Section 5A
This type of care includes routine immunizations and screenings to ensure healthy development.
What is preventive care for children?
This type of surgery includes procedures to restore appearance or function after injury or illness.
What is reconstructive surgery?
I am essential service for emergency transportation.
What are ambulance services?
This type of injury results from violent, external, and accidental means and requires immediate medical attention.
What is an accidental injury? What are non HIPAA compliant tools?
This type of testing is covered when provided and billed by a licensed mental health and substance use practitioner.
What is psychological testing?
These services are designed to prevent illnesses and include routine check-ups and immunizations for adults.
What is preventive care for adults?
In 2025, the Foreign Service Benefit Plan removed this maximum payable amount per transplant for in-network organ and tissue transplants at Plan-designated transplant network facilities.
What is $400,000?
Includes coverage for this type of care, providing support for terminally ill patients.
What is hospice care?
A heart attack, stroke, or convulsion are all considered this type of condition by the Plan.
What is a medical emergency?
This type of center is covered for overnight stays, but not if it’s licensed as a group home or therapeutic boarding school.
What is a Residential Treatment Center (RTC)?
This service allows you to consult with healthcare professionals remotely for non-medical emergencies.
What is the Telehealth benefit?
These services are essential for pain management during surgical procedures and are provided by healthcare professionals under Section
What are anesthesia services?
Examples of these qualifying birth conditions include cleft lip, webbed fingers, and protruding ears.
What are congenital anomalies?
For accidental injury care, this percentage of the Plan allowance is covered after the deductible.
What is 100%?
These four types of professional services are included under mental health and substance use disorder coverage.
What are psychiatric office visits, substance use disorder office visits, behavioral therapy, and telemedicine consultations?
This service includes lab tests, X-rays, and other diagnostic tests to determine the patient's condition.
What are diagnostic services?
Includes coverage for these life-saving procedures, which involve replacing damaged organs or tissues with healthy ones.
What are organ and tissue transplants?
After a $200 copay, FSBP pays this percentage of the cost for in-network hospital stays. I can't figure out how to manage all of my medications. I need some education and support on how to take my medicine properly. Where can I get assistance?
What is 100%?
The Plan covers this percentage of the allowance for both in-network and out-of-network ambulance services.
What is 10%?
You must get this before starting ABA assessment or treatment for it to be covered.
What is prior approval?
This program offers nutritional guidance following the Academy of Nutritional and Dietetics guidelines for cancer patients.
What is TherapEase Cuisine?
This surgical specialty involves operations on the mouth, jaws, and face, often necessary for dental health and facial reconstruction.
What is oral and maxillofacial surgery?
After a mastectomy, this type of surgery is covered to create a symmetrical appearance.
What is breast reconstruction surgery?
This type of transportation is covered to the nearest facility equipped to handle your condition.
What is professional ambulance service?
These paraprofessionals may provide ABA therapy under the supervision of a licensed provider or certified behavior analyst
Who are Registered Behavior Technicians (RBTs) or equivalent paraprofessionals? What is Tier VI?