Section 1. How This Plan Works

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Cover Page and Inside Cover

Table of Contents

Introduction/Plain Language/Advisory

5(a). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals

5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals

5(c). Services Provided by a Hospital or Other Facility, and Ambulance Services

5(d). Emergency Services/Accidents

5(e). Mental Health and Substance Use Disorder Benefits

5(f). Prescription Drug Benefits

5(f)(a). FEP Medicare Prescription Drug Plan

5(g). Dental Benefits

5(h). Wellness and Other Special Features

5(i). Services, Drugs, and Supplies Provided Overseas

Non-PSHB Benefits Available to Plan Members

Summary of Benefits – Standard Option

Summary of Benefits – Basic Option

2027 Rate Information

PSHB Standard and Basic

Blue Cross and Blue Shield Service Benefit Plan Brochure - 2027

PSHB FEP Blue Standard and FEP Blue Basic Options

Section 1. How This Plan Works

Section 1. How This Plan Works

General features of our Standard and Basic Options//We have a Preferred Provider Organization (PPO)

How we pay professional and facility providers

Your rights and responsibilities

Your medical and claims records are confidential

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