible applies) | No benefit | No benefit | $500 calendar year deductible per person or all family members’ deductible combined reach $1,000 applies. |
**When billed for by the outpatient department of a hospital, outpatient medical care benefits apply.
FEP offers a Diabetes Management Incentive Program and a Diabetes Management Program by Livongo to help members with diabetes manage their condition. In addition, member support is offered 24/7, 365. For more information on eligibility for these programs, please go to www.fepblue.org/diabetes.
Federal Employee Program (www.fepblue.org):
The FEP public-facing website is a resource for BCBS FEP members and those interested in BCBS FEP to find information on BCBS FEP plans, enrollment, benefits, pharmacy and prescription coverage, brochures and resources, incentive programs, discounts and general health and wellness information. There are AskBlue plan finder tools that offer a plan recommendation based on needs and budget as well as healthcare cost tools and healthcare management tools that help members take an active role in their health and earn rewards. Learn more about FEP on the official website.
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform. |