AFSPA Talks

In this episode, AFSPA CEO Kyle Longton, CAE, REBC addresses some of the most frequent questions AFSPA has received about the FSBP Express Scripts Medicare Prescription Drug Plan, or PDP. While he touches on some basics of the PDP, you can learn more about the specific PDP benefits from our October 23, 2023 podcast and our November 30, 2023 AFSPA Live (see links below).

Kyle will address questions about Medicare during AFSPA Live on March 30, 2024 at 11 ET. If you would like your question to be answered live, submit your question here: https://forms.office.com/r/jPzsTE0TKz  

Links: 

FSBP Express Scripts Medicare Prescription Drug Plan webpage: www.afspa.org/pdp

October 23, 2023, AFSPA Talks PDP: https://www.buzzsprout.com/1756283/13816947 

November 30, AFSPA Live on PDP: https://www.youtube.com/live/n-9IAB-c2cY?si=Ej5OuciIfM7tGqxM 

Medicare Part D IRMAA Information: https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/monthly-premium-for-drug-plans

Social Security Administration Contact Page: https://www.ssa.gov/agency/contact/ 

AFSPA Events: www.afspa.org/events

In this episode, AFSPA CEO Kyle Longton provides a comprehensive overview of how Medicare and the Federal Employee Health Benefits (FEHB) program work together. Learn about each part of Medicare - A, B, C, and D - and what factors you should consider when deciding whether to enroll in Part B. 

Please note: this presentation addresses only how Medicare and FEHB work together. It is not intended for audiences beyond those with FEHB coverage. The information is accurate as of March 2024. 

For information on Part B premiums and Part D premiums/IRMAA amounts, please visit: https://www.medicare.gov/Pubs/pdf/11579-medicare-costs.pdf. 

To learn more about signing up for Medicare, visit: https://www.ssa.gov/medicare/sign-up. 

With this episode, we continue our February focus on fertility. For some people receiving treatment for diagnoses of infertility, prescription drugs can account for half the costs of their treatment. Ensuring on-time delivery of the drugs, understanding how to administer them, and having a resource for understanding the side effects are key to one's starting any new drug therapy. FSBP has partnered with Freedom Fertility Pharmacy, part of the Evernorth family, to provide all of this and more to our members in the U.S. Today, we have two experts from Freedom joining us to talk about their services for FSBP members. 

For more information, please visit www.freedomfertility.com 

Coverage of medications may be subject to prior approval and prior authorization of fertility services by the Foreign Service Benefit Plan. 

For prior approval of comprehensive infertility and ART services, whether services are rendered in the U.S. or outside the U.S., please contact the Plan’s infertility care manager line at 800-593-2354. Prior approval is required for services received in the U.S. and outside the U.S. 

Please see our January 2024 episode on Maven to learn more about their support for infertility, maternity, and more. 

Join us on February 29 at 11 am ET for AFSPA Live and a discussion focused on fertility. 

Join us on March 1 at 11 am ET for AFSPA's Annual Meeting. 

More information on all upcoming events at www.afspa.org/events

Our focus for the month of February is on fertility. We'll have more content later this month about the enhanced infertility coverage under the Foreign Service Benefit Plan for 2024. Today, though, we are talking about coverage for contraception. All of the information in the podcast comes from Sections 5a, 5b, and 5f and Section 7 of the 2024 FSBP Brochure available at https://www.afspa.org/wp-content/uploads/2024/01/2024_FSBP_Brochure_-RI-72-001_Final_1.8.2024.pdf. 

To initiate the contraceptive exception process, members can call Express Scripts at 800-841-2734. 

In this episode of AFSPA Talks, we discuss a new solution from Teladoc. Lisa DeLarso joins us to share about Virtual Primary Care.

Primary360 is a virtual primary care solution that inspires lasting relationships between people and care providers through longitudinal care plans, continuous care team support, and a unified, whole-person experience. Primary360 offers a solution that isn’t always available with traditional care—including personalization, flexibility, choice, convenience, and care coordination. From the new patient visit to every checkup afterward, Primary360 allows people to be fully supported by a care team across their healthcare needs.

For more information about virtual primary care, please visit Teladoc.com/Aetna or call 1-855-835-2362. 

Please note that the virtual primary care program is available only to FSBP members physically located in the United States.

To kick off our 2024 podcasts, we have an episode focused on one of the new programs available to FSBP members: Maven Clinic. Maven is a comprehensive virtual care platform providing critical support across fertility, pregnancy, adoption, parenting, pediatrics, and ongoing care including all stages of menopause. This program became available to FSBP members on January 1 at no cost. 

Marcy Cuneo and Teresa Wilkinson from Maven join AFSPA Talks to provide an overview of what Maven offers and how their care model works. Maven leaders will join us for AFSPA Live on February 29 at 11 am ET. See www.afspa.org/events for all of our upcoming events. 

To learn more about Maven, go to http://mavenclinic.com/join/FSBP

See the 2024 FSBP Brochure for full details of infertility coverage.

Please note that all infertility services, whether received in the U.S. or overseas, require prior approval. Call 800-593-2354 before scheduling services.

You also can connect with fertility advocates by calling 833-415-1709.

With today's episode, we address the most frequently asked questions on open season. A panel of AFSPA experts joins to provide answers and clarity on changes for 2024. 

For more information on open season, please visit www.afspa.org/openseason 

To contact the infertility prior approval line, call 1-800-593-2354. 

To contact the Plan's fertility advocate, call 1-833-415-1709. 

For more information about the FSBP Express Scripts Medicare Prescription Drug Plan, visit www.afspa.org/pdp. You will find the form there to opt out. 

For more on our direct billing partners, visit https://www.afspa.org/fsbp/overseas/overseas-partners/. 

For more information on dental, life, and disability insurance programs offered by AFSPA, visit www.afspa.org/aip.

Today, Kyle and Maddie discuss the 2024 open season with a particular focus on the improvements under FSBP. In particular, their discussion focuses on: 

• Increases in the allowance for alternative benefits: massage, acupuncture, and chiropractic services; 
• Expansion in the coverage of infertility services; and 
• The new Medicare Part D Prescription Drug Plan (PDP) 

Don't miss other upcoming open-season events. Find all of our events at www.afspa.org/events. 

We couldn't fit all the information into the podcast, so here are some links with more information: 

• AFSPA/FSBP Open Season information: www.afspa.org/openseason 
• FSBP-Express Scripts Prescription Drug Plan (PDP): www.afspa.org/pdp 
• Prior approval line for Comprehensive Infertility and ART: 800-593-2354 
• Fertility Advocate: 833-415-1709 
• Gender Affirming Surgical prior approval: 800-593-2354 

There are an increasing number of diagnoses of attention deficit hyperactivity disorder (ADHD) in both children and adults. Despite the prevalence of this diagnosis, many do not understand this condition. Today, we welcome a health coach from Brightline Health who will walk through the basics of ADHD including behaviors, symptoms and treatments. Our guest discusses the support offered by Brightline Health, an in-network, stateside provider for Foreign Service Benefit Plan members. 

Learn more and sign up for Brightline at www.hellobrightline.com/fsbp

Check out our latest blog about ADHD at afspa.org/blogs.

Find information about FSBP changes for 2024 and events around open season at www.afspa.org/openseason

Our full events calendar is available at www.afspa.org/events.

Beginning in January 2024, many Federal Employee Health Benefits Program (FEHBP) plans will be offering a Medicare Prescription Drug Plan (PDP) to their members. The Foreign Service Benefit Plan will be among them. This program will result in savings for our members aged 65 and older. Join us for a detailed discussion of PDPs generally and the specifics of the FSBP PDP. 

Mark your calendars for two upcoming discussions of the FSBP PDP: 

October 31, at 12 noon ET - We will offer a live webinar with an overview of the PDP and a chance for you to ask your questions. 

November 30 at 11 am ET - Our monthly AFSPA Talks program will focus on the PDP and offer another opportunity for you to get answers about this program. 

You can learn more at www.afspa.org/fsbp/pdp. 

If you have questions about the benefits under the PDP, please contact the dedicated Express Scripts line at 855-690-8353, 24 hours a day, 7 days a week. 

For more information on Medicare Part D premiums, please visit https://www.medicare.gov/drug-coverage-part-d/costs-for-medicare-drug-coverage/monthly-premium-for-drug-plans. Please see the 2024 chart at the bottom of the page (based on 2022 income).