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MyBlue®:

Compare Overseas Benefits

View the overseas benefits for Standard Option, Basic Option and FEP Blue Focus.

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 2021 Plans

See 2022 benefit updates and rates here

 

Standard Option Basic Option FEP Blue Focus
Primary care doctor $25 copay $30 copay $10 per visit for your first 10 primary and/or specialist visits1
Specialists $35 copay $40 copay $10 per visit for your first 10 primary and/or specialist visits
Maternity $0 copay $0 copay $0 copay
Inpatient hospital $0 copay $0 copay $0 copay
Outpatient hospital 15% of our allowance $100 per day per facility 30% of our allowance2
Surgery 15% of our allowance $150 in an office1
$200 in a non-office building1
30% of our allowance2
ER (accidental injury)

$0 within 72 hours

$175 per day + cost of doctor care

$0 within 72 hours

ER (medical emergency) 15% of our allowance $175 per day + cost of doctor care 30% of our allowance*
Lab work (such as lab tests) 15% of our allowance $0 copay1 $0 for first 10 specific lab tests3
Diagnostics services
(such as sleep studies, CT scans)
15% of our allowance Up to $100 in an office1
Up to $150 in a hospital1
30% 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: 15% of our allowance

Mail Service Pharmacy**: 
Tier 1: $15 
Tier 2: $90 
Tier 3: $125

Specialty Pharmacy**: 
Tier 4: $65
Tier 5: $85

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
Tier 5: $110

Overseas Retail Pharmacy: 
Tier 1: $5 copay 
Tier 2: 40% of our allowance ($350 maximum)

Mail Service Pharmacy: 
Not a benefit

Specialty Pharmacy**: 
40% of our allowance ($350 maximum)

 

Out-of-pocket maximum Self Only: $5,000 
Self + One and Self & Family: $10,000
Self Only: $5,500 
Self + One and Self & Family: $11,000
Self Only: $7,500 
Self + One and Self & Family: $15,000

We waive the $350 Standard Option copay, $175 per day Basic Option copay, and the FEP Blue Focus $500 deductible and 30% coinsurance for inpatient care you receive overseas. For Basic Option and FEP Blue Focus, your provider must be a DoD facility or have a direct billing or guarantee of benefits arrangement with GMMI for you to receive this benefit. Otherwise, the Basic Option per day copay and the FEP Blue Focus deductible and coinsurance apply.

* Is subject to the calendar year deductible. The deductible for FEP Blue Focus is $500 per person or $1,000 in total per family. Basic Option does not have a calendar year deductible. Certain out-of-pocket costs do not apply if Medicare is your primary coverage for medical services (it pays first).

** 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 Deductible applies. In addition, you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care.

3 Please see the brochure for covered lab services.

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 brochure (RI 71-017). All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure.

Not sure which plan is right for you?

Our AskBlueSM FEP Medical Plan Finder tool can help you select the right option for your overseas coverage needs.

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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

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.