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
Blue Cross Blue Shield Federal Employee Program (FEP) is launching a new product called FEP Blue Focus in Rhode Island, effective January 1, 2019. This plan offers $10 copays for the first 10 primary/specialty visits, requires members to stay in-network, has expanded prior authorization requirements, and includes a two-tier prescription formulary.
Action Required
Immediately: Billing team must verify member benefits on the FEP Blue site before providing services to FEP Blue Focus members. Update verification protocols to check for this new plan type. Front desk staff should confirm copayment structure ($10 for first 10 visits) and in-network requirements. Review and update prior authorization processes as this plan has increased services requiring prior approval.