The Blue Cross and Blue Shield FEP Service Benefit Plan
Dental
Policy Number: DP-F-002
Last Updated: Sept. 15, 2022
ID cards
FEP Service Benefit Plan member ID cards do NOT list the names of all eligible dependents on the card. To verify eligibility, call the Blue Plan in the state where services will be rendered.
For services rendered in Nebraska, please call: FEP Customer Service department at 800-223-5584 or 402-390-1879 in the Omaha area. Dental GRID providers are subject to the terms and conditions of their Dental GRID contract. Enrolled children are covered up to age 26.
Here are examples of the FEP Service Benefit Plan (SBP) member ID cards:
Standard Option ID Card
Enrollment codes 104, 105 and 106
Basic Option ID Card
Enrollment codes 111, 112 and 113
Standard Option and Basic Option Dental Benefits
The FEP SBP is a medical plan and includes very limited dental benefits. Members do not pay any additional premiums for this coverage.
When the SBP is primary, file the claim to the correct Blue Plan using the guidance found at FEPblue.org
Access the Service Benefit Plan brochure under Tools and Resources.
Standard Option:
Members enrolled in the SBP Standard Option are entitled to the benefits listed in the Standard Option benefits section whether or not the dental provider participates in Dental GRID.
The amounts listed in the “we pay” columns are the amounts BCBSNE will pay you if you are a GRID provider. On covered codes, you may collect up to the GRID fee schedule.
Basic Option:
Members enrolled in the SBP Basic Option are entitled to the benefits listed in the Basic Option benefits section AND the dental provider is a Dental GRID provider. Basic Option members do not have out-of-network benefits.
If services are covered, BCBSNE will pay you; the member owes the copay listed in the “you pay” column.