Getting Care Overseas

FSBP Overseas Coverage

We simplify your care overseas

The Foreign Service Benefit Plan (FSBP) considers all providers outside the U.S. as if they are in the Plan’s network. We generally consider foreign providers’ charges as billed. 

The Foreign Service Benefit Plan (FSBP) is proud to cover all providers outside the 50 U.S. at the in-network benefit. To further simplify your overseas care, FSBP also has Direct Billing Arrangements (DBA) with over 200 health care providers across the world. By using these DBA providers when available, you avoid prepaying the bill. To learn more about our DBA providers, click here.

Overseas Providers

FSBP considers all providers outside the U.S. and Guam (including Military Treatment Facilities) as if they are in the Plan’s network. We provide the same coinsurance rates as we do for in-network providers. We generally consider foreign providers’ charges as billed. However, we reserve the right to request information that will enable us to determine medical necessity or an allowance on charges we deem to be excessive.

Overseas Direct Billing Arrangement (DBA) Partners

As part of AFSPA’s commitment to “Caring for your health worldwide,” FSBP takes special care to ensure those working overseas can access healthcare services without hassle or paperwork.

To facilitate care, FSBP maintains direct billing with over 200 healthcare providers across the world including China, Colombia, France, Germany, Great Britain, Italy, Japan, Korea, Panama, Russia, Switzerland and Turkey. Click here to view a list of our Overseas DBA partners. Members must call ahead to the hospital or clinic to confirm participation.

Direct Billing Arrangement (DBA) Overseas Providers & Facilities

If you received care from a provider with whom we have a Direct Billing Arrangement, the only expense you may be responsible for is your deductible and/or coinsurance and any non-covered services. The provider will bill us directly and we pay the provider for covered services. Click here to view a list our DBA Partners.

If you have paid a direct billing provider prior to your claim submission, we request that you provide us with a copy of your paid receipt along with the exchange rate you used to convert the currency. Submit your receipt via our secure AFSPA Member Portal for the quickest processing.

How we process foreign claims

  • We will translate your claim(s), if you do not provide a translation.
  • We will use the U.S. dollar exchange rate, benchmarked against the rate reported by Oanda (www.oanda.com), applicable on the date the service was incurred, if you do not supply us with a currency exchange rate along with a paid receipt (see FSBP Brochure, Section 7, Overseas claims for exceptions).
  • We will accept foreign providers’ charges generally as billed. In other words, there are no reductions to Plan allowance or fee schedules. However, we reserve the right to request information that will enable us to determine medical necessity or an allowance on charges that we deem to be excessive.
  • We will process all types of foreign bills as a priority, generally within 10 business days.

Where to submit your Overseas Claims

FSBP pays for claims for providers outside the U.S. at the in-network co-insurance benefit. We will provide translation and currency conversion services for foreign overseas claims services. For more information about this service, click here.

Two ways to submit overseas claims:

ONLINE:

For the quickest processing, submit your overseas claims via our secure AFSPA Member Portal . You are also encouraged to complete an Electronic Funds Transfer (EFT) form. The EFT form allows us to deposit reimbursements directly into your U.S. bank account, reducing paper and time. 

BY MAIL:

Foreign Service Benefit Plan
1620 L Street, NW, Suite 800
Washington DC, 20036-5629

Bear in mind, mail to/from overseas significantly increases the time for you to receive claim reimbursements.

Overseas Massage Therapy Claims

The following information is needed on an itemized bill for reimbursement:

  • Patient’s name 
  • Patient’s date of birth
  • Patient’s unique “W” ID number (found on the front side of your FSBP Member ID card)
  • Full name and address of the provider/massage therapist, including city, postal code and country
  • Date of each service
  • Description of service rendered
  • Cost for each service
  • Copy of your paid receipt

Click here for more information on how to submit your massage claims.

Electronic Funds Transfer (EFT)

This is the quickest way to get your claims reimbursement into your U.S. bank account, whether you reside in the U.S. or abroad. Signing up for this service is simple! Complete the EFT Authorization Form in full and submit securely.

Important things to know:

  • Only one bank account per family is permitted.
  • The EFT Authorization Form only allows the Plan to deposit funds into your bank account. The Plan cannot retrieve funds from your bank account.
  • The Plan does not charge a fee for EFT service, but your bank may charge a small transaction fee.

When you receive claim reimbursement via EFT, your Explanation of Benefits (EOB) will be available to you electronically and will no longer be mailed to you. To view your EOB, logon to Aetna’s secure member website.

 

You may opt to have a paper copy of your EOB mailed to you by checking the box at the bottom of the Authorization Form indicating your desire to continue to receive a paper EOB.

24-Hour Translation Line

The Translation Line provides telephonic language translation services in an emergency for our overseas members. 

Dial 855-482-5750, or 704-834-6782, and choose option 2.

Virtual Second Opinions by Cleveland Clinic

FSBP has a special arrangement with the Cleveland Clinic to provide patients who receive treatment in foreign countries a second opinion for certain diagnoses through the Cleveland Clinic.

Patients who receive treatment in foreign countries and with qualifying diagnoses as determined by the Plan will have convenient access to the Cleveland Clinic’s nationally-recognized specialists for a second opinion. This second opinion program is available in most locations throughout the world. Click here to learn more. 

To determine if you are an appropriate candidate for this second opinion benefit, visit https://fsbp.globalvso.io.

To obtain prescriptions outside of the U.S.

Retail pharmacies outside the 50 United States

Fill your prescription as you normally do. Mail claims for prescription drugs and supplies you purchased through a retail pharmacy outside the 50 United States to Foreign Service Benefit Plan 1620 L St., NW Suite 800 Washington, DC 20036 (do not mail foreign prescription claims to the Express Scripts Pharmacy). Claims must include receipts that show the name of the patient, prescription number, name of drug(s), name of the prescriber, name of the pharmacy, date, and the charge. Click here to download a claim form.

Home Delivery (the Express Scripts Pharmacy) outside the 50 United States

  • Your prescriber must be licensed in the United States.
  • Here is the form to complete. If you have any questions about a particular drug or a prescription or to request order forms, you may call 800-497-4641 (available in over 140 countries) from outside the 50 United States. Also, you can call the Express Scripts Pharmacy collect at 724-765-3077 or 724-765-3074 if the toll-free number for outside the 50 United States does not work for you. In addition, you may contact Express Scripts’ Expatriate Team at
    [email protected]

Note: Per Federal regulations, the Express Scripts Pharmacy can mail only to addresses in the United States or to APO, FPO, DPO, and Pouch Mail addresses. Allow appropriate mailing time to reach them, for them to fill your prescription, and for the prescription to reach you.

If you are posted, living, or traveling outside the 50 United States, you may request up to a 1-year supply of most medications. Ask your prescriber to write you a prescription for a 1-year supply with no refills. There are limitations to sending temperature sensitive medications outside the 50 United States. Please contact the Express Scripts Pharmacy if you have been prescribed a temperature sensitive medication.

Overseas 1-year Supply

  1. Purchase medications at a local pharmacy and submit a claim to AFSPA’s Member Portal following the same process as you would to seek a claims reimbursement for an overseas medical provider
  2. Use FSBPs special arrangement with Express Scripts, which provides overseas members with up to a one-year supply of medication via home delivery. In this case, your doctor must write a prescription for a one-year supply with no refills and you pay the full-year copayment. For details, click here. 
  3. If you are having your medication shipped to a U.S. address, please indicate that you will be residing or traveling overseas.

If you are or will be overseas and would like to purchase a 1-year supply:

Your doctor needs to write the prescription for a full year’s supply with no refills, and you need to pay the full-year copayment/coinsurance. Orders can be shipped only to addresses in the U.S. or to APO, FPO, DPO, and Pouch Mail addresses. Please allow extra time for this process to take place to be sure you will receive your medications in a timely manner. Please see Home Delivery Foreign Countries for more details. The Plan cannot mail prescription medications to Germany per German regulation. Please be advised of the Rx restrictions for Japan that can be found here.

Find an Overseas DBA Partner

Suwon-Osan Area

Ajou University Hospital

Inpatient, Complete maternity care, Routine annual physical exam, All covered outpatient services

Seoul

Asan Medical Center

Inpatient, Complete maternity care, Routine annual physical exam, All covered outpatient services

Quick links

I am satisfied with the service FSBP provides and their claim handling procedures. I have dealt with other carriers before, and thus far, FSBP is the best that I have worked with. In my opinion, FSBP is the best for overseas members.

Tom K.

Member in Korea

I was already a big fan of FSBP but my HBO's perseverance in getting my case handled has made me an even more loyal member! It is the best customer service I have ever had! I am deeply and sincerely grateful.

Satisfied Member

Member in Turkey