foreign service benefit plan patient portal

What is the Foreign Service benefit plan’s policy on foreign providers?

Welcome to the Foreign Service Benefit Plan (FSBP)! FSBP was created to provide health coverage in the U.S. and abroad for members of the Foreign Service. Over the years, our membership has expanded to Civil Service personnel and agencies that work to support U.S. Foreign affairs and related missions.

How do I submit a foreign service benefit plan claim form?

Upload your claim, receipt and other supporting documents via the portal for the fastest processing. Complete the EFT form to get your claims reimbursement into your U.S. bank …

What is FSBP’s policy for providers outside the US?

Use the fillable PDF here. The completed form must be saved (or scanned) and then uploaded to the Member Portal with a PDF of your claim. If you can’t scan the claim form to upload it to our …

How do I enroll in the Foreign Service Retirement System?

AFSPAconnect Member Portal can be accessed through these Internet browsers: Internet Explorer, Safari, and Firefox. AFSPAconnect Member Portal is available on a 24 x 7 basis, …

Aetna Secure Member Website

Log in to your account now or register today to view your claims, access valuable health and wellness tools, and much more.

Find a Provider

Doctors, dentists, laboratories, pharmacies and more. Search for Network Health Care Providers you plan to visit for your care.

How to Enroll

New federal employee or have an opportunity to switch your health plan? Learn more about how quick and easy it is to enroll.

Need Help? Call 202-833-4910

We’re here to assist you every step of the way with your health care needs.

How to get reimbursement from AFSPA?

Register or login to the AFSPA Member Portal and complete our Electronic Fund Transfer (EFT) form. This is the quickest way to get your claims reimbursement into your U.S. bank account.

What is the only expense you may be responsible for when you receive care from a provider with whom we have a

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.

What happens if my provider is in network?

If your provider is in-network, generally, your provider will bill us with the appropriate information. If we need more information, we will contact your provider or you directly.

Can an EFT plan retrieve funds from a bank account?

The EFT Authorization Form only allows the Plan to deposit funds into your bank account. The Plan cannot retrieve funds from your bank account.

Where to mail a claim to Foreign Service Benefit Plan?

If you can’t scan the claim form to upload it to our Member Portal, please mail it and your claim to us at Foreign Service Benefit Plan, 1620 L Street, NW, Suite 800, Washington, DC 20036-5629.

How to get reimbursement faster with Aetna?

All of the information for your claim can be submitted via the Member Portal. And, you will receive reimbursement faster if you submit your claim in the Member Portal and also use Electronic Funds Transfer (EFT) for your claim reimbursement. The registration form for EFT can also be found in Aetna Secure Member Website.

How to submit a claim to AFSPA?

To submit a claim using the Member Portal, you should complete a claim form with your first claim submission for each family member , and at least once per year per covered member, so that we have current address and other insurance information. Use the fillable PDF here. The completed form must be saved (or scanned) and then uploaded to the Member Portal with a PDF of your claim.

What is a date of service?

Date (s) of service. Diagnosis or a description of your symptoms (not required for prescription medicine receipts) A brief description of each service or supply. Charge for each service or supply.

How to read private messages in AFSPA?

To read the Private Message, you must log in to Member Portal.

What is abuse@afspa.org?

You agree to email abuse@afspa.org to report acts that deface, attack computers and databases or appear to interrupt this service, including any unusual material or unacceptable material that is illegally posted on this site. AFSPA shall prosecute individual (s) who attempt to deface or interrupt this service according to federal and state laws subject to both criminal and civil laws.

What does AFSPA mean?

When used in these Terms and Conditions, "AFSPA", "we", and "our", means the American Foreign Service Protective Association. This Site is for ACTIVE AFSPA members only. The contents are provided to you, subject to the following Terms of Service ("TOS").

Does AFSPA connect sell mailings?

AFSPAconnect Member Portal, like all AFSPA programs, never sells or distributes a member's mailing or other personal contact data.

Does AFSPAconnect allow cookies?

AFSPAconnect Member Portal will not enable or place cookies, ad ware, or spy ware on your PC. AFSPAconnect Member Portal does not display your social security number or name on any page within AFSPAconnect Member Portal pages.

Is AFSPAconnect secure?

AFSPAconnect Member Portal is a secure Internet site for timely delivery of private messages and account information for our members that avoids the normal security intercept threats of public e-mail services. However, we do not guarantee or warrant that transmissions will be free from delay, interruption, interception, or error.

Does AFSPAconnect have a link?

AFSPAconnect Member Portal provides links to other Web sites on the Internet and does not assume any responsibility for the content and makes no express or implied warranty about the accuracy or any other aspects of the content of these sites or their resources. The inclusion of such a link is done so as a convenience to our members.

How many countries does FSBP work with?

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.

How long does FSBP supply medication?

Use FSBP‘ s 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.

What is the only expense you may be responsible for if you receive care from a provider with whom we have

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.

How to get a paper copy of EOB?

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.

How long does it take to process a foreign bill?

We will process all types of foreign bills as a priority, generally within 10 business days.

Does FSBP cover military treatment facilities?

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.

Does mail to/from overseas increase time for reimbursement?

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

What is OPM in the Federal Employees Health Benefits Program?

The Office of Personnel Management (OPM) has encouraged all plans in the Federal Employees Health Benefits Program to take action and help members using opioid medications (opioid therapy). Accordingly, if your doctor prescribed an opioid for you, you may notice some extra precautions the Foreign Service Benefit Plan (FSBP) is taking around patient education, care, and proper disposal of unused medication.

What is FSBP pharmacy?

FSBP ensures that you have access to high-quality, cost-effective medications through a network of retail pharmacies and by convenient home delivery. Prescription drug copayments and out-of-pocket costs are split into tiers. Click here to see prescription costs and benefits chart.

What is a specialty prescription?

Specialty medications are used to treat complex conditions, including cancer, cystic fibrosis, hemophilia, hepatitis C, HIV, and multiple sclerosis. Typically, they are injectable and require special handling. By filling specialty prescriptions through Accredo, an Express Scripts specialty pharmacy, you’ll pay only your plan’s copayment and receive a variety of specialized services – the kind you may not get from your retail pharmacy.

Does FSBP cover Naloxone?

FSBP covers Naloxone-based rescue agents at 100% when obtained at network retail, network home delivery and out-of-network retail (outside the 50 United States).

What happens at the end of a medical benefit plan?

At the end of the plan period, the employer will utilize any remaining claims fund balance to offset future medical benefit payments.

What is BPS insurance?

To the individual group member, a self-funded plan performs just like a traditional insurance plan.

What is self funded group health plan?

Self-funded group health plans have emerged as a leading strategy empowering employers to meet the challenges of increased regulations and rising health care costs. It is estimated that 57% of all health plans in the US are self-funded.* Self-insured plans increase employer options, control and stability enabling them to realize the full potential of their benefit dollars.

What is a BPS?

Plan Administration - BPS is a third-party administrator (TPA) specializing in claims management services for employers who self-fund their benefit plans. Plan management includes health plan design and implementation, claims administration, monthly reports and analysis as well as technical services. When covered employees incur medical expenses, ...

What is self-funding medical claim?

Self-funding provides a unique savings opportunity in which the employer may utilize unused claim funds that can be applied to future medical benefits.

Why do self-funded plans work?

Self-funded plans also promote responsible behavior, as group members understand that reducing health care expenses optimize benefits and reduce collective costs for everyone in the group. Stop-loss insurance protects the plan from day one if claims exceed the funded claims limit.

How does self funding work?

How Self-Funding Works – Benefit Plan Services provides ACA compliant plans with optimal flexibility, giving employers the ability to design health benefit plans that fit the needs of their group and align with company objectives. The health plans designed by BPS include a claim fund contribution, a plan administration fee and a stop-loss insurance premium.