Simple Steps to Living Well Together Program

adults exercising outdoorAt the Foreign Service Benefit Plan (FSBP), Caring for Your Health Worldwide is more than just a slogan – it is the driving force behind everything we do. We actively invest in your well-being, so when you take steps to live a healthier life, we both win.

That’s why FSBP makes it easy: take the Simple Steps outlined here and earn up to $400 (you must be over 18 years of age to receive the incentives). 

The wellness rewards you earn will be applied as Wellness Incentive Fund Account credits to help reimburse you for Eligible Medical Expenses like your deductible, coinsurance, and copayments, as defined by IRS Code Section 213(d). You can obtain each reward once per calendar year.

 

wellness infographic


Step 1: Complete a Health Risk Assessment  

Reward: $75 Wellness Incentive Fund Creditdoctor and patient in exam room

Completing your Health Risk Assessment (HRA) annually is an important first step to guiding your personal health goals. An HRA is like an online interview. It asks questions like those asked during an annual checkup. You share information about your health habits and history. Then, you receive a personalized health summary to help you understand your health needs.

1. Go to “Aetna’s secure member website” and log on or register
2. Look for the “Stay Healthy” bar on the bottom right of the page and Select ''Discover a Healthier You.''
3. You are taken to a page that says ''For Your Information.'' Select Continue.
4. The next page will appear ''Wellness isn't far away!'' Click ''My Rewards'' to get started.
5. The next page will appear ''Wellness Rewards.'' At the bottom, select ''Work On It'' to start your Health Risk Assessment.
6. Or, call 855-406-5122 to complete the HRA by phone.

Take the HRA now.


Step 2: Pass a Biometric Screening through Quest Diagnostics and have a Routine Physical Examination

Reward: $100 Wellness Incentive Fund Credit doctor taking patient's blood pressure

A Biometric Screening includes measurements of physical characteristics such as height, weight, body mass index, blood pressure, blood cholesterol, blood glucose, and aerobic fitness. It serves as a benchmark and can help evaluate changes in health status over time.

Get a Biometric Screening at a Quest Diagnostics Patient Service Center (PSC), or from your physician. 

To earn the $100 reward, you must complete a Biometric Screening and pass 3 out of 5 metabolic syndrome criteria (HDL Cholesterol, Triglycerides, Blood pressure, Waist Circumference and Glucose). 

If you do not pass 3 out of 5 metabolic syndrome criteria, you can still receive a $75 Wellness Credit by completing one of these wellness programs–Mediterranean Wellness, Health Coaching, or Dietary and Nutritional Counseling.

Register for your Biometric Screening

1. Visit my.questforhealth.com and enter the registration key, “FSBP
2. Locate a PSC location
3. Or, print a copy of the Biometric Screening Physician Results Form to take to your physician
4. Call 855-623-9355 to register by phone

Do the screening today.

To receive the $75 reward, the Biometric Screening (with one of four programs, if applicable) – must be completed by December 1 of the calendar year.


Step 3: Complete your Healthy Action(s)

wellness incentive infographicReward: Up to $225 Wellness Incentive Fund Credit 

Members identified with the following conditions are eligible to participate in the Healthy Actions below to earn a $75 reward for each program completed.

High Blood Pressure

  • Controlling Blood Pressure or
  • Mediterranean Wellness
  • Health Coaching 
  • Livongo® for Hypertension 

Pre-Diabetes

  • Controlling Metabolic Syndrome/Pre-Diabetes or
  • Dietary & Nutritional Counseling 
  • Mediterranean Wellness 

Diabetes

  • Controlling A1c Hemoglobin (HbA1c) levels or
  • Dietary & Nutrition Counseling 
  • Mediterranean Wellness 
  • Diabetic Education or Training
  • Livongo® for Diabetes

Tobacco Users

  • Tobacco Cessation Program

Pregnant 

  • First trimester prenatal care visit

All members are eligible to participate in the Healthy Action items below and receive rewards once completed.

  • Digital Coach Programs -  up to $150
  • Health Coaching - up to $150
  • Breast Cancer Screening - $25 
  • Cervical Cancer Screening - $25
  • Flu Shot - $25

To earn an incentive for the completed Healthy Actions above, documentation should be mailed to:
Aetna, C/O FEHB QM
4400 NW Loop 410
Suite 101
San Antonio, TX 78229


Healthy Actions (with wellness programs, if applicable) must be completed by December 1 of the calendar year. For more details about the Simple Steps to Living Well Together Program, refer to Section 5h of the FSBP Brochure

Your provider must document two controlled blood pressure readings (below 140/90) – on separate calendar year visits. If you are unable to meet this goal, you can earn a reward by completing one of the following wellness programs: Mediterranean Wellness, Health Coaching, or Livongo Remote Hypertension Monitoring.

Your provider must document test results showing: a 5% weight reduction, at least a 10% reduction in triglycerides, or a 5% HDL increase. If you are unable to meet this goal, you can earn a reward by completing one of the following wellness programs: Mediterranean Wellness, or Dietary and Nutritional counseling.

Your provider must document laboratory results and your HbA1c must be less than 8%. If you are unable to meet this goal, you can earn a reward by completing one of the following wellness programs: Mediterranean Wellness, Dietary and Nutritional counseling, Diabetic Education or Training, or Livongo Remote Diabetes Monitoring.

The Plan will reach out to you if you self-identified as a tobacco user on your HRA. You must participate in the Plan’s Tobacco Cessation/E-cigarettes Program and complete at least two quit attempts that are part of the program. Each quit attempt must include four tobacco cessation/E-cigarettes counseling sessions of at least 30 minutes each. 

If you are pregnant, your provider must submit documentation of a prenatal care visit during the first trimester. The documentation submitted must include a copy of the prenatal care medical record of Obstetric Panel testing from your provider for you to earn the incentive.


Wellness Chart for Guidance

FSBP offers care management programs to help members with chronic illness such as asthma, congestive heart failure, diabetes, etc. Please refer to the chart below to help you find the program that fits your needs.  


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Asthma

In Touch Care (ITC)  Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click hereto access Aetna’s secure member website

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Blood Pressure Management

Digital Coach Programs (online) /

p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here  to access Aetna’s secure member website  

Healthy Action
p. 91

Personalized
♦ The Plan will reach out to members with high blood pressure and provide a form for your provider to complete. The provider must document two controlled blood pressure readings below 140/90 on separate visits during the current calendar year to earn a $75.00 Wellness incentive.

Before December 1 of the calendar year, mail the form to: Aetna, C/O FEHB QM, 4400 NW Loop 410, Suite 101, San Antonio, TX 78229

 

Health Coaching Program /p. 94 Personalized 
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments
Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com (passcode FSBP)

Livongo – remote hypertension monitoring Program* / p. 98

Personalized

♦ A Bluetooth enabled blood pressure monitor and cuff
♦ Counseling by Livongo’s clinical coaching team
♦ Livongo mobile app that provides real-time readings

Call 800-945-4355 or visit get.livongo.com/FSBP

Note: The Livongo app is available only on the U.S. Apple Store or U.S. Google Play Store.


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Cancer
Management

TherapEase / p. 96

Basic
♦ Provides online nutritional information for cancer patients

Visit www.therapeasecuisine.com

Cancer Support Program / p. 96

Personalized
♦ Offers nurse involvement
♦ Provides education and support

Call 800-593-2354


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Cholesterol Management

Digital Coach Programs (online) /

p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Chronic Obstructive Pulmonary Disease

 ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here  to access Aetna’s secure member website

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Chronic Kidney Disease

ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here  to access Aetna’s secure member website

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Congestive Heart Failure

ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here to access Aetna’s secure member website


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Coronary Artery Disease

ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here to access Aetna’s secure member website


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Depression/ Emotional Concerns/ Stress Management/ Anxiety

Digital Coach Programs (online) /
p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching Program / p. 94

Personalized 
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments

Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com (passcode FSBP)

myStrength™– online mental health support program/p. 97

Personalized
♦ Offers interactive dialogue
♦ Provides evidence-based resources to overcome depression, anxiety & substance abuse disorders

Visit www.mystrength.com, select “Sign-up” and enter code “FSBP”

AbleTo – online treatment support program/p. 97

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

Call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Diabetes
See also – Diabetic Education or training benefit/p. 49

ITC Program / p.95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program

Call 800-593-2354 or Click here to access Aetna’s secure member website

Healthy Action / p. 91 Personalized
♦ The Plan will reach out to diabetic members and ask that your provider submit your A1c laboratory results. Your A1c laboratory results must be less than 8% during the calendar year for you to earn a $75.00 wellness incentive.

Before December 1, mail A1c laboratory results to: Aetna, C/O FEHB QM, 4400 NW Loop 410, Suite 101, San Antonio, TX 78229

Livongo – remote diabetes monitoring Program / p. 98 ♦ Livongo is a remote diabetes monitoring program that provides personalized support through a cellular meter, mobile app and personalized interventions. Call 800-945-4355 or visit Livongo's website at  get.livongo.com/FSBP

AbleTo – online treatment support Program / p. 97

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Exercise/Physical Activity

Digital Coach (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching Program/
p. 94

Personalized
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach over the phone through scheduled appointments to improve your health

CCall 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com (passcode FSBP)

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Nutrition
See also – Nutritional counseling benefit / p. 35

Digital Coach Programs (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching Program / p. 94

 

Personalized
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments to improve your health

Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com/ (passcode FSBP)

Mediterranean Wellness Program / p. 94

Personalized
♦ Offers interactive online program
♦ Assists in maintaining weight and keeping healthy

Click here to access Aetna’s secure member website  


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Pre-Diabetes
See also – Diabetic Education or training benefit  / p. 49

Pre-Diabetic Alert Program / p. 97

Personalized
♦ Dialogue with a nurse
♦ Provides education/ support to members “at risk”

Call 800-593-2354


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Pregnancy

Healthy Action / p. 92

Personalized
♦ If pregnant, request your provider submit documentation of a prenatal care visit during the first trimester. A copy of the prenatal care medical record of Obstetric Panel testing from your attending provider is needed to earn a $75.00 wellness incentive.

BBefore December 1, stated prenatal care medical documentation should be mailed to: Aetna, C/O FEHB QM, 4400 NW Loop 410, Suite 101, San Antonio, TX 78229

Healthy Pregnancy Program/p. 94

Personalized
♦ Provides educational material and support for healthy and high-risk pregnancies

Call 800-593-2354

AbleTo – online treatment support program/p. 97

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

Call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Smoking Cessation

 

Digital Coach (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Tobacco Cessation/E-cigarettes Program / p. 49

Personalized
♦ Provided through health coaching
♦ Offers two quit attempts through telephone counseling
♦ Obtain medication

Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com/ (passcode FSBP)

Healthy Action/ p.92

Personalized
♦ Complete at least two quit attempts. The quit attempt must include four tobacco cessation/E-cigarettes counseling sessions of at least 30 minutes each

The Plan will reach out to you if you self-identified as a tobacco user on your HRA and ask you to participate in the Plan’s Tobacco Cessation/E-cigarettes Program


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Sleep Management

Digital Coach (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website)


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Weight Control
See also - Weight Management Program Benefit/p. 49

Digital Coach (online)/p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching/p. 94

 

Personalized 
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments

Call 855-406-5122 or
 479-973-7168; or visit http://enroll.trestletree.com/ (passcode FSBP)

Mediterranean Wellness Program/p. 94

Personalized 
♦ Interactive online program
♦ Assists in maintaining a desirable weight and keeping healthy

Click here to access Aetna’s secure member website


In Touch Care (ITC) Program

man and son walking in parkThe In Touch Care (ITC) Program provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

ITC offers:

  • One-on-one calls – participate in ongoing phone calls with a registered nurse or licensed social worker who serves as a trusted resource. To receive this individualized support, call 800-593-2354.
  • Online resources – receive digital support to better manage your health. Register or log in to Aetna’s secure member website and visit your health dashboard to get started.
  • Health Action Plans – receive customized health action plans based on your personal needs and individual preferences.

ITC Programs:

  • Social Work – connect with a licensed Social Worker who can help you locate the right resources to empower you to handle issues with confidence and clarity.
  • Pain Management – cope with chronic pain, manage opioid usage or avoid having to start opioids.
  • Compassionate Care (formerly Advance Illness Program)– manage health conditions and reduce advanced/terminal illness costs.

To learn more about ITC, call 800-593-2354. Details on the ITC Program can also be found in Section 5h of the FSBP Brochure.


Telehealth For Members with an Address in the 50 United States

Telehealth through Teladoc® – A Faster, Easier Way to See a Doctor.

Telehealth consultations are available for the following specialties through our telehealth vendor, Teladoc:telehealth image

  • Doctors of Medicine (MD)
  • Doctors of Osteopathic Medicine (DO)
  • Nutritionists
  • Licensed Clinical Social Workers (LCSW)
  • Psychiatrists
  • Psychologists
  • Dermatologists

Benefits of using Teladoc:

  • Covered at 100% - you pay nothing!
  • US board certified doctors
  • Prescriptions sent to pharmacy of choice, if necessary
  • No appointment necessary
  • Private and secure
  • Skip waiting rooms

Teladoc can be used any time, day or night. It’s perfect when your doctor’s office is closed, you’re too sick or busy to see someone in person, or even when you’re traveling. You can address most common issues such as: colds, fever, rash, ear infections, and migraines. You can also see a therapist for ongoing counseling for concerns such as: depression, anxiety, and stress, as well as a dietician for diet and nutrition help. 

You can contact Teladoc by phone, web or through the Aetna Health mobile app and receive treatment within minutes for non-emergency medical needs.  For more information regarding telehealth consultations, please call 855-Teladoc (855-835-2362) or visit teladoc.com.

 

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 (covered at 100% - you pay nothing*), depending on which state you live in. 

  • MDLIVE provides services to members in all 50 states and accepts patients 10 years old and older. To register and schedule a session, call 1-855-824-2170 or go to www.mdlive.com/BHCOMM  
  • Inpathy provides services to members who live in California, Delaware, Florida, Illinois, Missouri, New Jersey, New York, Pennsylvania, Texas or Virginia and accepts patients age 5 and older.  The toll-free number for Inpathy is 800-442-8938.
  • Arcadian Telepsychiatry provides services to members who live in a state not covered by Inpathy and accepts patients age 18 and older. The toll-free number for Arcadian Telepsychiatry is 866-991-2103
*This benefit coverage provision is place for a limited time to assist members due to the COVID-19 pandemic. We will make an announcement when this coverage provision expires. 

 


Telehealth For Members with an Overseas Address

Telehealth through vHealth by Aetna

For members with an overseas address* (including APO, DPO, Embassy and Consulate addresses), telehealth consultations are available for general medicine through our telehealth vendor, vHealth by Aetna. 

Benefits of using vHealth by Aetna:

  • Accessibility - Access to care anywhere, anytime
  • Affordability - Zero cost, uncapped appointments
  • Quality - Best-in-class primary care doctors

To Register for vHealth by Aetna:

Click here to download a step-by-step vHealth member guide or follow the steps below. 

Step 1 - Download ‘vHealth by Aetna’ in the App Store or Google Play.

aetna-doctor-icon    Apple Store Download    google play download

Alternatively, visit our website: https://globalcareondemand.com/aetna

Step 2: You will be asked to create an account. If using the service for the first time. Click ‘Don’t have an account?’

Step 3: You will be asked to complete a registration form, including an access code. Your access code is FSBP.

vHealth screenshot

Step 4: Once you have done this select ‘register’ and you will be asked to activate your account through a link that will be sent to you via email.

Scheduling an Appointment

Step 1: If you wish to book a consultation please select ‘book a video consultation’ or ‘request a phone consultation’.  Video consultations can be scheduled at a chosen time. If you choose a phone consultation the doctor will call at the next available opportunity, usually within 1 – 2 hours.

Step 2: Most fields will be pre-populated. Be sure to explain your symptoms and upload any photos of symptoms or documents such as test results (if necessary)

Step 3: If you have booked a phone consultation, there is nothing else to do. The doctor will call you on the number provided.

If you have booked a video consultation, you will need to open the app prior to the call and click ‘start video call’. From there the doctor can join you.

Appointments last 30 minutes – plenty of time to ask the questions you need.

Helpful Information

  • From the Home page you can also call in directly to vHealth.  Click on ‘contact us’.  You will reach a vHealth Customer Service Member who can help with any questions, issues or scheduling.
  • Please note, for general Foreign Service Benefit Plan inquiries, please call 1-202-833-4910.
  • From the Appointments section you can view your history of scheduled video and phone calls, as well as any past consultations. All records and summaries of your calls are kept here.
  • The notes relating to your consultation can be viewed in the appointment details along with any recommendations made by your doctor.

*If you have an overseas address and are back in the 50 United States temporarily, you will still use vHealth for telehealth visits.


PinnacleCare

doctor walking with couplePinnacleCare offers a personalized health advisory support program for Foreign Service Benefit Plan (FSBP) members facing a serious diagnosis. This program is included in your FSBP coverage at no additional cost.

The FSBP Clinical Team is available to support members facing health challenges. Our nurse case managers will refer you to PinnacleCare if you are suffering from certain illnesses or are in need of major procedures. The medical experts and dedicated health advisors at PinnacleCare will help FSBP members navigate the complexities of the health care system. Their goal is to provide better medical intelligence, preferred access to top-specialists and improved health outcomes. Some of the health issues and serious illnesses PinnacleCare can provide support for include:

  • Aortic Valve Replacement
  • Atrial Fibrillation
  • Carotid Endarterectomy
  • Cancer
  • Mitral Valve Replacement
  • Hemophilia
  • Pancreas Transplant
  • HIV
  • Kidney Transplant
  • Liver Disease
  • Liver Transplant
  • Lyme Disease
  • Heart Transplant
  • Multiple Sclerosis
  • Spine Surgery
  • Parkinson's Disease

PinnacleCare's extensive experience and expansive partnership assistance provide fast access to the right providers, so you have the best available treatment options for your unique healthcare challenge.

To learn more about how PinnacleCare can help, please contact FSBP’s clinical team at 800-593-2354.


2020 FSBP Theme Banner

Did you know that 1 in 4 people face mental health challenges, and about 70% do not receive the care and support they need?  FSBP offers various programs that can help address unique emotional and behavioral health needs in a safe and confidential environment.


AbleTowoman looking out the window

AbleTo is a web-based video conferencing personalized 8-week treatment support program designed to address the unique emotional and behavioral health needs of individuals learning to live with conditions like heart disease, type 2 diabetes, chronic pain or life events such as losing a loved one or having a baby. You will work with the same therapist and coach each week to set reasonable goals toward healthier lifestyle changes.

There are several ways we identify members who may benefit from the AbleTo support such as:

  • Your nurses or clinicians may refer you to AbleTo as they work directly with you and can refer you if it is determined that you can benefit from AbleTo support.
  • If identified, an Engagement Specialist from AbleTo will contact you to introduce the treatment option.

If you feel you would benefit from this program, would like more information, or would like to enroll in this program please call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll. This program is available to members in the 50 United States.


Health Coaching Program* man getting fresh air

The Health Coaching Program provides you and your covered dependents the opportunity to work one-on-one with a Health Coach to improve your health. A Health Coach is a health care professional who partners with you to transform your health goals into action. You can talk to a Health Coach about the following health-related matters:

  • Tobacco cessation/E-cigarettes
  • Weight management
  • Exercise
  • Nutrition
  • Stress management

How does health coaching work?

  • You talk with your Health Coach over the telephone through conveniently scheduled appointments and create a plan that is right for you to meet your health goals. Everything in the program is tailored to you.
  • You explore ways to make changes in your behavior that will last.
  • You receive written materials from your Health Coach that can help you decide where you want to go with your health and how to get there.
  • Appointments can range from 15 minutes to an hour. How long and how often you meet with your Health Coach depends on your individual needs.

To enroll in a program, contact a Health Coach at 855-406-5122 or 479-973-7168. Coaches are available Monday through Thursday from 8:00 a.m.– 10:00 p.m. Eastern Time (ET) and Friday from 8:00 a.m.– 6:00 p.m. ET. You may also enroll online at http://enroll.trestletree.com (passcode: FSBP).

*Completion of any of the health coaching program can earn you a Healthy Action Incentive in the Simple Steps to Living Well Together Program (condition specific). 

 


Digital Coach Programs* woman eating salad

These programs offer:

  • Health Education - Find information in the Coaching and Library sections for managing stress and improving sleep health/quality
  • A Wellness Webinar – Watch a 45-minute webinar session entitled, “Mind your stress with mindfulness”
  • Wellness Goal Support – Receive help and guidance on Smoking cessation, Weight management, Nutrition, Physical activity, Depression management, and more

To get started:

  • Log into the Aetna secure member website
  • Click on “Stay Healthy,” at the top of the landing page
  • Select “Discover a Healthier You” and proceed
*Completion of any of the digital coach program can earn you a Healthy Action Incentive in the Simple Steps to Living Well Together Program (condition specific). 

myStrength™  Man sitting by lake

The myStrength™ program provides you and your covered dependents age 13 and older, evidence-based resources to help overcome obstacles of depression, anxiety, and substance use disorder while improving overall well-being through a personalized evidence-based internet-enabled program. 

This program uses interactive web and mobile applications that deliver evidence-based psychotherapy models like:

  • Cognitive behavioral therapy (CBT)
  • Acceptance and commitment therapy (ACT)
  • Mindfulness acceptance

Personalized inspirational and wellness approaches increase personal relevance, improve outcomes and focus on total well-being.

If you would like to enroll in the program visit www.mystrength.com, select “Sign-up”, enter the access code “FSBP” and complete the myStrength™ sign-up process with a brief Wellness Assessment and personal profile.


Telehealth Services (Stateside Members)woman video conferencing with doctor

Telehealth consultations are available to members in the 50 United States through Teladoc™.

U.S. board-certified physicians and pediatricians are available 24/7 for a consultation by phone, video, or the Teladoc™ mobile app. You also can see a behavioral health provider for depression, anxiety and stress, as well as a nutritionist for dietary conditions or dermatologist for skin conditions.

  • Speak with a family doctor
    For conditions like the flu, cough, colds, seasonal allergies, sinus problems, arthritis, upper respiratory infection, backaches and food poisoning

  • Connect with a dermatologist
    Upload images of your issue to the app and get a treatment plan and prescription, if needed, for skin conditions like acne, eczema, psoriasis, rashes, and more

  • Find a Doctor
    Get a list of local specialists who can help with your specific medical needs

To register for Teladoc™ visit www.teladoc.com or call 855-Teladoc (855-835-2362) for more information.


Telehealth Services (Overseas Members) 

Telehealth consultations are available to members outside the 50 United States through our telehealth vendor, vHealth by Aetna. Access telehealth services 24/7/365 by web, phone, and the vHealth mobile app to receive treatment for general medicine. Treatment may include preventive care as well as treatment for acute and chronic illnesses. A provider also may give referrals and prescribe medications, when appropriate.


Note: Telehealth through vHealth 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 vHealth by Aetna while traveling outside the 50 United States. Telehealth consultations through vHealth are available for general medicine

To sign up, download vHealth by Aetna in the App Store or Google Play Store or visit https://globalcareondemand.com/aetna. Call 857-256-3784 (US) or +44 (0) 20 3499 2851 (UK) for information regarding telehealth consultations.

FSBP also covers professional services by licensed professional mental health and substance use disorder practitioners when acting within the scope of their license, such as psychiatrists, psychologists, clinical social workers, licensed professional counselors, or family therapists. Refer to section 5(e) of the FSBP Brochure for benefit coverage.


Livongo-Remote Diabetes Monitoring Program

livongo meterThe Livongo-Remote Diabetes Monitoring Program empowers those with diabetes to live a better life. You will receive personalized support through a cellular enabled meter, mobile app and personalized interventions to help you make better decisions about diabetes management. This program is offered at no cost to eligible FSBP members. Eligible candidates will be contacted and asked to participate in the program. Participation is voluntary. 

The program provides:

  • Unlimited blood glucose test strips and lancets
  • Strip reordering right from your meter
  • Livongo glucose meter that tracks strip usage and prompts members to reorder supplies
  • Real-time interventions by Certified Diabetes Educators
  • Personalized tips with each blood glucose check
  • Transfer of your data directly to your provider via the meter
  • Automatic uploads (no more paper logbooks)

For more information contact 800-945-4355 or visit Livongo's website at get.livongo.com/FSBP.


Livongo-Remote Hypertension Monitoring Program

Livongo blood pressure monitorThe Livongo-Remote Hypertension Monitoring Program is a health benefit that combines advanced technology with personalized coaching to help you easily manage high blood pressure. This program is offered at no cost to eligible FSBP members. Eligible candidates will be contacted and invited to participate in the Program. Participation is voluntary.

The program provides:

  • A Bluetooth enabled blood pressure monitor and cuff
  • Access to Livongo’s expert health coaches when you need it
  • Livongo mobile app that provides real-time reading
  • Personalized insights with each reading

Note: The Livongo mobile app is available only on the U.S. Apple Store or U.S. Google Play Store.

For more information contact 800-945-4355 or visit Livongo's website at get.livongo.com/FSBP.


Mediterranean Wellness Program*man cutting bell pepper in kitchen

The Mediterranean diet is known to be one of the healthiest diets in the world. For those who want to see gains in overall well-being and appreciate a preplanned structure, try this 8-week interactive online program that includes access to a registered dietician.

You can receive up to 100% reimbursement for the Mediterranean Wellness Program once you complete at least 80% of the Program. Once you complete at least 80% of the Program, FSBP will automatically reimburse you for the cost of the program under the Plan’s Nutritional counseling benefit.

How do I sign up?:

  1. Log on or register on “Aetna’s secure member website” 
  2. Look for the “Stay Healthy” icon, select “Discover a Healthier You” and proceed

For full benefit details for this program, please see the FSBP Brochure, Section 5(h) Wellness and other Special features

*Completion of the Mediterranean Wellness program can earn you a Healthy Action Incentive in FSBP's Simple Steps to Living Well Together Program

woman jogging in cityHealth Coaching Program*

The Health Coaching Program provides you and your covered dependents the opportunity to work one-on-one with a Health Coach to improve your health. A Health Coach is a health care professional who partners with you to transform your health goals into action. You can talk to a Health Coach about the following health-related matters:

  • Tobacco cessation/E-cigarettes
  • Weight management
  • Exercise
  • Nutrition
  • Stress management

How does health coaching work?

  • Talk with your Health Coach over the telephone through conveniently scheduled appointments and create a plan that is right for you to meet your health goals. Everything in the program is tailored to you.
  • Explore ways to make changes in your behavior that will last.
  • Receive written materials from your Health Coach that can help you decide where you want to go with your health and how to get there.
  • Appointments can range from 15 minutes to an hour. How long and how often you meet with your Health Coach depends on your individual needs.

To enroll in a program, contact a Health Coach at 855-406-5122 or 479-973-7168. Coaches are available Monday through Thursday from 8:00 a.m.– 10:00 p.m. Eastern Time (ET) and Friday from 8:00 a.m.– 6:00 p.m. ET. You may also enroll online at http://enroll.trestletree.com (passcode: FSBP).

*Completion of the health coaching program can earn you up to $150 in Healthy Action Incentives in FSBP's Simple Steps to Living Well Together Program Complete 6 sessions to earn $75 and 8 sessions to earn an additional $75.

man getting coached on laptopDigital Coach Programs*

Will regular phone conversations with a health coach just not fit your life, or your personality? Still want to make real change for your health? Try our digital program for online coaching. Choose from the following wellness goals:

  • Smoking cessation
  • Stress management
  • Weight management
  • Nutrition
  • Physical activity
  • Cholesterol management
  • Lowering blood pressure
  • Depression management
  • Sleep improvement

How do I sign up?:

  1. Log on or register for “Aetna’s secure member website” 
  2. Look for the “Stay Healthy” icon, select “Discover a Healthier You” and proceed.

For full benefit details for this program, please see the FSBP Brochure,Section 5(h) Wellness and other Special features.

*Completion of the digital coaching program can earn you up to $150 in Healthy Action Incentives in FSBP's Simple Steps to Living Well Together Program. Reach level 3 to earn $75 and level 4 to earn an additional $75.

healthcare receptionist on phoneFREE 24-Hour Nurse Advice & Translation Lines 

The Nurse Advice Line provides members with a live registered nurse to advise them about urgent issues and answer health-related questions. The Nurse Advice Line is 855-482-5750 or 705-834-6782

You can also engage a registered nurse in an online chat via Aetna’s secure member website. Once you log on the site, select "Wellness Tools" and then "Nurse Advice Line." In addition, you have access to the AudioHealth Library in the site. 

The Translation Line provides telephonic language translation services for our overseas members. This service provides direct translation for our members utilizing urgent or emergency services while outside of the U.S. The Translation Line is 855-482-5750 or 705-834-6782.


mom with toddler at parkPre-Diabetic Alert Program

The Pre-Diabetic Alert Program is focused to provide education and support for members "at risk" for developing diabetes. We will contact those individuals identified at risk and offer them the opportunity to participate in the Program. Participation is voluntary. The participant and his/her physician or other health care professional remain in charge of the participant's treatment plan.

Refer to Section 5(a), Education Classes and Programs of the FSBP Brochure for the Plan’s Diabetic Education or training benefit. FSBP covers diabetic education or training at 90% of the plan allowance for in-network (no deductible) and 70% of the plan allowance for out-of-network (no deductible).

If you would like to contact the Plan for more information about this Program, please call 800-593-2354.


working during a pandemicAbleTo 

AbleTo is a web-based video conferencing personalized 8-week treatment support program designed to address the unique emotional and behavioral health needs of individuals learning to live with conditions like heart diseasetype 2 diabeteschronic pain or life events such as losing a loved one or having a baby. You will work with the same therapist and coach each week to set reasonable goals toward healthier lifestyle changes.

There are several ways we identify members who may benefit from the AbleTo support such as:

  • Your nurses or clinicians may refer you to AbleTo as they work directly with you and can refer you if it is determined that you can benefit from AbleTo support.
  • If identified, an Engagement Specialist from AbleTo will contact you to introduce the treatment option.

If you feel you would benefit from this program, would like more information, or would like to enroll in this program please call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll. This program is available to members in the 50 United States.


Cleveland Clinic 

Looking for accurate health information from a trusted source? Use the Cleveland Clinic for free, trustworthy medical information. While at their site, you can sign up for free e-newsletters, physician-hosted online chats, or look up specific health topics.

Using the Cleveland Clinic website, including participating in the physician-hosted online chats, for health information is not part of the FEHB contract or premium, so you cannot file an FEHB disputed claim about it or the chats they hold.

Overview

Simple Steps to Living Well Together Program

adults exercising outdoorAt the Foreign Service Benefit Plan (FSBP), Caring for Your Health Worldwide is more than just a slogan – it is the driving force behind everything we do. We actively invest in your well-being, so when you take steps to live a healthier life, we both win.

That’s why FSBP makes it easy: take the Simple Steps outlined here and earn up to $400 (you must be over 18 years of age to receive the incentives). 

The wellness rewards you earn will be applied as Wellness Incentive Fund Account credits to help reimburse you for Eligible Medical Expenses like your deductible, coinsurance, and copayments, as defined by IRS Code Section 213(d). You can obtain each reward once per calendar year.

 

wellness infographic


Step 1: Complete a Health Risk Assessment  

Reward: $75 Wellness Incentive Fund Creditdoctor and patient in exam room

Completing your Health Risk Assessment (HRA) annually is an important first step to guiding your personal health goals. An HRA is like an online interview. It asks questions like those asked during an annual checkup. You share information about your health habits and history. Then, you receive a personalized health summary to help you understand your health needs.

1. Go to “Aetna’s secure member website” and log on or register
2. Look for the “Stay Healthy” bar on the bottom right of the page and Select ''Discover a Healthier You.''
3. You are taken to a page that says ''For Your Information.'' Select Continue.
4. The next page will appear ''Wellness isn't far away!'' Click ''My Rewards'' to get started.
5. The next page will appear ''Wellness Rewards.'' At the bottom, select ''Work On It'' to start your Health Risk Assessment.
6. Or, call 855-406-5122 to complete the HRA by phone.

Take the HRA now.


Step 2: Pass a Biometric Screening through Quest Diagnostics and have a Routine Physical Examination

Reward: $100 Wellness Incentive Fund Credit doctor taking patient's blood pressure

A Biometric Screening includes measurements of physical characteristics such as height, weight, body mass index, blood pressure, blood cholesterol, blood glucose, and aerobic fitness. It serves as a benchmark and can help evaluate changes in health status over time.

Get a Biometric Screening at a Quest Diagnostics Patient Service Center (PSC), or from your physician. 

To earn the $100 reward, you must complete a Biometric Screening and pass 3 out of 5 metabolic syndrome criteria (HDL Cholesterol, Triglycerides, Blood pressure, Waist Circumference and Glucose). 

If you do not pass 3 out of 5 metabolic syndrome criteria, you can still receive a $75 Wellness Credit by completing one of these wellness programs–Mediterranean Wellness, Health Coaching, or Dietary and Nutritional Counseling.

Register for your Biometric Screening

1. Visit my.questforhealth.com and enter the registration key, “FSBP
2. Locate a PSC location
3. Or, print a copy of the Biometric Screening Physician Results Form to take to your physician
4. Call 855-623-9355 to register by phone

Do the screening today.

To receive the $75 reward, the Biometric Screening (with one of four programs, if applicable) – must be completed by December 1 of the calendar year.


Step 3: Complete your Healthy Action(s)

wellness incentive infographicReward: Up to $225 Wellness Incentive Fund Credit 

Members identified with the following conditions are eligible to participate in the Healthy Actions below to earn a $75 reward for each program completed.

High Blood Pressure

  • Controlling Blood Pressure or
  • Mediterranean Wellness
  • Health Coaching 
  • Livongo® for Hypertension 

Pre-Diabetes

  • Controlling Metabolic Syndrome/Pre-Diabetes or
  • Dietary & Nutritional Counseling 
  • Mediterranean Wellness 

Diabetes

  • Controlling A1c Hemoglobin (HbA1c) levels or
  • Dietary & Nutrition Counseling 
  • Mediterranean Wellness 
  • Diabetic Education or Training
  • Livongo® for Diabetes

Tobacco Users

  • Tobacco Cessation Program

Pregnant 

  • First trimester prenatal care visit

All members are eligible to participate in the Healthy Action items below and receive rewards once completed.

  • Digital Coach Programs -  up to $150
  • Health Coaching - up to $150
  • Breast Cancer Screening - $25 
  • Cervical Cancer Screening - $25
  • Flu Shot - $25

To earn an incentive for the completed Healthy Actions above, documentation should be mailed to:
Aetna, C/O FEHB QM
4400 NW Loop 410
Suite 101
San Antonio, TX 78229


Healthy Actions (with wellness programs, if applicable) must be completed by December 1 of the calendar year. For more details about the Simple Steps to Living Well Together Program, refer to Section 5h of the FSBP Brochure

Your provider must document two controlled blood pressure readings (below 140/90) – on separate calendar year visits. If you are unable to meet this goal, you can earn a reward by completing one of the following wellness programs: Mediterranean Wellness, Health Coaching, or Livongo Remote Hypertension Monitoring.

Your provider must document test results showing: a 5% weight reduction, at least a 10% reduction in triglycerides, or a 5% HDL increase. If you are unable to meet this goal, you can earn a reward by completing one of the following wellness programs: Mediterranean Wellness, or Dietary and Nutritional counseling.

Your provider must document laboratory results and your HbA1c must be less than 8%. If you are unable to meet this goal, you can earn a reward by completing one of the following wellness programs: Mediterranean Wellness, Dietary and Nutritional counseling, Diabetic Education or Training, or Livongo Remote Diabetes Monitoring.

The Plan will reach out to you if you self-identified as a tobacco user on your HRA. You must participate in the Plan’s Tobacco Cessation/E-cigarettes Program and complete at least two quit attempts that are part of the program. Each quit attempt must include four tobacco cessation/E-cigarettes counseling sessions of at least 30 minutes each. 

If you are pregnant, your provider must submit documentation of a prenatal care visit during the first trimester. The documentation submitted must include a copy of the prenatal care medical record of Obstetric Panel testing from your provider for you to earn the incentive.

Wellness Chart

Wellness Chart for Guidance

FSBP offers care management programs to help members with chronic illness such as asthma, congestive heart failure, diabetes, etc. Please refer to the chart below to help you find the program that fits your needs.  


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Asthma

In Touch Care (ITC)  Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click hereto access Aetna’s secure member website

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Blood Pressure Management

Digital Coach Programs (online) /

p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here  to access Aetna’s secure member website  

Healthy Action
p. 91

Personalized
♦ The Plan will reach out to members with high blood pressure and provide a form for your provider to complete. The provider must document two controlled blood pressure readings below 140/90 on separate visits during the current calendar year to earn a $75.00 Wellness incentive.

Before December 1 of the calendar year, mail the form to: Aetna, C/O FEHB QM, 4400 NW Loop 410, Suite 101, San Antonio, TX 78229

 

Health Coaching Program /p. 94 Personalized 
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments
Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com (passcode FSBP)

Livongo – remote hypertension monitoring Program* / p. 98

Personalized

♦ A Bluetooth enabled blood pressure monitor and cuff
♦ Counseling by Livongo’s clinical coaching team
♦ Livongo mobile app that provides real-time readings

Call 800-945-4355 or visit get.livongo.com/FSBP

Note: The Livongo app is available only on the U.S. Apple Store or U.S. Google Play Store.


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Cancer
Management

TherapEase / p. 96

Basic
♦ Provides online nutritional information for cancer patients

Visit www.therapeasecuisine.com

Cancer Support Program / p. 96

Personalized
♦ Offers nurse involvement
♦ Provides education and support

Call 800-593-2354


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Cholesterol Management

Digital Coach Programs (online) /

p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Chronic Obstructive Pulmonary Disease

 ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here  to access Aetna’s secure member website

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Chronic Kidney Disease

ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here  to access Aetna’s secure member website

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Congestive Heart Failure

ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here to access Aetna’s secure member website


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Coronary Artery Disease

ITC Program / p. 95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

Call 800-593-2354 or Click here to access Aetna’s secure member website


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Depression/ Emotional Concerns/ Stress Management/ Anxiety

Digital Coach Programs (online) /
p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching Program / p. 94

Personalized 
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments

Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com (passcode FSBP)

myStrength™– online mental health support program/p. 97

Personalized
♦ Offers interactive dialogue
♦ Provides evidence-based resources to overcome depression, anxiety & substance abuse disorders

Visit www.mystrength.com, select “Sign-up” and enter code “FSBP”

AbleTo – online treatment support program/p. 97

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

Call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Diabetes
See also – Diabetic Education or training benefit/p. 49

ITC Program / p.95

Personalized
♦ Provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program

Call 800-593-2354 or Click here to access Aetna’s secure member website

Healthy Action / p. 91 Personalized
♦ The Plan will reach out to diabetic members and ask that your provider submit your A1c laboratory results. Your A1c laboratory results must be less than 8% during the calendar year for you to earn a $75.00 wellness incentive.

Before December 1, mail A1c laboratory results to: Aetna, C/O FEHB QM, 4400 NW Loop 410, Suite 101, San Antonio, TX 78229

Livongo – remote diabetes monitoring Program / p. 98 ♦ Livongo is a remote diabetes monitoring program that provides personalized support through a cellular meter, mobile app and personalized interventions. Call 800-945-4355 or visit Livongo's website at  get.livongo.com/FSBP

AbleTo – online treatment support Program / p. 97

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Exercise/Physical Activity

Digital Coach (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching Program/
p. 94

Personalized
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach over the phone through scheduled appointments to improve your health

CCall 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com (passcode FSBP)

 


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Nutrition
See also – Nutritional counseling benefit / p. 35

Digital Coach Programs (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching Program / p. 94

 

Personalized
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments to improve your health

Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com/ (passcode FSBP)

Mediterranean Wellness Program / p. 94

Personalized
♦ Offers interactive online program
♦ Assists in maintaining weight and keeping healthy

Click here to access Aetna’s secure member website  


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Pre-Diabetes
See also – Diabetic Education or training benefit  / p. 49

Pre-Diabetic Alert Program / p. 97

Personalized
♦ Dialogue with a nurse
♦ Provides education/ support to members “at risk”

Call 800-593-2354


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Pregnancy

Healthy Action / p. 92

Personalized
♦ If pregnant, request your provider submit documentation of a prenatal care visit during the first trimester. A copy of the prenatal care medical record of Obstetric Panel testing from your attending provider is needed to earn a $75.00 wellness incentive.

BBefore December 1, stated prenatal care medical documentation should be mailed to: Aetna, C/O FEHB QM, 4400 NW Loop 410, Suite 101, San Antonio, TX 78229

Healthy Pregnancy Program/p. 94

Personalized
♦ Provides educational material and support for healthy and high-risk pregnancies

Call 800-593-2354

AbleTo – online treatment support program/p. 97

Personalized
♦ Offers personalized 8-week treatment support via web-based conferencing
♦ Work with the same therapist and coach to set reasonable goals

Call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Smoking Cessation

 

Digital Coach (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Tobacco Cessation/E-cigarettes Program / p. 49

Personalized
♦ Provided through health coaching
♦ Offers two quit attempts through telephone counseling
♦ Obtain medication

Call 855-406-5122 or
479-973-7168; or visit http://enroll.trestletree.com/ (passcode FSBP)

Healthy Action/ p.92

Personalized
♦ Complete at least two quit attempts. The quit attempt must include four tobacco cessation/E-cigarettes counseling sessions of at least 30 minutes each

The Plan will reach out to you if you self-identified as a tobacco user on your HRA and ask you to participate in the Plan’s Tobacco Cessation/E-cigarettes Program


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Sleep Management

Digital Coach (online) / p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website)


If I Have or Need Help With…


Then Review This Program or Healthy Action/Page #

Level of Intensity/What Does It Do?

How Do I Participate?

Weight Control
See also - Weight Management Program Benefit/p. 49

Digital Coach (online)/p. 95

Basic
♦ Creates an individualized plan for successful behavior change

Click here to access Aetna’s secure member website

Health Coaching/p. 94

 

Personalized 
♦ Dialogue with a coach
♦ Work one-on-one with a Health Coach to improve your health over the phone through scheduled appointments

Call 855-406-5122 or
 479-973-7168; or visit http://enroll.trestletree.com/ (passcode FSBP)

Mediterranean Wellness Program/p. 94

Personalized 
♦ Interactive online program
♦ Assists in maintaining a desirable weight and keeping healthy

Click here to access Aetna’s secure member website

In Touch Care (ITC) Program

In Touch Care (ITC) Program

man and son walking in parkThe In Touch Care (ITC) Program provides you and your dependents personal support to manage health events or chronic conditions at no additional cost. This combined service formerly fell under three programs, Case Management, Disease Management and Advanced Illness Program. It also broadens the scope of the Program to include a Social Work Program and a Pain Management Program.

ITC offers:

  • One-on-one calls – participate in ongoing phone calls with a registered nurse or licensed social worker who serves as a trusted resource. To receive this individualized support, call 800-593-2354.
  • Online resources – receive digital support to better manage your health. Register or log in to Aetna’s secure member website and visit your health dashboard to get started.
  • Health Action Plans – receive customized health action plans based on your personal needs and individual preferences.

ITC Programs:

  • Social Work – connect with a licensed Social Worker who can help you locate the right resources to empower you to handle issues with confidence and clarity.
  • Pain Management – cope with chronic pain, manage opioid usage or avoid having to start opioids.
  • Compassionate Care (formerly Advance Illness Program)– manage health conditions and reduce advanced/terminal illness costs.

To learn more about ITC, call 800-593-2354. Details on the ITC Program can also be found in Section 5h of the FSBP Brochure.

Telehealth

Telehealth For Members with an Address in the 50 United States

Telehealth through Teladoc® – A Faster, Easier Way to See a Doctor.

Telehealth consultations are available for the following specialties through our telehealth vendor, Teladoc:telehealth image

  • Doctors of Medicine (MD)
  • Doctors of Osteopathic Medicine (DO)
  • Nutritionists
  • Licensed Clinical Social Workers (LCSW)
  • Psychiatrists
  • Psychologists
  • Dermatologists

Benefits of using Teladoc:

  • Covered at 100% - you pay nothing!
  • US board certified doctors
  • Prescriptions sent to pharmacy of choice, if necessary
  • No appointment necessary
  • Private and secure
  • Skip waiting rooms

Teladoc can be used any time, day or night. It’s perfect when your doctor’s office is closed, you’re too sick or busy to see someone in person, or even when you’re traveling. You can address most common issues such as: colds, fever, rash, ear infections, and migraines. You can also see a therapist for ongoing counseling for concerns such as: depression, anxiety, and stress, as well as a dietician for diet and nutrition help. 

You can contact Teladoc by phone, web or through the Aetna Health mobile app and receive treatment within minutes for non-emergency medical needs.  For more information regarding telehealth consultations, please call 855-Teladoc (855-835-2362) or visit teladoc.com.

 

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 (covered at 100% - you pay nothing*), depending on which state you live in. 

  • MDLIVE provides services to members in all 50 states and accepts patients 10 years old and older. To register and schedule a session, call 1-855-824-2170 or go to www.mdlive.com/BHCOMM  
  • Inpathy provides services to members who live in California, Delaware, Florida, Illinois, Missouri, New Jersey, New York, Pennsylvania, Texas or Virginia and accepts patients age 5 and older.  The toll-free number for Inpathy is 800-442-8938.
  • Arcadian Telepsychiatry provides services to members who live in a state not covered by Inpathy and accepts patients age 18 and older. The toll-free number for Arcadian Telepsychiatry is 866-991-2103
*This benefit coverage provision is place for a limited time to assist members due to the COVID-19 pandemic. We will make an announcement when this coverage provision expires. 

 


Telehealth For Members with an Overseas Address

Telehealth through vHealth by Aetna

For members with an overseas address* (including APO, DPO, Embassy and Consulate addresses), telehealth consultations are available for general medicine through our telehealth vendor, vHealth by Aetna. 

Benefits of using vHealth by Aetna:

  • Accessibility - Access to care anywhere, anytime
  • Affordability - Zero cost, uncapped appointments
  • Quality - Best-in-class primary care doctors

To Register for vHealth by Aetna:

Click here to download a step-by-step vHealth member guide or follow the steps below. 

Step 1 - Download ‘vHealth by Aetna’ in the App Store or Google Play.

aetna-doctor-icon    Apple Store Download    google play download

Alternatively, visit our website: https://globalcareondemand.com/aetna

Step 2: You will be asked to create an account. If using the service for the first time. Click ‘Don’t have an account?’

Step 3: You will be asked to complete a registration form, including an access code. Your access code is FSBP.

vHealth screenshot

Step 4: Once you have done this select ‘register’ and you will be asked to activate your account through a link that will be sent to you via email.

Scheduling an Appointment

Step 1: If you wish to book a consultation please select ‘book a video consultation’ or ‘request a phone consultation’.  Video consultations can be scheduled at a chosen time. If you choose a phone consultation the doctor will call at the next available opportunity, usually within 1 – 2 hours.

Step 2: Most fields will be pre-populated. Be sure to explain your symptoms and upload any photos of symptoms or documents such as test results (if necessary)

Step 3: If you have booked a phone consultation, there is nothing else to do. The doctor will call you on the number provided.

If you have booked a video consultation, you will need to open the app prior to the call and click ‘start video call’. From there the doctor can join you.

Appointments last 30 minutes – plenty of time to ask the questions you need.

Helpful Information

  • From the Home page you can also call in directly to vHealth.  Click on ‘contact us’.  You will reach a vHealth Customer Service Member who can help with any questions, issues or scheduling.
  • Please note, for general Foreign Service Benefit Plan inquiries, please call 1-202-833-4910.
  • From the Appointments section you can view your history of scheduled video and phone calls, as well as any past consultations. All records and summaries of your calls are kept here.
  • The notes relating to your consultation can be viewed in the appointment details along with any recommendations made by your doctor.

*If you have an overseas address and are back in the 50 United States temporarily, you will still use vHealth for telehealth visits.

PinnacleCare

PinnacleCare

doctor walking with couplePinnacleCare offers a personalized health advisory support program for Foreign Service Benefit Plan (FSBP) members facing a serious diagnosis. This program is included in your FSBP coverage at no additional cost.

The FSBP Clinical Team is available to support members facing health challenges. Our nurse case managers will refer you to PinnacleCare if you are suffering from certain illnesses or are in need of major procedures. The medical experts and dedicated health advisors at PinnacleCare will help FSBP members navigate the complexities of the health care system. Their goal is to provide better medical intelligence, preferred access to top-specialists and improved health outcomes. Some of the health issues and serious illnesses PinnacleCare can provide support for include:

  • Aortic Valve Replacement
  • Atrial Fibrillation
  • Carotid Endarterectomy
  • Cancer
  • Mitral Valve Replacement
  • Hemophilia
  • Pancreas Transplant
  • HIV
  • Kidney Transplant
  • Liver Disease
  • Liver Transplant
  • Lyme Disease
  • Heart Transplant
  • Multiple Sclerosis
  • Spine Surgery
  • Parkinson's Disease

PinnacleCare's extensive experience and expansive partnership assistance provide fast access to the right providers, so you have the best available treatment options for your unique healthcare challenge.

To learn more about how PinnacleCare can help, please contact FSBP’s clinical team at 800-593-2354.

Mental Wellness Programs

2020 FSBP Theme Banner

Did you know that 1 in 4 people face mental health challenges, and about 70% do not receive the care and support they need?  FSBP offers various programs that can help address unique emotional and behavioral health needs in a safe and confidential environment.


AbleTowoman looking out the window

AbleTo is a web-based video conferencing personalized 8-week treatment support program designed to address the unique emotional and behavioral health needs of individuals learning to live with conditions like heart disease, type 2 diabetes, chronic pain or life events such as losing a loved one or having a baby. You will work with the same therapist and coach each week to set reasonable goals toward healthier lifestyle changes.

There are several ways we identify members who may benefit from the AbleTo support such as:

  • Your nurses or clinicians may refer you to AbleTo as they work directly with you and can refer you if it is determined that you can benefit from AbleTo support.
  • If identified, an Engagement Specialist from AbleTo will contact you to introduce the treatment option.

If you feel you would benefit from this program, would like more information, or would like to enroll in this program please call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll. This program is available to members in the 50 United States.


Health Coaching Program* man getting fresh air

The Health Coaching Program provides you and your covered dependents the opportunity to work one-on-one with a Health Coach to improve your health. A Health Coach is a health care professional who partners with you to transform your health goals into action. You can talk to a Health Coach about the following health-related matters:

  • Tobacco cessation/E-cigarettes
  • Weight management
  • Exercise
  • Nutrition
  • Stress management

How does health coaching work?

  • You talk with your Health Coach over the telephone through conveniently scheduled appointments and create a plan that is right for you to meet your health goals. Everything in the program is tailored to you.
  • You explore ways to make changes in your behavior that will last.
  • You receive written materials from your Health Coach that can help you decide where you want to go with your health and how to get there.
  • Appointments can range from 15 minutes to an hour. How long and how often you meet with your Health Coach depends on your individual needs.

To enroll in a program, contact a Health Coach at 855-406-5122 or 479-973-7168. Coaches are available Monday through Thursday from 8:00 a.m.– 10:00 p.m. Eastern Time (ET) and Friday from 8:00 a.m.– 6:00 p.m. ET. You may also enroll online at http://enroll.trestletree.com (passcode: FSBP).

*Completion of any of the health coaching program can earn you a Healthy Action Incentive in the Simple Steps to Living Well Together Program (condition specific). 

 


Digital Coach Programs* woman eating salad

These programs offer:

  • Health Education - Find information in the Coaching and Library sections for managing stress and improving sleep health/quality
  • A Wellness Webinar – Watch a 45-minute webinar session entitled, “Mind your stress with mindfulness”
  • Wellness Goal Support – Receive help and guidance on Smoking cessation, Weight management, Nutrition, Physical activity, Depression management, and more

To get started:

  • Log into the Aetna secure member website
  • Click on “Stay Healthy,” at the top of the landing page
  • Select “Discover a Healthier You” and proceed
*Completion of any of the digital coach program can earn you a Healthy Action Incentive in the Simple Steps to Living Well Together Program (condition specific). 

myStrength™  Man sitting by lake

The myStrength™ program provides you and your covered dependents age 13 and older, evidence-based resources to help overcome obstacles of depression, anxiety, and substance use disorder while improving overall well-being through a personalized evidence-based internet-enabled program. 

This program uses interactive web and mobile applications that deliver evidence-based psychotherapy models like:

  • Cognitive behavioral therapy (CBT)
  • Acceptance and commitment therapy (ACT)
  • Mindfulness acceptance

Personalized inspirational and wellness approaches increase personal relevance, improve outcomes and focus on total well-being.

If you would like to enroll in the program visit www.mystrength.com, select “Sign-up”, enter the access code “FSBP” and complete the myStrength™ sign-up process with a brief Wellness Assessment and personal profile.


Telehealth Services (Stateside Members)woman video conferencing with doctor

Telehealth consultations are available to members in the 50 United States through Teladoc™.

U.S. board-certified physicians and pediatricians are available 24/7 for a consultation by phone, video, or the Teladoc™ mobile app. You also can see a behavioral health provider for depression, anxiety and stress, as well as a nutritionist for dietary conditions or dermatologist for skin conditions.

  • Speak with a family doctor
    For conditions like the flu, cough, colds, seasonal allergies, sinus problems, arthritis, upper respiratory infection, backaches and food poisoning

  • Connect with a dermatologist
    Upload images of your issue to the app and get a treatment plan and prescription, if needed, for skin conditions like acne, eczema, psoriasis, rashes, and more

  • Find a Doctor
    Get a list of local specialists who can help with your specific medical needs

To register for Teladoc™ visit www.teladoc.com or call 855-Teladoc (855-835-2362) for more information.


Telehealth Services (Overseas Members) 

Telehealth consultations are available to members outside the 50 United States through our telehealth vendor, vHealth by Aetna. Access telehealth services 24/7/365 by web, phone, and the vHealth mobile app to receive treatment for general medicine. Treatment may include preventive care as well as treatment for acute and chronic illnesses. A provider also may give referrals and prescribe medications, when appropriate.


Note: Telehealth through vHealth 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 vHealth by Aetna while traveling outside the 50 United States. Telehealth consultations through vHealth are available for general medicine

To sign up, download vHealth by Aetna in the App Store or Google Play Store or visit https://globalcareondemand.com/aetna. Call 857-256-3784 (US) or +44 (0) 20 3499 2851 (UK) for information regarding telehealth consultations.

FSBP also covers professional services by licensed professional mental health and substance use disorder practitioners when acting within the scope of their license, such as psychiatrists, psychologists, clinical social workers, licensed professional counselors, or family therapists. Refer to section 5(e) of the FSBP Brochure for benefit coverage.

Livongo

Livongo-Remote Diabetes Monitoring Program

livongo meterThe Livongo-Remote Diabetes Monitoring Program empowers those with diabetes to live a better life. You will receive personalized support through a cellular enabled meter, mobile app and personalized interventions to help you make better decisions about diabetes management. This program is offered at no cost to eligible FSBP members. Eligible candidates will be contacted and asked to participate in the program. Participation is voluntary. 

The program provides:

  • Unlimited blood glucose test strips and lancets
  • Strip reordering right from your meter
  • Livongo glucose meter that tracks strip usage and prompts members to reorder supplies
  • Real-time interventions by Certified Diabetes Educators
  • Personalized tips with each blood glucose check
  • Transfer of your data directly to your provider via the meter
  • Automatic uploads (no more paper logbooks)

For more information contact 800-945-4355 or visit Livongo's website at get.livongo.com/FSBP.


Livongo-Remote Hypertension Monitoring Program

Livongo blood pressure monitorThe Livongo-Remote Hypertension Monitoring Program is a health benefit that combines advanced technology with personalized coaching to help you easily manage high blood pressure. This program is offered at no cost to eligible FSBP members. Eligible candidates will be contacted and invited to participate in the Program. Participation is voluntary.

The program provides:

  • A Bluetooth enabled blood pressure monitor and cuff
  • Access to Livongo’s expert health coaches when you need it
  • Livongo mobile app that provides real-time reading
  • Personalized insights with each reading

Note: The Livongo mobile app is available only on the U.S. Apple Store or U.S. Google Play Store.

For more information contact 800-945-4355 or visit Livongo's website at get.livongo.com/FSBP.

More Wellness Programs

Mediterranean Wellness Program*man cutting bell pepper in kitchen

The Mediterranean diet is known to be one of the healthiest diets in the world. For those who want to see gains in overall well-being and appreciate a preplanned structure, try this 8-week interactive online program that includes access to a registered dietician.

You can receive up to 100% reimbursement for the Mediterranean Wellness Program once you complete at least 80% of the Program. Once you complete at least 80% of the Program, FSBP will automatically reimburse you for the cost of the program under the Plan’s Nutritional counseling benefit.

How do I sign up?:

  1. Log on or register on “Aetna’s secure member website” 
  2. Look for the “Stay Healthy” icon, select “Discover a Healthier You” and proceed

For full benefit details for this program, please see the FSBP Brochure, Section 5(h) Wellness and other Special features

*Completion of the Mediterranean Wellness program can earn you a Healthy Action Incentive in FSBP's Simple Steps to Living Well Together Program

woman jogging in cityHealth Coaching Program*

The Health Coaching Program provides you and your covered dependents the opportunity to work one-on-one with a Health Coach to improve your health. A Health Coach is a health care professional who partners with you to transform your health goals into action. You can talk to a Health Coach about the following health-related matters:

  • Tobacco cessation/E-cigarettes
  • Weight management
  • Exercise
  • Nutrition
  • Stress management

How does health coaching work?

  • Talk with your Health Coach over the telephone through conveniently scheduled appointments and create a plan that is right for you to meet your health goals. Everything in the program is tailored to you.
  • Explore ways to make changes in your behavior that will last.
  • Receive written materials from your Health Coach that can help you decide where you want to go with your health and how to get there.
  • Appointments can range from 15 minutes to an hour. How long and how often you meet with your Health Coach depends on your individual needs.

To enroll in a program, contact a Health Coach at 855-406-5122 or 479-973-7168. Coaches are available Monday through Thursday from 8:00 a.m.– 10:00 p.m. Eastern Time (ET) and Friday from 8:00 a.m.– 6:00 p.m. ET. You may also enroll online at http://enroll.trestletree.com (passcode: FSBP).

*Completion of the health coaching program can earn you up to $150 in Healthy Action Incentives in FSBP's Simple Steps to Living Well Together Program Complete 6 sessions to earn $75 and 8 sessions to earn an additional $75.

man getting coached on laptopDigital Coach Programs*

Will regular phone conversations with a health coach just not fit your life, or your personality? Still want to make real change for your health? Try our digital program for online coaching. Choose from the following wellness goals:

  • Smoking cessation
  • Stress management
  • Weight management
  • Nutrition
  • Physical activity
  • Cholesterol management
  • Lowering blood pressure
  • Depression management
  • Sleep improvement

How do I sign up?:

  1. Log on or register for “Aetna’s secure member website” 
  2. Look for the “Stay Healthy” icon, select “Discover a Healthier You” and proceed.

For full benefit details for this program, please see the FSBP Brochure,Section 5(h) Wellness and other Special features.

*Completion of the digital coaching program can earn you up to $150 in Healthy Action Incentives in FSBP's Simple Steps to Living Well Together Program. Reach level 3 to earn $75 and level 4 to earn an additional $75.

healthcare receptionist on phoneFREE 24-Hour Nurse Advice & Translation Lines 

The Nurse Advice Line provides members with a live registered nurse to advise them about urgent issues and answer health-related questions. The Nurse Advice Line is 855-482-5750 or 705-834-6782

You can also engage a registered nurse in an online chat via Aetna’s secure member website. Once you log on the site, select "Wellness Tools" and then "Nurse Advice Line." In addition, you have access to the AudioHealth Library in the site. 

The Translation Line provides telephonic language translation services for our overseas members. This service provides direct translation for our members utilizing urgent or emergency services while outside of the U.S. The Translation Line is 855-482-5750 or 705-834-6782.


mom with toddler at parkPre-Diabetic Alert Program

The Pre-Diabetic Alert Program is focused to provide education and support for members "at risk" for developing diabetes. We will contact those individuals identified at risk and offer them the opportunity to participate in the Program. Participation is voluntary. The participant and his/her physician or other health care professional remain in charge of the participant's treatment plan.

Refer to Section 5(a), Education Classes and Programs of the FSBP Brochure for the Plan’s Diabetic Education or training benefit. FSBP covers diabetic education or training at 90% of the plan allowance for in-network (no deductible) and 70% of the plan allowance for out-of-network (no deductible).

If you would like to contact the Plan for more information about this Program, please call 800-593-2354.


working during a pandemicAbleTo 

AbleTo is a web-based video conferencing personalized 8-week treatment support program designed to address the unique emotional and behavioral health needs of individuals learning to live with conditions like heart diseasetype 2 diabeteschronic pain or life events such as losing a loved one or having a baby. You will work with the same therapist and coach each week to set reasonable goals toward healthier lifestyle changes.

There are several ways we identify members who may benefit from the AbleTo support such as:

  • Your nurses or clinicians may refer you to AbleTo as they work directly with you and can refer you if it is determined that you can benefit from AbleTo support.
  • If identified, an Engagement Specialist from AbleTo will contact you to introduce the treatment option.

If you feel you would benefit from this program, would like more information, or would like to enroll in this program please call 866-287-1802 or visit AbleTo’s website at www.AbleTo.com/enroll. This program is available to members in the 50 United States.


Cleveland Clinic 

Looking for accurate health information from a trusted source? Use the Cleveland Clinic for free, trustworthy medical information. While at their site, you can sign up for free e-newsletters, physician-hosted online chats, or look up specific health topics.

Using the Cleveland Clinic website, including participating in the physician-hosted online chats, for health information is not part of the FEHB contract or premium, so you cannot file an FEHB disputed claim about it or the chats they hold.

FAQs (3)

What is the calendar year deductible?
  • For Self Only (401) enrollment, the deductible is $300 for in-network providers (including Guam) and providers outside the U.S., and $400 for out-of-network providers (including Guam).
  • For Self Plus One (403) enrollment, the deductible is $600 for in-network providers (including Guam) and providers outside the U.S., and $800 for out-of-network providers (including Guam).
  • Under a Self and Family (402) enrollment, the deductible is $600 for in-network providers (including Guam) and providers outside the U.S., and $800 for out-of-network providers (including Guam).
What's the difference between Aetna Navigator and the Member Portal?

 

Aetna’s secure member website is a system that provides members with access to information and tools regarding their health. Every enrollee and dependents ages 14 and older have their own separate login credentials for this site.

Many FSBP programs are housed in your Aetna’s secure member website account, including signing up for wellness incentives, seeing your Health Risk Assessment results, opting into electronic funds transfer (EFT), learning more about the quality and cost of your health care, and viewing your Explanations of Benefits (EOBs).


The Member Portal is a custom system for AFSPA members. It can be used to upload claims, update addresses, and enroll in and manage certain Ancillary Insurance Programs. The Member Portal is only open to the AFSPA member, not dependents. We recommend having a Member Portal account in order to allow for the fastest processing of claims.

Does the Plan have a catastrophic protection out-of-pocket maximum for deductibles, coinsurance, and copayments?

For those benefits where copayments, coinsurance or deductibles apply, we pay 100% of the Plan allowance for the rest of the calendar year after your expenses total to:

  • For Self Only enrollment $5,000 and for Self Plus One or Self and Family enrollment $7,000 for in-network providers (including Guam) and providers outside the 50 United States and when you use the Plan’s network retail pharmacy through Express Scripts (ESI), or home delivery (mail order) through the Express Scripts PharmacySM, or purchase prescriptions outside the 50 United States from a retail pharmacy or Military Treatment Facility (including Guam);
  • For Self Only enrollment $7,000 and for Self Plus One or Self and Family enrollment $9,000 for in- and out-of-network providers combined (including Guam) and when you use the Plan’s network retail pharmacy through Express Scripts or home delivery (mail order) through the Express Scripts PharmacySM or purchase prescriptions outside the 50 United States from a retail pharmacy or Military Treatment Facility (including Guam).

 

For Self Plus One and Self and Family enrollments, once any individual family member reaches the Self Only catastrophic protection out-of-pocket maximum during the calendar year, that member’s claims will no longer be subject to associated cost-sharing amounts for the rest of the year. All other family members will be required to meet the balance of the catastrophic protection out-of-pocket maximum.

Any expenses incurred that apply toward the catastrophic out-of-pocket maximum for in-network or out-of-network apply toward both in and out-of-network limits.

This catastrophic protection out-of-pocket maximum is combined for medical/surgical, mental health/substance misuse disorder, and pharmacy. There are some expenses that do not fall under this provision; see your FSBP Brochure , Section 4, Your Costs for Covered Services. 

 

FORMS & BROCHURES (7)

Form

Description

Action

FSBP Summary of Benefits and Programs 2020
FSBP Summary of Benefits and Programs 2020
FSBP Benefit Brochure 2020
FSBP Benefit Brochure 2020
FSBP Wellness Brochure 2020
FSBP Wellness Brochure 2020
FSBP Health Coaching Program
FSBP Health Coaching Program
Wellness Incentive Account Reimbursement Request
Wellness Incentive Account Reimbursement Request
FSBP Benefit Brochure 2021
FSBP Benefit Brochure 2021
FSBP Wellness Brochure 2021
FSBP Wellness Brochure 2021