FSBP Claims
How to file a claim for covered services
Submit your claims electronically
Quickest and fastest way to get your claims reimbursement
Register for the AFSPA Member Portal and complete our Electronic Fund Transfer (EFT) 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 account right away. Read our FAQs.
Important things to know about EFT:
- 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.
How to submit a claim from a U.S. Provider
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.
If your provider is out-of-network and he or she will not bill us, you should obtain a fully itemized bill prepared by the provider that contains the following information:
- Patient’s name, date of birth, address, phone number and relationship to enrollee
- Patient’s Plan identification number
- Name, address, and tax identification number of the person or company providing the services or supplies. (Tax ID number not required for providers outside the U.S.)
- Dates that services or supplies were furnished
- Diagnosis
- Type of each service or supply
- Charge for each service or supply
- Valid medical or ADA dental code (not required for overseas claims) or description of each service or supply
Submit electronically
Quickest and fastest way to get your claims reimbursement
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.
Submit by mail
If you are not able to scan and upload your claim to our Member Portal, please complete a PDF claim form and mail it to us at:
Foreign Service Benefit Plan
1620 L Street, NW, Suite 800, Washington, DC 20036-5629
How to submit a claim from an Overseas Provider
FSBP pays for claims for providers outside the U.S. at the in-network co-insurance benefit. When filing a claim for services rendered by an overseas provider, bills and receipts should be itemized and show:
- Patient’s name, date of birth, address, phone number and relationship to enrollee
- Patient’s Plan identification number
- Full name and address of the provider, including city, postal code and country
- Dates that services or supplies were furnished
- Diagnosis/reason for visit Overseas Claims (include a description of the sickness or accident)
- Type of each service or supply
- Charge for each service or supply
Note: We will provide translation and currency conversion services for claims for overseas (foreign) services. For more information, refer to the Plan’s official brochure. Here are some helpful FAQs.
Submit electronically
Quickest and fastest way to get your claims reimbursement
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.
Submit by mail
If you are not able to scan and upload your claim to our Member Portal, please complete a PDF claim form and mail it to us at:
Foreign Service Benefit Plan
1620 L Street, NW, Suite 800, Washington, DC 20036-5629
Mail to/from overseas significantly increases the time to receive claims reimbursement
Massage Therapy Claims - U.S. and Overseas
FSBP covers 50 massages, 50 chiropractic, and 50 acupuncture visits per calendar year, per member. You must pay upfront for the services and submit an itemized bill for reimbursement. We cover up to $60 per visit, per service.
Members in the U.S. can visit any therapist, but they must be licensed. The itemized bill must include the provider’s Federal Tax I.D. Number or Massage Therapy Licensed Number.
The following information is needed on an itemized bill for reimbursement:
- Patient’s name
- Patient’s date of birth
- Patient’s ID number
- Provider/massage therapist name and business address
- License or certification number and Federal Tax ID (for U.S. providers only)
- Date of each service
- Description of service rendered
- Cost for each service
- Copy of your paid receipt
Submit electronically
Quickest and fastest way to get your claims reimbursement
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.
Submit by mail
If you are not able to scan and upload your claim to our Member Portal, please complete a PDF claim form and mail it to us at:
Foreign Service Benefit Plan
1620 L Street, NW, Suite 800, Washington, DC 20036-5629
Mail to/from overseas significantly increases the time to receive claims reimbursement
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.
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 electronically
Quickest and fastest way to get your claims reimbursement
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.
Submit by mail
If you are not able to scan and upload your claim to our Member Portal, please complete a PDF claim form and mail it to us at:
Foreign Service Benefit Plan
1620 L Street, NW, Suite 800, Washington, DC 20036-5629
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Register to attend the 2021 Virtual Benefits Fair to chat with FSBP Health Benefits Officers, review 2022 plan details, and get the information you need in one convenient online location.
