2024 Open Season
Federal Employees Health Benefits Program Open Season
November 11 to December 9, 2024
Foreign Service Benefit Plan 2025 Premiums
| Enrollment Type | ENROLLMENT code | Bi-Weekly | Monthly |
|---|---|---|---|
| Self Only | 401 | $93.36 | $202.28 |
| Self Plus One | 403 | $251.52 | $544.96 |
| Self & Family | 402 | $230.95 | $500.40 |
Note: Two-person families are not required to enroll in Self Plus One. They can opt to enroll in Self and Family (402). We invite you to review our premiums relative to other high option plans in the FEHB Program.
2025 Foreign Service Benefit Plan Benefit Enhancements & Updates
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Premium Increase See back cover of FSBP Brochure
Your share of the premium rate will increase by $10.74 for Self Only, or increase by $40.22 for Self Plus One, or increase by $26.57 for Self and Family.
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Expanded coverage for infertility services See section 5(a), Infertility Services of the FSBP brochure
The Plan will cover artificial insemination procedures under the Basic Infertility level of coverage. Prior authorization is not required, and services can be provided by either an in-network or out-of-network provider. Members residing in the U.S. will pay 10% of Plan allowance for in-network (includes Guam) and 30% of the Plan allowance for out-of-network (includes Guam) and any difference between the plan’s allowance and the billed amount. Members residing outside the 50 United States (excluding Guam) will pay 10% of the Plan allowance.
If you're a member residing or receiving treatment in the U.S., you'll need to visit a participating provider from the Institute of Excellence (IOE) for infertility treatment.
Members residing or receiving treatment outside the 50 United States – including those residing or receiving treatment in Guam and other U.S. territories – can receive coverage for services from any provider.
The Plan will cover ovulation induction services under the Advanced Reproductive Technology (ART) benefit. Prior authorization is for ART services. These services must be rendered by an Institute of Excellence (IOE) provider.
Members residing in the U.S. will pay 10% of Plan allowance.
Members residing outside the 50 United States (excluding Guam) will pay 10% of the Plan allowance. -
Expanded coverage for doula services See section 5(a), Maternity care of the FSBP brochure
The Plan will change coverage for doula services for pregnant members to include prenatal services, childbirth and up to three months of post-partum care after delivery.
Members will pay nothing for in-network, out-of-network, and providers outside of the 50 United States (no deductible) up to the Plan maximum of $1,200 per calendar year and all charges above $1,200 per calendar year. -
Modified in-network transplant benefit See section 5(b), under Organ/tissue transplants of the FSBP Brochure
The Plan will remove the maximum payable amount of $400,000 per transplant from its in-network benefit.
Members will pay 10% of the Plan allowance (no deductible) for a Plan-designated transplant network facility for tissue and organ transplant, 20% of the Plan allowance (no deductible) for an in-network (includes Guam).
Members will pay all charges (no catastrophic coverage) for out-of-network. Out-of-network transplants charges will not apply to the out-of-network catastrophic maximum since this is not a covered benefit. -
Changed the vendor for overseas behavioral health services See section 5(e), Telehealth services of the FSBP Brochure
Telehealth consultations are available to members outside the 50 United States through our telehealth vendor, Lyra Health.
Members will pay nothing for in-network (no deductible).
No benefit applies for out-of-network providers or providers outside of the 50 U.S.
Note: Telehealth through Lyra Health is available to members with a foreign address (including APO, FPO, DPO and Pouch Mail addresses). In addition, members with a stateside address may access telehealth through Lyra Health while traveling outside the 50 United States. -
Added Preventive Care Coaching Program through vHealth (Worldwide) for overseas members See section 5(a), Telehealth services of the FSBP Brochure
The Plan will add a Preventive Care Coach Program through Teladoc for overseas members.
Members will pay nothing for in-network (no deductible).
No benefit applies for out-of-network providers members age 65 and above with Medicare Parts A and/or B. -
Changed our FSBP – Express Scripts Medicare® Prescription Drug Plan (PDP) EGWP for Medicare eligible, retired members to an opt-in enrollment See section 9, Medicare Prescription Drug Plan Employer Group Waiver Plan (PDP EGWP) of the FSBP Brochure
No more auto-enrollments, you must choose to opt-in
If you choose to enroll in our PDP EGWP, you also will continue to remain enrolled in our FEHB Plan. Participation in the PDP EGWP is voluntary, and you have the choice to opt in or disenroll at any time. To opt in or disenroll, please call 202-833-4910 or complete and submit the secure form available at afspa.org/pdp.
The information here is a summary of the Plan’s benefits and features. All benefits are subject to the definitions, limitations, and exclusions set forth in our official FSBP Plan Brochure RI 72-001.
If you have benefit questions during the Open Season enrollment period, you may contact us by e-mail at presentation@afspa.org or call us at 202-833-4910. We look forward to bringing you these new and enhanced offerings beginning January 1, 2025.
New Brochures for 2025
There are two ways to enroll in the Foreign Service Benefit Plan.
You must remember your enrollment code and the full name of the health plan.
- Self Only: 401
- Self Plus One: 403
- Self Plus Family: 402
- Use your agency's preferred method
- Contact your agency's HR office
Download and fill out a Health Benefits Election Form (SF 2809) and submit to your Human Resources office.
- Open Season Enrollment Question?
Click here to submit your Open Season Enrollment question and we will get back you.
Keep in mind:
If you’re already a member of the Foreign Service Benefit Plan and you are happy with your coverage, you do not have to do anything. Your coverage will automatically carry over each year.
Any Open Season changes you make to your health plan will take effect:
- For employees, on January 12, 2025
- For annuitants, on January 1, 2025
