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  • Foreign Service Benefit Plan Claim Form

Get Foreign Service Benefit Plan Claim Form

Service Benefit Plan will coordinate benefits with Medicare. Remember: If you are an annuitant and you cancel your FEHB coverage, you may not re-enroll in the FEHB Program. Please be advised If you lose or drop your FEHB coverage and go 63 days or longer without prescription drug coverage that s at least as good as Medicare s prescription drug coverage, your monthly premium will go up at least 1% per month for every month that you did not have that coverage. For example, if you go 19 months.

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How to fill out the Foreign Service Benefit Plan Claim Form online

This guide provides comprehensive instructions on how to fill out the Foreign Service Benefit Plan Claim Form online. Designed to assist users with varying degrees of experience, it aims to make the process clear and straightforward.

Follow the steps to complete your claim form efficiently

  1. Click the ‘Get Form’ button to obtain the Claim Form and open it in your preferred online editor.
  2. Begin by filling in your personal information in the designated fields. This typically includes your name, address, and contact details.
  3. Next, provide your membership identification number and policy details as requested on the form. Ensure accuracy to avoid submission issues.
  4. Indicate the type of claim you are filing by selecting the appropriate checkbox or option on the form, as this will guide the processing of your claim.
  5. Document the services received. Include dates of service, the names of the providers, and the type of services provided. Attach any required documentation such as receipts or bills.
  6. Review the completed form for any errors or missing information. Double-check all entries to ensure compliance with the claim requirements.
  7. Once confirmed, you may save changes, download a copy for your records, print the form, or share it as necessary to submit your claim.

Complete your Foreign Service Benefit Plan Claim Form online today for prompt processing of your claim.

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Submit a Claim Claims should be submitted via the AFSPA Member Portal for the quickest processing. ... If you can't scan the claim form to upload it to our Member Portal, please mail it and your claim to us at Foreign Service Benefit Plan, 1620 L Street, NW, Suite 800, Washington, DC 20036-5629.

The Foreign Service Benefit Plan (FSBP) is a fee-for-service Federal Employees Health Benefits (FEHB) plan underwritten by the American Foreign Service Protective Association (AFSPA).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232