Preventative Care
Prescription Drugs
Wellness
Benefits
Member Services
100

This type of care is covered at 100% in-network to help prevent illness before it starts.

What is preventive care?

100

These medications usually cost less and are encouraged when available.

What are generic drugs?

100

This program rewards members for completing healthy activities

What is the Wellness Incentive Program?

100

These services include tests such as CT scans, MRIs, and other imaging used to diagnose medical conditions.

What are diagnostic imaging services?

100

This card shows proof of coverage when visiting providers.

What is the FSBP member ID card?

200

Women receive this preventive screening to check for breast cancer, often recommended regularly beginning around age 40.

What is a routine mammogram?

200

 Members can fill specialty prescriptions at this approved location only.

What is Accredo?

200

This program offers a holistic approach to help members achieve their best health by providing support for lifestyle changes and managing health conditions.

What is the Lifestyle and Condition Coaching (LCC) Program

200

When doctors need to monitor a patient for a short period before deciding whether to admit them to the hospital, the patient may be placed in this status.

What is observation care?

200

Members can visit this place online to find plan information and resource

What is the AFSPA website?

300

Preventive care visits for children follow these nationally recognized guidelines to monitor growth and development.

What are the Bright Futures Guidelines?

300

This type of medication usually costs more because it is sold under a brand name.

What are brand-name drugs?

300

This program empowers members with diabetes to live healthier lives by offering a mobile app and personalized interventions to support better diabetes management decisions.

What is the Remote Diabetes Monitoring Program?

300

This type of surgery is performed when a patient is admitted to a hospital and stays overnight or longer.

What is inpatient surgery?

300

This person helps members understand claims and benefits.

What is an HBO?

400

This common preventive service helps protect against seasonal illness.

What is a flu shot?

400

This option allows members to receive medications delivered to their home.

What is home delivery?

400

This program offers support for menopause and clinical care management to help identify menopausal symptoms early.

What is the Maven Menopause Program?

400

Before receiving certain services, members may need approval from the health plan through this process to confirm the service is medically necessary

What is prior authorization?

400

Members can use this tool to search for doctors and providers.

What is the provider search tool?

500

This non-invasive DEXA scan measures bone density to detect weak or brittle bones and is covered once per calendar year for members age 50 and older.

What is osteoporosis screening?

500

This list shows which medications are covered by the plan.

What is the formulary?

500

Members experiencing chronic pain can receive support through this program, whether they are taking opioids or looking for safer alternatives.  

What is the Pain Management Program?

500

After a hospital stay, members who still need medical care but not full hospitalization may receive treatment at this type of facility that provides nursing care and rehabilitation.

What is a Skilled Nursing Facility (SNF)?

500

This organization administers the Foreign Service Benefit Plan.

What is AFSPA?