CommercialCoverageMedium impact
New product: FEP Blue Focus
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
BCBS Rhode Island launched a new FEP Blue Focus product for federal employees in Rhode Island, effective January 1, 2019. This plan offers $10 copays for the first 10 primary/specialty visits, different telehealth benefits (first 2 visits free, then $10), and requires staying in-network with increased prior authorization requirements.
Action Required
Immediately: Billing team must verify member benefits at www.fepblue.org before providing services to FEP Blue Focus members. Update billing system to apply $10 copay for first 10 diagnostic professional visits (medical and MHSA diagnosis codes) for primary care and specialty visits. Configure telehealth billing to waive copay for first 2 visits, then apply $10 copay. Review and update prior authorization requirements as this plan has increased services requiring prior approval.