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Sections
Cover Page
Introduction
Table of Contents
Changes for 2025
FEDVIP Program Highlights
Section 1 Eligibility
Section 2 Enrollment
Section 3 How You Obtain Care
Section 4 Your costs for Covered Services
Section 5 Dental Services and Supplies Class A Basic
Class B Intermediate
Class C Major
Class D Orthodontic
General Services
Section 6 International Services and Supplies
Section 7 General Exclusions - Things We Do Not Cover
Section 8 Claims Filing and Disputed Claims Process
Section 9 Definitions of Terms We Use in This Brochure
Discounts
Tools and Resources
Summary of Benefits
Stop Health Care Fraud!
Rate Information
Rates
 
 

Blue Cross Blue Shield FEP Dental Brochure - 2025

 
 

 

Blue Cross Blue Shield FEP Dental
Section 2 Enrollment

 

Enrollment Types

 

Self Only: A Self Only enrollment covers only you as the enrolled employee or annuitant. You may choose a Self Only enrollment even though you have a family; however, your family members will not be covered under FEDVIP.

Self Plus One: A Self Plus One enrollment covers you as the enrolled employee or annuitant plus one eligible family member whom you specify. You may choose a Self Plus One enrollment even though you have additional eligible family members, but the additional family members will not be covered under FEDVIP.

Self and Family: A Self and Family enrollment covers you as the enrolled employee or annuitant and all of your eligible family members. You must list all eligible family members when enrolling.
 
 

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