Filing Claims Online
Overseas Medical and Pharmacy claims can now be submitted online for faster processing and rapid claims payment.
Submitting Overseas Medical and Pharmacy claims online is easy. Just follow these simple steps to enter the MyBlue portal and set up or sign in with your MyBlue ID and you will be ready to get started.
- Go to MyBlue Portal and click on the orange link, Set up your MyBlue ID.
- Follow instructions under Get going with MyBlue member registration and click the orange submit link.
- You will then be taken back to the MyBlue Portal where you can log in using your new MyBlue ID and password. That’s it!
Filing claims via postal mail or fax
Please use the following addresses or fax numbers below to submit your Overseas claims through postal mail or fax:
Medical Care: Federal Employee Program Overseas Claims, P.O. Box 261570, Miami, FL 33126
Medical claims can also be faxed to 001-410-781-7637 or toll free to 1-888-650-6525
Dial the AT&T Direct Access Code for the country from which you are faxing followed by toll free fax number. A "1" is not required before the toll free number.
AT&T has a dialing guide and a list of access codes available at http://www.business.att.com/bt/dial_guide.jsp
Retail Pharmacy Claims: Blue Cross and Blue Shield Service Benefit Plan, Retail Pharmacy Program, P.O. Box 52057, Phoenix, AZ 85072-2057
Pharmacy claims can also be faxed to: 001-480-614-7674
Use standard dialing procedures for your country when faxing to local numbers.
Claims received via Fax will only be processed for overseas claims. Faxed domestic claims will not be processed and will cause delay in reimbursement.
How your benefits work overseas
For information about overseas benefits and your claims, call us toll-free at +1-888-999-9862 using the appropriate country code.
Inpatient hospital care
Standard Option benefits are paid at the Preferred level. You are responsible for a $250 admission copayment. Precertification is not required for hospital admission outside the U.S.
Basic Option benefits are paid at the Preferred level. You are responsible for a $150 per day copayment up to $750, per admission. Precertification is not required for a hospital admission outside the U.S.
Outpatient hospital care
Standard Option benefits are paid at the Preferred level. After your calendar year deductible is met, you pay only the 15% coinsurance amount for outpatient hospital or facility care.
Basic Option benefits are paid at the Preferred level, so you pay the $75 copayment for outpatient hospital or facility care.
Standard Option and Basic Option benefits for care provided by a physician or other covered professional provider outside the U.S. are paid at the Preferred level using a either a customary percentage of the billed charge or a provider-negotiated discount as our Plan Allowance.
Drugs and medications that require prescriptions overseas may differ from those that require a prescription in the U.S. Drugs purchased outside the U.S. must be an equivalent product to drugs that by Federal law of the U.S. require a prescription to purchase, or there must be clinical evidence that prescribing the drug is consistent with the standards of medical practice in that country.
If you purchase a prescription drug at a local pharmacy outside the United States, Puerto Rico, and U.S. Virgin Islands, you will have to pay for the medication and then file a claim to us for reimbursement. Payment will be based on the Preferred level benefit.
Under Standard Option, you can also order prescription drugs through the Mail Service Prescription Drug Program. Your address must have a U.S. ZIP code and the prescribing physician must be licensed in the U.S. The Mail Service Prescription Drug Program is not available under Basic Option.
Important Information for FEP Standard Option members in Germany
Effective December 4, 2012, Caremark will no longer be able accept orders through their Mail Order or Specialty pharmacy for any deliveries with a mailing address in Germany due to changes in German law. Standard Option members will need to obtain their prescriptions at a local German pharmacy and submit the claim for reimbursement. Standard Option members will be charged the lesser of their Mail Order or Retail cost share or, for Specialty drugs, the lesser of their Specialty or Retail cost share when submitting paper claims for covered drugs obtained at a local retail pharmacy in Germany on or after December 4, 2012. Claims should be submitted by fax at 001-480-614-7674 or through the website at fepblue.org/myblue for reimbursement.
Overseas Assistance Center
24 hours a day, seven days a week - providing assistance to members outside the United States, Puerto Rico, and the U.S. Virgin Islands.
For questions about finding medical services, call:
+1 (804) 673-1678
For questions about claims and reimbursement, call:
+1 (888) 999-9862
FEP selected AXA Assistance as the new overseas medical assistance vendor effective January 1, 2013. AXA Assistance will replace Allianz Global Assistance (formerly Mondial Assistance.)
Medical claims should be mailed to:
Federal Employee Program Overseas Claims
PO Box 261570
Miami, Florida 33126
Claims can also be faxed to the numbers above or submitted via MyBlue.
Page last updated: March 11, 2013