2026 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Index
Page 169

 

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 - 49-51, 138-139
Accidental injury - 91-94, 125-126, 159
Acupuncture - 63-64, 75-76, 80-84
Affordable Care Act (ACA) - 117-122
Allergy care - 54-55
Allogeneic transplants - 71-74
Alternative treatments - 63-64
Ambulance - 89-90
Ambulatory surgical center - 19-21, 80-84
Anesthesia - 75-76
Angiographies - 42-43, 80-84
Appeals - 29, 113-114
Applied behavior analysis (ABA) - 55-56, 80-84
Assistant surgeon - 21-22, 49-51, 66-67
Autism spectrum disorder - 55-56, 80-84
Autologous transplants - 70-74
Average wholesale price (AWP) - 163-165
Biopsies - 44-46, 66-67, 80-84
Birthing centers - 19-21
Blood and blood plasma - 61-62, 80-84
Blood or marrow stem cell transplants - 70-75
Blue Distinction Centers - 19-21, 74-75
for Transplants - 23, 70, 73-75
Blue Distinction Specialty Care - 19-21
Blue Health Assessment - 129-130, 162
Bone density tests - 42-43, 80-84
Brand-name drugs - 101-102, 105-109, 111-112
Breast pump and supplies - 49-51, 60-61
Breast reconstruction - 68
Breast prostheses and surgical bras - 59-60
Breastfeeding support and supplies - 49-51
Cancer tests - 44-46
Cardiac rehabilitation - 55-56, 80-84
Cardiovascular monitoring - 42-43, 80-84
Care Management Programs - 131-132
Case management - 131-132
Casts - 66-67, 78-84
Catastrophic protection - 35-36, 113-114
Cervical cancer screening - 44-48
CHAMPVA - 148-149
Changes for 2026 - 16-18
Chemotherapy - 55-56, 80-84
Children’s Equity Act - 11
Chiropractic manipulative treatment - 63
Cholesterol tests - 44-46
Circumcision - 49-51, 66-67
Claims and claims filing - 140
Clinic visits - 41-42, 96-97
Clinical trials - 73, 150-151, 160
Cognitive rehabilitation - 56-57, 80-84
Coinsurance - 31-34
Colorectal cancer tests
Colonoscopy - 44-46, 66-67, 80-84
Fecal occult blood test - 44-46
Sigmoidoscopy - 44-46
Confidentiality - 14-15
Congenital anomalies - 66-67, 160
Consultations - 41-42, 96-97
Contact lenses - 57-58
Contraceptive devices and drugs - 51-53, 105-109, 114-122
Coordination of benefits - 148-158
Copayments - 30
Cosmetic surgery - 66-67, 160
Cost-sharing - 30
Costs for covered services - 30-36
Coverage information - 9
Covered facility providers - 19-21
Covered professional providers - 19
Cryopreservation - 53-54
CT scans - 42-43, 80-84
Custodial care - 78-80, 138-139, 160
Daily Habits - 129
Deductible - 30
Definitions - 159-168
Dental care - 69, 125-128
Diabetes Management Program - 129
Diabetic education - 64, 80-84
Diabetic supplies
Diabetic Meter Program - 105-109
Insulin pumps - 60-61
Insulin, test strips, and lancets - 105-109, 114-117
Needles and disposable syringes - 105-109, 114-117
Diagnostic and treatment services - 41-42, 80-84
Diagnostic tests - 42-43, 49-51, 95-99
Dialysis - 19-21, 55-56, 60-61, 80-84
Disease Management - 131-132
Disputed claims process - 144-147
Divorce - 12
DNA analysis of stool samples - 44-46
Donor expenses (transplants) - 53-54, 73-75
Drugs (see: Prescription drugs)
Durable medical equipment (DME) - 60-61
Prosthetic devices - 59-60, 78-84
Educational classes and programs - 64
EEGs - 42-43, 80-84
EKGs - 42-43, 80-84
Emergency - 21-22, 28, 91-94
Enrollment - 9-10
Exception situations - 21-23
Exclusions - 138-139
Experimental or investigational - 161
Extended care benefits - 86-87
Eyeglasses - 57-58
Facility providers - 14-15, 19-21
Family planning - 51-53
Fecal occult blood test - 44-46
FEDVIP - 125, 150
fepblue mobile application - 133
fepblue.org - 4
Flexible benefits option - 132-133
Foot care - 59
Formulary/Preferred drug list - 101-102, 111-112
Foundation for the Accreditation of Cellular Therapy (FACT) accredited facility - 19-21, 70
Fraud - 4
Freestanding ambulatory facilities - 19-21
Generic drugs - 101-102, 111-113
Generic Incentive Program - 103-105
Genetic screening/testing - 23-26, 42-43, 80-84
Health Insurance Marketplace - 13
Health tools - 129
Healthy Families - 129
Hearing aids and hearing services - 23-26, 57, 59-60
Home health services - 62-63
Home nursing care (maternity) - 62-63
Hospice care - 87-89
Hospital
Inpatient - 23, 78-80, 97
Outpatient - 80-84, 98
Human papillomavirus (HPV) tests - 44-48
Hypertension Management Program - 130
Iatrogenic infertility - 53-54
Immunizations - 44-48, 117-122
Inpatient hospital benefits - 78-80
Inpatient professional services - 41-42, 96-97
Insulin - 105-109, 114-117
Insulin pumps - 60-61
Laboratory and pathology services - 42-43, 78-84, 91-94
Low-dose CT screening - 166
Mail Service Prescription Drug Program - 100-102, 105-109, 114-117, 135-136, 141-142
Mammograms - 44-46
Manipulative treatment - 63, 80-84
Maternity care - 49-51
Maxillofacial surgery - 69, 126
Medicaid - 149
Medical emergency - 21-22, 91-94
Medical foods - 61-62, 103-109, 113-117, 162
Medical supplies - 61-62
Medically necessary - 162-163
Medicare - 1, 148-158
Reimbursement account