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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 – Standard Option
Summary of Benefits – Basic Option
2025 Rate Information
 
Blue Cross Blue Shield Federal Employee Program logo
 
 
 
Blue Cross and Blue Shield Service Benefit Plan Brochure - 2025
PSHB Standard and Basic Options
Quick Links


Below are links to select topics.

Wellness programs
Blue Health Assessment 
Health Tools 
Healthy Families 

Immunizations
Preventive Care, Adult 
Preventive Care, Child 
Outpatient adult preventive care 
Immunizations when provided by a Preferred retail pharmacy that participates in our vaccine network 

Screening tests
Preventive Care, Adult 
Preventive Care, Child 
Outpatient adult preventive care 
Definitions - Preventive care, adult
Definitions - Screening service

Disease management programs
Care Management Programs 
Diabetes Management Program 
Diabetic Meter Program 
Hypertension Management Program 
Tobacco Cessation Incentive Program
Health Tools 

Maternity
Maternity Care 
Outpatient Hospital or Ambulatory Surgical Center 
Inpatient Hospital 
Maternity Care - Precertification 
If your facility stay needs to be extended 
Transitional care 
Pregnancy Care Incentive Program 
Medications to promote better health as recommended under the ACA 
Family member coverage 
 

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