What's New in 2014

Worldwide Coverage

When You Live or Travel Overseas

If you need medical care outside the United States, you can be assured that your Blue Cross and Blue Shield Service Benefit Plan ID card entitles you to world class service. Your Service Benefit Plan coverage protects you around the world.

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Worldwide Assistance Center

The Worldwide Assistance Center offers help when you are traveling outside the U.S., Puerto Rico and the U.S. Virgin Islands, 24 hours a day, seven days a week. Bilingual operators are also available to help you. The Center can help you locate a provider. You can call the Center collect at 1-804-673-1678 or email fepoverseas@axa-assistance.us for help.

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How Benefits Work Overseas

Inpatient Hospital Care: Under both options, benefits are paid at the Preferred level. Precertification is not required for hospital admissions outside the U.S.

Outpatient Hospital Care: Benefits under Standard and Basic Option are paid at the Preferred level.

Physician Care: Benefits for physician care and care by other covered professional providers performed outside the U.S. are paid at the Preferred level using an Overseas Fee Schedule or a provider negotiated amount.

Emergency assistance: AXA Assistance also offers emergency evacuation services to the nearest facility equipped to adequately treat your condition.

Prescription Drugs: Drugs that require a prescription overseas may differ from those that require a prescription in the U.S. Drugs purchased outside the U.S. must be an equivalent product that by U.S. federal law requires a prescription for purchase in the U.S., or there must be clinical evidence that prescribing the drug is consistent with the standard of medical practice in that country.

  • Standard Option members can order prescription drugs through the Mail Service Pharmacy Program if your address has a U.S. ZIP code and the prescribing physician is licensed in the U.S.
  • For both Standard and Basic Option, if you purchase a prescription drug at a local pharmacy outside the U.S., you pay for the drug and then file a claim for reimbursement. Payment will be made at the Preferred level.

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Filing Claims

Members can file claims online through MyBlue at www.fepblue.org/myblue. Additionally, members can mail or fax claims to us. For information about mailing and faxing claims to us, see Section 5(i) in the 2014 Blue Cross and Blue Shield Service Benefit Plan brochure.

To submit your claims electronically:

  1. Go to MyBlue and log in if you have already registered. If not, you will have to set up a MyBlue account.
  2. Select Submit an overseas claim.
  3. Follow the step-by-step directions to submit the claim, including completing the fillable claim form PDF, scanning your bills and uploading the files.

You can also take advantage of bank wire payment and get your payment faster for overseas medical claims. You can select to have the wire payment in a foreign currency or U.S. dollars. Just complete Section 6 of the online overseas medical claim form to select wire payments and the currency you prefer.

Payments by check for covered drugs and supplies you purchase from pharmacies outside the U.S., Puerto Rico and the U.S. Virgin Islands can only be made in U.S. dollars.

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Note: In most cases, temperature-sensitive drugs cannot be sent to APO/FPO addresses due to the special handling they require.

*Please note that for overseas countries with laws restricting the importation of prescription drugs from any other country, we are unable to ship drugs from our Mail Service Pharmacy Program to Standard Option members living overseas or from our Specialty Pharmacy Program to Standard or Basic Option members living overseas, even when a valid APO or FPO address is available. You may continue to obtain your prescription drugs from a local overseas pharmacy and submit a claim to us for reimbursement by faxing it to 001-480-614-7674 or filing it via our website at www.fepblue.org/myblue.

Page last updated: December 17, 2013

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