Claims should be submitted via the AFSPA Member Portal for the quickest processing. To submit a claim using the Member Portal, you should complete a claim form with your first claim submission for each family member, and at least once per year per covered member, so that we have current address and other insurance information. Use the fillable PDF here. The completed form must be saved (or scanned) and then uploaded to the Member Portal with a PDF of your claim.
If you can’t scan the claim form to upload it to our Member Portal, please mail it and your claim to us at Foreign Service Benefit Plan, 1620 L Street, NW, Suite 800, Washington, DC 20036-5629.
For massage therapy claims, please make sure the therapist’s license or certification number (and Tax ID number if available, for providers in the U.S.) are on the bill; and if you paid for these services, please provide a receipt.
If your doctor is in our network, generally, your doctor will send the bill to us. If we need more information, we’ll contact your doctor or you directly.
If your doctor isn’t in our network and he or she will not bill us, ask them for an itemized bill with the information referenced in Section 7 of the FSBP Brochure, filing a claim for covered services.
You don’t need to fill out a claim form for each claim you submit. We do, however, ask you to complete one claim form each year for every covered member of your family. This will ensure that we have your current address and other insurance information.
Your payroll/HR office does not advise us of address changes. You also can update your address in the Member Portal.
Be sure to provide us with the member name, address, and dependent name if applicable; include a description of the sickness or accident and doctor’s name and address (if not included on the bill).
If the bill from your doctor is not fully itemized, please provide the following information on a separate sheet of paper submitted with your claim and the bill:
Be sure to submit this information on a separate piece of paper. Do not write on the bill itself.
If you’ve received care from a doctor with whom we have a Direct Billing Arrangement, you should not have paid for anything except for any deductible or coinsurance you might owe. The provider will bill us directly and we pay the provider for covered services.
You can submit all of this information online in the Member Portal. And, you will be reimbursed more quickly if you not only submit your claim online in the Member Portal, but also use Electronic Funds Transfer (EFT) for your claim reimbursement (first, complete the registration form for EFT).