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Coronavirus (COVID-19)

Updates & Resources

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Coronavirus (COVID-19) is a contagious respiratory illness caused by a virus first identified in China, and has symptoms similar to the flu. These can range from mild (fever, cough, shortness of breath) to severe (serious illness such as pneumonia). In extreme cases, it can result in death. Like many of you, we at AFSPA have been following the news of the outbreak of Coronavirus (COVID-19) around the globe.

To ensure you have access to the care you need, AFSPA has implemented the following to support members’ care for COVID-19:

Select your plan below to see COVID -19 Updates

Foreign Service Benefit Plan

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Dental Insurance Plans

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Life Insurance Plans

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Kids Mental Health Resources

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Foreign Service Benefit Plan COVID Updates

FSBP will cover all FDA-approved Coronavirus (COVID-19) testing for US-based membersFSBP will cover all locally approved Coronavirus (COVID-19) testing for members overseas.

Coverage for tests antigen and antibody tests conducted in a clinical environment such as a doctor’s office, hospital, or lab setting are covered at 100%. Please continue reading for information on over the counter (OTC) testing.

Click here to see COVID TESTING FAQs


 

Over the Counter COVID-19 Testing

Effective January 28, 2022

FSBP will offer direct coverage – meaning no up-front, out-of-pocket costs for you, the member – for over the counter (OTC) COVID-19 testing through our partnership with ESI. There are two options to take advantage of direct coverage:

Express Scripts Home Delivery pharmacy

To order from the Express Scripts Home Delivery pharmacy, log into Express-Scripts.com and click on the link for the “COVID-19 Resource Center.” You will find a link to place an order in that Resource Center. You also can call 800-818-6717 and a Patient Care Advocate can assist you.

Please note that supplies of OTC testing kits are low. The pharmacy will hold member orders until supplies are available.

Express Scripts Network Retail pharmacy locations

You also can take advantage of the direct coverage option at any Express Scripts network retail pharmacy locations. You can find nearby network pharmacies at www.express-scripts.com/fsbp, click on “Locate A Pharmacy.”

At this time, only the tests listed in the chart below are included in the program. To take advantage of this option, choose the test kit you wish to purchase and take it to the pharmacy counter. Present your FSBP ID card. The pharmacy staff will collect the necessary information and file a claim with the Plan for the cost of the tests. Direct coverage is only available when presenting your card at the pharmacy counter, not at the regular checkout lanes.

NDC/UPC

BRAND NME

GENERIC DRUG NME

PACKAGE DSC

PACKAGE SIZE QTY

08337000158

INTELISWAB COVID-19 HOME TEST

COVID-19 ANTIGEN TEST

KIT

2

11877001140

BINAXNOW COVID-19 AG SELF TEST

COVID-19 ANTIGEN TEST

KIT

2

14613033967

QUICKVUE AT-HOME COVID-19 TEST

COVID-19 ANTIGEN TEST

KIT

25

14613033968

QUICKVUE AT-HOME COVID-19 TEST

COVID-19 ANTIGEN TEST

KIT

5

14613033972

QUICKVUE AT-HOME COVID-19 TEST

COVID-19 ANTIGEN TEST

KIT

2

56362000589

IHEALTH COVID-19 AG HOME TEST

COVID-19 ANTIGEN TEST

KIT

2

56964000000

ELLUME COVID-19 HOME TEST

COVID-19 ANTIGEN TEST

KIT

1

82607066026

FLOWFLEX COVID-19 AG HOME TEST

COVID-19 ANTIGEN TEST

KIT

1

82607066027

FLOWFLEX COVID-19 AG HOME TEST

COVID-19 ANTIGEN TEST

KIT

2

82607066028

FLOWFLEX COVID-19 AG HOME TEST

COVID-19 ANTIGEN TEST

KIT

5

82607066047

FLOWFLEX COVID-19 AG HOME TEST

COVID-19 ANTIGEN TEST

KIT

25

Chart current as of 1/28/2022


FSBP strongly recommends that you utilize the ESI program options whenever possible to purchase OTC COVID-19 tests. This program helps you avoid out-of-pocket costs and eliminate time spent filing claims.

Stateside members may wish to purchase other tests or tests from other retailers. In those cases, you will still pay for the test at the time of purchase and file a claim with the Plan. We recommend you submit claims through our online Member Portal using the “Claims for COVID-19 Over-The-Counter Testing Kits” submission option. Beginning February 1, 2022, the Plan will reimburse only $12 per test procured outside the ESI program. This is in keeping with the Federal guidance issued on January 10, 2022.

Overseas members will still receive 100% coverage for the cost of OTC COVID-19 tests approved by local health authorities and purchased at overseas retail locations. If you are overseas and purchase tests from a US-based retailer, then the stateside coverage rules outlined above will apply.

Please note: this program does not change the maximum number of tests covered per member each month. The Plan will provide coverage for a maximum of eight (8) tests per Plan member per rolling 30 days. These coverage rules apply only to OTC COVID-19 tests conducted at home and do not impact tests performed in a clinical setting; those tests remain covered at 100%.


FSBP will provide coverage for all FDA-approved OTC COVID-19 tests, up to a maximum of eight (8) tests per Plan member per rolling 30 days. The Plan’s coverage varies depending on where and how the tests are purchased. We strongly encourage our members to purchase needed OTC tests through our partnership with Express Scripts. Please click here to review a list of frequently asked questions for full details. 

Please note: the eight-per-rolling 30 day limit applies to individual tests. If you purchase a multi-pack, each test in the pack counts towards the monthly limit. The Plan will reimburse for the cost of tests only, not associated shipping.

To receive your reimbursement as quickly as possible, please submit a detailed receipt through our online Member Portal. Please use the new “Claims for COVID-19 Over-The-Counter Testing Kits” option and include the information requested on the submission form. If submitting claims by mail, please include an itemized receipt listing the type and number of tests purchased as well as a note detailing the quantity purchased for each covered family.


Free OTC COVID-19 tests are available for order at no cost through covidtests.gov. Tests are available for every residential address in the U.S., including Alaska, Hawaii, Puerto Rico, U.S. Territories, and overseas military and diplomatic addresses (APO/FPO/DPO).


Medicare Part B primary members now can obtain Over-the-Counter(OTC) COVID tests at no cost at participating retail pharmacies. Please visit the Medicare COVID-19 webpage  for full details about this coverage and a list of participating pharmacies. 

Beginning July 1, 2021, coverage of treatment for Coronavirus (COVID-19) will be per the terms of the FSBP Brochure.”

  • Coding entered by providers on claims for members receiving care in the US should allow the Plan to identify these claims for proper payment
  • Overseas members submitting claims directly to the Plan should indicate on their submission that the claim is related to Coronavirus (COVID-19)

Administered by a pharmacy in the U.S.

PARTICIPATING PHARMACY

Vaccines obtained at a participating network pharmacy are covered at 100% per Section 5(f) of the 2022 FSBP Brochure. The network pharmacy should submit a claim for payment directly to the Plan with no cost sharing from the member. Click here to find your nearest network pharmacy.

NON-PARTICIPATING PHARMACY

COVID-19 vaccines obtained at pharmacies not participating in the network also will be covered at 100% of the billed charges. Members will have to file a claim to obtain reimbursement for the cost of the vaccine. No letter of explanation is needed for a claim for a COVID-19 vaccine obtained at a non-network pharmacy. The claims submitted to FSBP must contain all the elements outlined in Section 7 of the 2022 FSBP Brochure for processing.

ADMINISTERED IN A DOCTOR’S OFFICE OR OTHER SETTING IN THE U.S.

COVID-19 vaccines obtained from non-pharmacy provider will be covered at 100% of the billed charges for both adults and children, per Section 5(a) of the 2022 FSBP Brochure. The coverage for this vaccine will be the same for both in network and out of network providers according to the current regulations. If you required by the provider to pay for the vaccine at the time of service, you can submit a claim to the Plan for reimbursement. Please make sure your claim submission includes all the elements outlined in Section 7 of the 2022 FSBP Brochure.


Administered by a pharmacy Overseas

Vaccines obtained outside the United States will be reimbursed at 100%.


COVID-19 Vaccine Incentive

AFSPA members aged 18 years or older who received the COVID-19 vaccine during 2021 are now eligible to earn a $25 wellness reward. To earn the incentive, AFSPA members must upload documentation (i.e. copy of vaccination card) through our AFSPA member portal. Once we review the documentation and verify that the member is fully vaccinated, we will deposit $25 into the member’s Wellness Fund Account.*

*Funds can only be used for Eligible Medical Expenses as defined by the Internal Revenue Code Section 213(d) as it is today under the current Simple Steps to Living Well Together Program and Wellness Incentives.

FSBP members in the U.S. can access care 24/7 through our telehealth vendor, Teladoccovered at 100%.  You can find coverage details and information to access these services in Section 5(a) and5(e)of the 2022 FSBP Brochure.

Additional Behavioral Health Televideo Services

Behavioral Health Televideo Services is a rapidly growing and evolving form of treatment. Licensed health care professionals provide services using real-time video conferencing. With this state-of-the-art communications technology, health care professionals can provide services to members who may not have been able to access services in the past. Health care professionals who provide Behavioral Health Televideo Services comply with all relevant laws in the jurisdiction where they and the member getting services are located. We expect health care professionals providing Behavioral Health Televideo Services to comply with the Clinical, Technical and Administrative Guidelines of the American Telemedicine Association.

The following Behavioral Health Televideo Providers are available to you depending on which state you live in.

MDLIVE
  • Available in all 50 states
  • Behavioral health and employee assistance program (EAP) services
  • Accepts patients 10+
  • Appointments available from 7 AM to 9 pm,
  • Monday through Friday (Some providers may offer weekend appointments)
  • Call 1-855-824-2170; go to www.mdlive.com/BHCOMM
 
ARRAY ATHOME CARE (formerly Inpathy)
  • Available in CA, DE, FL, IL, MO, NJ, NY, PA, TX and VA
  • Behavioral health services only
  • Accepts patients 5+
  • Appointments available from 7 AM to 11 PM, 7 days a week
  • Call 1-800-442-8938; go to https://insightportal.mahlerhealth.com/
 
TELEMYND (formerly Arcadian Telepsychiatry)
  • Available in all states not covered by Array AtHome Care
  • Behavioral health and EAP services
  • Accepts patients 18+
  • Appointments available from 9 AM to 9 PM, Monday through Friday
  • Call 1-866-991-2103

Please note: Members located overseas cannot access services through FSBP’s stateside telehealth vendor, Teladoc. Overseas members must use vHealth (Worldwide) for general medicine telehealth consultations.

FSBP members with an overseas address (including APO, DPO, Embassy, and Consulate addresses) and members with a stateside address who are traveling outside the U.S., can access general telehealth consultations overseas through vHealth (Worldwide), covered at 100%. You can find coverage details and information to access these services in Section 5(a) and5(e)of the 2022 FSBP Brochure.

Even if you visit the U.S., but maintain your overseas address, you still will access vHealth for any telehealth needs. At this time telehealth consultations from vHealth are only available for general/primary medicine. This may include preventive care as well as treatment for acute and chronic illnesses. A provider may also give referrals and prescribe medications, when appropriate.

 Telemedicine visits (virtual visits with an established provider or PCP) will be covered like in-person office visits: subject to the calendar year deductible and paid at 90% of the Plan allowance for in network providers and 70% of the Plan allowance for out of network providers. Providers should employ a HIPAA-compliant platform for such visits.

• • •

What’s the difference between telehealth and telemedicine? When you are utilizing services from Teladoc or vHealth, we refer to this as a “telehealth” visit. When you consult with an established provider or primary care physician (PCP) for clinical services on a virtual/remote level (via video conference or by telephone) we refer to this as a “telemedicine” visit.

• • •

AFSPA has removed the restrictions for all stateside members to obtain an early refills of non-specialty medications by visiting their network retail pharmacy. Maintenance medications can be obtained in 90-day supplies from participating Smart90 pharmacies or through home delivery at www.express-scripts.com.

Staff at the Plan’s specialty pharmacy Accredo stand ready to guide members who typically receive infusion treatments at infusion centers or hospitals. You can reach out to Accredo at 800-922-8279 to learn about alternatives to facility care and ensure that you continue receiving your treatment.

AFSPA has removed the restrictions for overseas members to obtain an early refill of their prescription drugs by home delivery. Overseas members needing support should contact the dedicated Expat Team at Express Scripts via email at [email protected] or call 877-846-3630 to order a refill. Members should include their member ID and/or date of birth when they contact the Expat Team to ensure timelier service.

For locations in which a state of emergency is declared (for Stateside members), AFSPA will work with our partners at Aetna and Express Scripts to ensure you have access to necessary prescription drugs.

These measures are in place for a limited time to assist members due to the COVID-19 pandemic. We will make an announcement when any or all of these measures expire. Likewise, we will make every attempt to keep you apprised of changes in procedure in the very fluid environment via posts on our website and our Facebook page, as well as future email communications.

Dental Plans COVID Updates

Dominion National COVID-19 Update: Dominion National is taking measures to prevent the spread of Coronavirus and ensure continuity of business operations, should a local epidemic occur. Click here for more information

Dominion National COVID-19 Teledentistry Update: Click here for more information.

Dominion National COVID-19 Update (Annual Max Increase and COVID-19 Prevention Rewards Program): Click here for more information.

Life Insurance and Disbility Plans COVID Updates

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Kids Mental Health Resources

A Focus on Our Kids

Below are available resources that offer guidance to help our kids cope with current mental health challenges:

  • MyStrength -This web-based program is a great mental health resource for children ages 13 years old and up. It offers weekly exercises, informational articles and daily inspiration to focus on total well-being. Most 13-year olds are transitioning into high school – beginning this new life-phase coupled with learning how to express emotions as a young teenager and navigate the world’s “new normal” can be challenging. Sign up here and enter access code: FSBP.

  • Mental Health Guidebook – This guidebook provides great information about mental health that benefits children and adults. Page 11 lists resources for mental health and well-being, including those specific to kids.

  • KidsHealth.org – This website provides a wealth of information aimed to help kids, teens, and parents. Here is a special section for coping with the Coronavirus.

  • How to Help Children Cope in 2020 – This is a great checklist with ideas about how to have conversations with our kids regarding recent events like COVID-19 and social injustice issues.

  • AFSPA Kids Activity Book – Download, print, and share this activity book with your kids. It contains activities such as coloring pages, crossword puzzles, and word search puzzles. Coloring together or doing puzzles as a family is a great way for parents to relax and bond with their children. Socialization is proven to benefit the body and mind. It boosts self-esteem, combats depression, and even strengthens the immune system.