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Terms and Conditions and Privacy Policy
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SB-FBF-002
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Cover page
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V25.00.1.1
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Introduction
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V25.00.1.2
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Table of Contents
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V25.00.1.3
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A Choice of Plans and Options
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V25.00.2.1
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Enroll Through BENEFEDS
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V25.00.2.2
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Dual Enrollment
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V25.00.2.3
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Coverage Effective Date
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V25.00.2.4
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Pre-Tax Salary Deduction for Employees
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V25.00.2.5
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Annual Enrollment Opportunity
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V25.00.2.6
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Continued Group Coverage After Retirement
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V25.00.2.7
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How We Have Changed for 2025
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V25.00.3
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Federal Employees
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V25.01.1
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Temporary/Seasonal Employees
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V25.01.2
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Federal Annuitants
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V25.01.3
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Survivor Annuitants
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V25.01.4
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Compensationers
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V25.01.5
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TRICARE-eligible individual
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V25.01.6
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Family Members
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V25.01.7
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Not Eligible
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V25.01.8
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Enroll Through BENEFEDS
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V25.02.1
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Enrollment Types
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V25.02.2
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Dual Enrollment
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V25.02.3
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Opportunities to Enroll or Change Enrollment
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V25.02.4
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When Coverage Stops
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V25.02.5
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Continuation of Coverage
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V25.02.6
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FSAFEDS/High-Deductible Health Plans and FEDVIP
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V25.02.7
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Identification Cards/Enrollment Confirmation
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V25.03.1
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Plan Providers
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V25.03.2
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In-Network
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V25.03.3
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Out-of-Network
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V25.03.4
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Pre-Authorization
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V25.03.5
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FEHB/PSHB First Payor
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V25.03.6
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Coordination of Benefits
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V25.03.7
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Limited Access Areas
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V25.03.8
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Copayment
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V25.04.1
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In-Network Services
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V25.04.2
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Out-of-Network Services
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V25.04.3
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Section 5 Vision Services and Supplies
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V25.05.0
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Diagnostic
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V25.05.1
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Eyewear
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V25.05.2
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Contact Lenses
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V25.05.3
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Warranty
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V25.05.3.1
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Child Benefit
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V25.05.4
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Medical Condition Benefit
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V25.05.5
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Low Vision
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V25.05.6
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Medically Necessary Contact Lenses
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V25.05.7
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Discounts
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V25.05.8
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Tools and Resources
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V25.05.9
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Section 6 International Services and Supplies
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V25.06.0
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International Claims Payment
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V25.06.1
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Finding an International Provider
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V25.06.2
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Filing International Claims
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V25.06.3
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Customer Service Website and Phone Numbers
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V25.06.4
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International Plan Allowances
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V25.06.5
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Section 7 General Exclusions – Things We Do Not Cover
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V25.07
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How to File a Claim for Covered Services
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V25.08.1
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Deadline for Filing Your Claim
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V25.08.2
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Disputed Claims Process
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V25.08.3
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Annuitants
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V25.09.01
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BENEFEDS
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V25.09.02
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Benefits
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V25.09.03
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Enrollee
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V25.09.04
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FEDVIP
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V25.09.05
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Plan Allowance
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V25.09.06
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Pre-Authorization
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V25.09.07
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Sponsor
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V25.09.08
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TEI certifying family member
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V25.09.09
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TRICARE-eligible individual (TEI) family member
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V25.09.10
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We/Us
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V25.09.11
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You
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V25.09.12
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Stop Health Care Fraud!
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V25.10
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Summary of Benefits
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V25.11
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Rate Information
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V25.12
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