You can find our Overseas Medical Claim Form and the Retail Prescription Drug Overseas Claim Form in the forms library, or you can call 1-888-999-9862 to request that we send you the claim forms.
If you access a claim form on our website, you can enter the information directly on the form; print a copy to send to us and save a copy for your records.
In most situations, you will need to pay the provider up front and submit a completed Overseas Medical Claim Form and your itemized bills to us at:
Federal Employee Program
P.O. Box 260070
Pembroke Pines, FL 33026
You may also fax your claims to us at 001-954-308-3957.
Payment for covered services will be sent to you. If the provider does not require payment at the time the care is performed, you may request we pay the provider directly by filling out section 5C (Authorization for the Assignment of Benefits) of the charges and payment information on the claim form, and leaving the Member Payment Information and sections 5A and 5B (Bank Wire Information) blank. Send the claim form along with the itemized bills from the provider to the address or fax number listed above and on the back of the claim form. Section 3A must include the diagnosis or reason for the services in order to process your claim.
To file a claim for covered drugs and supplies you purchase from pharmacies outside of the United States, Puerto Rico, and the U.S. Virgin Islands, send a completed Retail Prescription Drug Overseas Claim Form, along with itemized pharmacy receipts or bills to:
Blue Cross and Blue Shield Service Benefit Plan
Retail Pharmacy Program
P.O. Box 52057
Phoenix, AZ 85072-2057
You can also fax your claim to us at 001-480-614-7674.