BCBS
Blue Cross and Blue Shield Service Benefit Plan Basic Option
FEHB Offered in 2027|Blue Cross and Blue Shield|Traditional|PPO
Also listed as: Blue Cross and Blue Shield Service Benefit Plan; Blue Cross and Blue Shield Service Benefit Plan FEP Blue Basic
Premium
biweekly · employee paysSelf Only
$145.46biweekly · employee pays
vs 2026+$11.69 +8.7%
Lowest$59.07 (2013)
Highest$145.46 (2027)
Since 2013+146.3%
Self Plus One
$350.48biweekly · employee pays
vs 2026+$31.23 +9.8%
Lowest$160.75 (2016)
Highest$350.48 (2027)
Since 2016+118.0%
Self & Family
$387.54biweekly · employee pays
vs 2026+$30.68 +8.6%
Lowest$138.32 (2013)
Highest$387.54 (2027)
Since 2013+180.2%
Premium history
SharePeriodRate type
Year by year
follows the chart's share, period and rate-type selection| Year | Self Only | Δ | Self Plus One | Δ | Self & Family | Δ | Listed as |
|---|
Changelog
- 2012Tracked since 2012Earliest plan year in the data set.
- 2016Self Plus One enrollment addedOPM introduced the Self Plus One enrollment type government-wide in 2016.
- 2020Renamed“Blue Cross and Blue Shield Service Benefit Plan” → “Blue Cross and Blue Shield Service Benefit Plan Basic Option”
- 2025Renamed“Blue Cross and Blue Shield Service Benefit Plan Basic Option” → “Blue Cross and Blue Shield Service Benefit Plan FEP Blue Basic”
- 2026Largest increase: +18.2%Self Only employee share went from $113.16 to $133.77.
- 2026Renamed“Blue Cross and Blue Shield Service Benefit Plan FEP Blue Basic” → “Blue Cross and Blue Shield Service Benefit Plan Basic Option”
Full rate schedule
Plan yearIn-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Annual out-of-pocket maximum | $8,500 | $17,000 | $17,000 |
- Type of accountNot Applicable
- Total Annual Part B Premium Reimbursement Amount per enrollee (PDP)$800
- Medicare Part D EGWP Prescription Drug Out-of-Pocket Maximum per enrollee$2,400
- Tier 0$0 Copayment
- Tier 1$15 Copayment
- Tier 235% Coinsurance
- Tier 360% Coinsurance
- Tier 435% Coinsurance
- Tier 535% Coinsurance
- Mail Order PharmacyYes
- Deductible waiver (with Medicare Part A as Primary)Not applicable
- Deductible waiver (with Medicare Part B as Primary)Not applicable
- Deductible Waiver with Parts A & BNot applicable
- Out-of-Pocket Maximum with Parts A & B$8,500
- Primary Care Physician Office Visit with Medicare A & B PrimaryMember Pays Nothing
- Specialty Physician Office Visit with Parts A & BMember Pays Nothing
- Inpatient Hospital Services with Parts A & BMember Pays Nothing
- Outpatient Hospital Services with Part AMember Pays Nothing
- Outpatient physician services (with Medicare Part B as Primary)Member Pays Nothing
- Part B Premium Reimbursement with Parts A & B$800 Maximum
- Requirement for Part B ReimbursementPart A and B
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part C$8,500
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryMember Pays Nothing
- Specialty Physician Office Visit with Part CMember Pays Nothing
- Inpatient Hospital Services with Part CMember Pays Nothing
- Outpatient Hospital Services with Part CMember Pays Nothing
- Outpatient physician services (with Medicare Advantage Part C as Primary)Member Pays Nothing
- Part B Premium Reimbursement with Part C$800
- Preventive CareMember Pays Nothing
- Primary Care Office Visit$35 Copayment
- Specialist Office Visit$50 Copayment
- Emergency Care$500 Copayment
- Urgent Care$50 Copayment
- Doctor Costs for Inpatient Surgery$200 Copayment
- Hospital Inpatient Cost Per Admission$500 Copayment
- Hospital Room CostsMember Pays Nothing
- Other Inpatient Hospital CostsMember Pays Nothing
- Doctor Costs for Outpatient Surgery$200 Copayment
- Other Outpatient Surgery Costs$250 Copayment
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)$75 Copayment
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)$250 Copayment
- Enhanced Lab NetworkNot applicable
- Applied Behavioral Analysis (ABA)$35 Copayment
- Chiropractic$35 Copayment
- Occupational Therapy$35 Copayment
- Physical Therapy$35 Copayment
- Speech Therapy$35 Copayment
- Professional Services (Mental Health and Substance Use Disorder)$35 Copayment
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)$500 Copayment
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)$35 Copayment
- Diagnosis and Treatment (Infertility Services)20% Coinsurance
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)35% Coinsurance
- Artificial Insemination Services (e.g. ICI, IVI, IUI)35% Coinsurance
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical Procedures$200 Copayment
- Reconstructive Surgery$200 Copayment
- Hearing Services$35 Copayment
- Hearing Aids (external)Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays Nothing
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)$500 Copayment
- Hospice CareMember Pays Nothing
- Home Health Services (Skilled Nursing Care)$35 Copayment
- Durable Medical Equipment35% Coinsurance
- Outpatient Rehabilitation (Skilled Nursing Care Facility)Member Pays All Charges
- Diabetes Education$35 Copayment
- Nutritional CounselingMember Pays Nothing
- Routine Dental Exams and Cleaning for AdultsCovered
- Routine Dental Exams and Cleaning for ChildrenCovered
- Routine Eye ExamsNot Covered
- Eye Exams for Medical Condition or Non-Surgical TreatmentCovered
- EyeglassesNot Covered
- Contact LensesNot Covered
- Acupuncture$35 Copayment
- Chronic Disease Management: Heart DiseaseCovered
- Chronic Disease Management: ObesityCovered
- Chronic Disease Management: HypertensionCovered
- Chronic Disease Management: AsthmaCovered
Out-of-network
2027 plan benefits file| Self Only | Self Plus One | Self & Family | |
|---|---|---|---|
| Annual deductible | Not applicable | Not applicable | Not applicable |
| Medical account contribution | Not applicable | Not applicable | Not applicable |
| Net deductible | Not applicable | Not applicable | Not applicable |
| Annual out-of-pocket maximum | Not applicable | Not applicable | Not applicable |
- Type of accountNot Applicable
- Tier 0$999 Copayment
- Tier 1$999 Copayment
- Tier 2$999 Copayment
- Tier 3$999 Copayment
- Tier 4$999 Copayment
- Tier 5$999 Copayment
- Mail Order PharmacyYes
- Deductible waiver (with Medicare Part A as Primary)Not applicable
- Deductible waiver (with Medicare Part B as Primary)Not applicable
- Deductible Waiver with Parts A & BNot applicable
- Out-of-Pocket Maximum with Parts A & BNot applicable
- Primary Care Physician Office Visit with Medicare A & B PrimaryMember Pays All Charges
- Specialty Physician Office Visit with Parts A & BMember Pays All Charges
- Inpatient Hospital Services with Parts A & BMember Pays All Charges
- Outpatient Hospital Services with Part AMember Pays All Charges
- Outpatient physician services (with Medicare Part B as Primary)Member Pays All Charges
- Part B Premium Reimbursement with Parts A & BNo
- Requirement for Part B ReimbursementNot applicable
- Deductible Waiver with Part CNot applicable
- Out-of-Pocket Maximum with Part CNot applicable
- Primary Care Physician Office Visit with Medicare Advantage (Part C) PrimaryMember Pays All Charges
- Specialty Physician Office Visit with Part CMember Pays All Charges
- Inpatient Hospital Services with Part CMember Pays All Charges
- Outpatient Hospital Services with Part CMember Pays All Charges
- Outpatient physician services (with Medicare Advantage Part C as Primary)Member Pays All Charges
- Part B Premium Reimbursement with Part CNo
- Preventive CareMember Pays All Charges
- Primary Care Office VisitMember Pays All Charges
- Specialist Office VisitMember Pays All Charges
- Emergency Care$500 Copayment
- Urgent Care$50 Copayment
- Doctor Costs for Inpatient SurgeryMember Pays All Charges
- Hospital Inpatient Cost Per AdmissionMember Pays All Charges
- Hospital Room CostsMember Pays All Charges
- Other Inpatient Hospital CostsMember Pays All Charges
- Doctor Costs for Outpatient SurgeryMember Pays All Charges
- Other Outpatient Surgery CostsMember Pays All Charges
- Diagnostic Tests or Procedures (e.g., Blood Tests, X-rays, Urinalysis, Ultrasounds)Member Pays All Charges
- Diagnostic Tests or Procedures (e.g., CT scans, MRIs, PET Scans)Member Pays All Charges
- Enhanced Lab NetworkNot applicable
- Applied Behavioral Analysis (ABA)Member Pays All Charges
- ChiropracticMember Pays All Charges
- Occupational TherapyMember Pays All Charges
- Physical TherapyMember Pays All Charges
- Speech TherapyMember Pays All Charges
- Professional Services (Mental Health and Substance Use Disorder)Member Pays All Charges
- Inpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
- Outpatient Hospital (Mental Health and Substance Use Disorder Services)Member Pays All Charges
- Diagnosis and Treatment (Infertility Services)Member Pays All Charges
- Fertility Preservation Procedures (e.g., iatrogenic infertility) (Infertility Services)Member Pays All Charges
- Artificial Insemination Services (e.g. ICI, IVI, IUI)Member Pays All Charges
- Assisted Reproductive Technology (ART) (e.g., IVF, GIFT, ZIFT) (Infertility Services)Member Pays All Charges
- Surgical ProceduresMember Pays All Charges
- Reconstructive SurgeryMember Pays All Charges
- Hearing ServicesMember Pays All Charges
- Hearing Aids (external)Covered
- Prenatal Care, Screening for Gestational Diabetes, Delivery, and Postpartum Care (Maternity Care)Member Pays All Charges
- Hospital Stay--Vaginal Birth, Cesarean Birth (Maternity Care)Member Pays All Charges
- Hospice CareMember Pays All Charges
- Home Health Services (Skilled Nursing Care)Member Pays All Charges
- Durable Medical EquipmentMember Pays All Charges
- Outpatient Rehabilitation (Skilled Nursing Care Facility)Member Pays All Charges
- Diabetes EducationMember Pays All Charges
- Nutritional CounselingMember Pays All Charges
- Routine Dental Exams and Cleaning for AdultsNot Covered
- Routine Dental Exams and Cleaning for ChildrenNot Covered
- Routine Eye ExamsNot Covered
- Eye Exams for Medical Condition or Non-Surgical TreatmentNot Covered
- EyeglassesNot Covered
- Contact LensesNot Covered
- AcupunctureMember Pays All Charges
- Chronic Disease Management: Heart DiseaseNot Covered
- Chronic Disease Management: ObesityNot Covered
- Chronic Disease Management: HypertensionNot Covered
- Chronic Disease Management: AsthmaNot Covered
Offered nationwide.
Service area description
| State | Description |
|---|---|
| Nationwide | Nationwide |
Service area over time
| Year | States / areas listed |
|---|---|
| 2027 | Nationwide |
| 2026 | Nationwide |
| 2025 | Nationwide |
| 2024 | Nationwide |
| 2023 | Nationwide |
| 2022 | Nationwide |
| 2021 | Nationwide |
| 2020 | Nationwide |
| 2019 | Nationwide |
| 2018 | Nationwide |
| 2017 | Nationwide |
| 2016 | Nationwide |