Compare Overseas Benefits
View the overseas benefits for FEP Blue Focus, Basic Option, and Standard Option.
You can rest assured, the Blue Cross and Blue Shield Service Benefit Plan has you covered worldwide. Under all three of our coverage options, you pay the difference between our payment and the amount billed, in addition to your cost share amounts unless the Overseas Assistance Center, GMMI, has arranged direct billing with your provider.
Have questions? Review our list of FAQs.
Compare 2023 Plans
| FEP Blue Focus | Basic Option | Standard Option | ||
|---|---|---|---|---|
| Primary care doctor | $10 copay per visit for your first 10 primary and/or specialist visits | $30 copay | $25 copay | |
| Specialists |
$10 copay per visit for your first 10 primary and/or specialist visits |
$40 copay |
$35 copay |
|
| Maternity |
$1,500 copay† |
$250 per admission copay† |
$0 |
|
| Inpatient hospital |
30% coinsurance† |
$250 per day copay up to $1,500 per admission† |
$0 | |
| Outpatient hospital |
30% of our allowance 1 |
$150 per day per facility copay |
15% of our allowance |
|
| Surgery |
30% of our allowance1 |
$150 copay in an office1 $200 copay in a non-office building1 |
15% of our allowance |
|
| ER (accidental injury) |
$0 within 72 hours |
$250 per day copay + cost of doctor care |
$0 within 72 hours |
|
| ER (medical emergency) |
30% of our allowance |
$250 per day copay + cost of doctor care |
15% of our allowance |
|
| Lab work (such as lab tests) |
$0 for first 10 specific lab tests2 |
$15% of our allowance2 |
15% of our allowance |
|
|
Diagnostics services (such as sleep studies, CT scans) |
30% of our allowance |
Up to $100 copay in an office1 Up to $200 copay in a hospital1 |
15% of our allowance |
|
|
Prescription Drugs Drugs purchased outside the U.S. must be equivalent to drugs that by U.S. federal law require a prescription. Overseas prescription drug claims must be submitted within one year of the purchase date.
|
Overseas Retail Pharmacy^ Tier 1: $5 copayTier 2: 40% of our allowance ($350 maximum) Mail Service Pharmacy **:Not a benefit Specialty Pharmacy ^** 40% of our allowance ($350 maximum) |
Overseas Retail Pharmacy: 30%of our allowance Mail Service Pharmacy **:Not a benefit unless you have Medicare Part B primary Specialty Pharmacy **: Tier 4: $85 copay Tier 5: $110 copay |
Overseas Retail Pharmacy:15% of our allowance
Mail Service Pharmacy
**: Tier 4: $65 copay Tier 5: $85 copay |
|
| Out-of-pocket maximum |
Self Only: $8,500 Self + One and Self & Family: $17,000 |
Self Only: $6,500 Self + One and Self & Family: $13,000 |
Self Only: $6,000 |
- † We waive the Basic Option and FEP Blue Focus cost-shares when care is rendered in a DoD facility or your provider has a direct billing or guarantee of benefits arrangement with GMMI.
- ** In order to receive prescriptions through the Mail Service or Specialty Pharmacy Program, your address must have a U.S. zip code and the prescribing physician must be licensed within the U.S., Puerto Rico or the U.S. Virgin Islands. For countries with laws restricting the importation of prescription drugs from any other country, we cannot ship drugs from our Mail Service Pharmacy Program, or from our Specialty Pharmacy Program to members living overseas, even when you have a valid APO or FPO address. You may continue to receive your prescription drugs from a local overseas pharmacy and submit a claim to us for reimbursement.
- 1 You pay 30% of our allowance for agents, drugs and/or supplies you receive during your care.
- 2 Please see the brochure for covered lab services.
- ^ What you’ll pay for a 30-day supply of covered drugs.
This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plan’s Federal brochures (Standard Option and Basic Option: RI 71-005; FEP Blue Focus: 71-017). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.
Get In Touch
Overseas Customer Service
Assists with claim filing, enrollment questions, U.S. dollar check reimbursements and more. Weekdays 5 a.m. to 6 p.m. Eastern time.
1-888-999-9862 (U.S., Puerto Rico or the U.S. Virgin Islands)
Toll-free using the appropriate AT&T Country Code found here (Outside the U.S.)
Overseas Assistance Center
Assists with overseas provider referrals, cashless access/direct billing arrangements, emergency medical evacuations and more.
1-800-699-4337 (U.S., Puerto Rico or the U.S. Virgin Islands)
1-804-673-1678 (Outside the U.S.)
fepoverseas@gmmi.com
Overseas Provider Network
Explore our network of hospitals, doctors and other providers. Members who find a provider through their MyBlue account have access to additional information.
Find a Provider
Find a Provider in MyBlue
Retail Pharmacy
Assists with questions regarding pharmacy coverage overseas.
1-800-624-5060 (U.S., Puerto Rico or the U.S. Virgin Islands)