Section 4 Your Cost for Covered Services

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Table of Contents

FEDVIP Program Highlights

How We Have Changed for 2026

Section 1 Eligibility

Section 2 Enrollment

Section 3 How You Obtain Care

Section 4 Your Cost for Covered Services

Section 5 Vision Services and Supplies

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

Stop Health Care Fraud!

Summary of Benefits

Rate Information

Blue Cross Blue Shield FEP Vision Brochure - 2026

Section 4 Your Cost for Covered Services

In-Network Services

Out-of-Network Services

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