New Prior Authorization Requirements for Federal Employee Program Members

  • January 3, 2019

    Federal Employee Program (FEP) Blue Focus is a new plan that requires prior authorization on more services than other FEP plans typically require. Learn more about all FEP plans, including Standard and Basic Option plans and the new FEP Blue Focus plan.

    New prior approvals for Blue Focus plans

    Effective January 1, 2019, prior approvals are required for the following services:

    • Air ambulance transport (non-emergent)
    • Gene therapy and cellular immunotherapy (such as CAR-T and T-Cell receptor therapy)

    See the full prior approval lists for FEP plans.

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