This is a general description of the plan changes. This page is not an official statement of benefits. For that, go to the Benefits descriptions in the Plan Brochure. Also, we edited and clarified language throughout the brochure; any language change not shown here is a clarification that does not change benefits.
- Your share of the non-Postal premium will increase by 3.0% for Self Only and 3.0% for Self and Family.
- Routine osteoporosis screening for women aged 65 and over, as well as women under age 65 who are at risk, is covered.
- Lyme disease immunizations are not covered.
Other changes
- We have clarified that double contrast barium enemas are covered every 5-10 years for patients age 50 and older as part of colorectal cancer screenings.
- We have clarified that influenza vaccinations for individuals under age 50 at high risk are covered.
- We have clarified that backup or alternate items are not covered by the orthopedic and prosthetic device benefit.
- We have clarified that generators and backup or alternate durable medical equipment items are not covered.
- We have clarified that reimplantation of breast implants originally provided for cosmetic surgery is not covered.
- We have made an administrative change to refer to our Mental Health Administrator as Blue Shield's Mental Health Service Administrator (MHSA).
- We have clarified that the Access+ specialist visit does not include services of a provider not in the Access+ HMOSM or MHSA network.