FEP^® members’ preferred provider network for behavioral health services changing Jan. 1

The preferred provider network for behavioral health services for Federal Employee Program^® members is changing Jan. 1, 2015. It’s moving from the BCBSM Mental Health and Substance Abuse Managed Care Program network to the TRUST PPO network.

Since the TRUST PPO network is larger than the one that FEP members are currently using, we anticipate that the disruption to FEP members will be minimal.

Health care providers in the Mental Health and Substance Abuse Managed Care Program network who are not in the PPO network will be considered out of network for their FEP patients, starting Jan. 1, 2015. This means that beginning Jan. 1, out-of-network sanctions will apply for FEP members who continue to see behavioral health care providers who are not in the newly designated preferred network.

Note: If you’re eligible and would like to join the TRUST PPO network, please contact your BCBSM provider consultant.

For FEP Standard Option members (enrollment codes 104 and 105), higher cost-sharing will apply for out-of-network services. For FEP Basic Option members (enrollment codes 111 and 112), there is no benefit coverage for out-of-network services.

Behavioral health care providers who will no longer be considered preferred for FEP members should immediately notify their FEP patients of this change to allow them ample time to transition to a preferred provider.