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Foreign Medical Care–Information for Providers
VA’s Foreign Medical Program (FMP) is a health care benefits program for Veterans with VA-rated, service-connected disabilities who are residing or traveling abroad. Through FMP, VA assumes payment responsibility for certain health care services, medication, and durable medical equipment necessary for treatment of a service-connected disability or condition associated with a service-connected disability.
VA administers FMP and is responsible for all aspects of the program including the Veterans’ registration process, verification of eligibility, authorization of benefits, and the processing and payment of claims.
Please note: To speed up claims processing, providers should submit claims in English. Claim information submitted in a language other than English requires translation and may delay processing of claims.
How to file a FMP Claim
All FMP claims should include the patient’s full name, VA Claim Number, mailing address, and the FMP Claim Cover Sheet, VA Form 10-7959f-2.
FMP Claim Cover Sheet, VA Form 10-7959f-2
Documents needed for certain types of claims
Below is a list of documents to send with your claim. Additional documentation may be necessary depending on the type of claim.
Inpatient hospital care claim
- Discharge summary for inpatient hospital care
- Itemized statement of charges
- Narrative description of the services provided
- Provider information:
- Full name and medical title
- Office address and phone number
- Billing address, if different from the office address
- Inpatient care prescription information:
- Full name and medical title
- Office address and phone number
- Billing address, if different from the office address
- Diagnosis and treatment
- Billed charge and date(s) for each service
Medical devices, equipment, or supplies claim
- Provider information:
- Full name and medical title
- Office address and phone number
- Billing address, if different from the office address
- Physician prescription information:
- Name and detailed description of the device, equipment, or supplies
- Related health condition
- Expected medical benefit and length of time needed to use the device, equipment or supplies
- Justification for non-standard features of modifications
Prescription medication claims
- Full name, address and phone number of pharmacy
- Date(s) of service
- Copy of prescription to include:
- Name, dosage, strength, and quantity of medication
- Related medical condition
Frequently Asked Questions
How do I know if a Veteran is FMP eligible?
Veterans will have a FMP benefits authorization letter outlining their covered, service-connected disabilities.
Is there a contract or agreement I must sign to accept/participate in FMP?
No, FMP does not have contract providers.
Does the Veteran need approval for referrals to specialists or for diagnostic tests?
No, approvals are not required for referrals or diagnostic tests related to treating service-connected disabilities.
What kind of clinical cases are reviewed for medical claims?
Claims are reviewed to determine whether the care provided is related to the service-connected disability. Reviews may include:
- Physical, occupational and speech therapy; home health care
- Inpatient skilled nursing services and rehabilitation
- Mental health/substance abuse
- Durable medical equipment
How do I get a claim paid?
Submit your claim with the following information:
- FMP Claim Cover Sheet
- Patient’s full name, mailing address, and Social Security Number
- Billed charge(s) and date(s) for each service
- Provider’s full name, medical title, office address, phone number, and billing address (if different from office address)
- Narrative description of service provided
- Diagnosis treated
Send all documentation via mail, fax or email to:
Veterans Health Administration
ATTN: Foreign Medical Program
P.O. Box 200, Spring City PA 19475
United States of America
303-331-7803
For more information on submitting a claim, please contact the FMP office:
What kind of medication is covered under FMP?
Prescription and over-the-counter medications are covered if the drug is appropriate for the treatment of a service-connected disability, or any condition associated with a service-connected disability that VA determines makes the disability worse (or “aggravates” it). All medications must be approved by the U.S. Food and Drug Administration (FDA). Medication purchased in the U.S. and mailed or shipped to a foreign country is not covered.
Does FMP issue preauthorizations?
It is important to note that FMP is unable to issue preauthorization for foreign medical services. Veterans are encouraged to use the Ask VA (AVA) system to communicate directly with FMP to obtain a treatment predetermination screening. This process will provide reasonable assurance on whether a claim will be paid, if billed appropriately.
FMP Contacts
VHA Office of Integrated Veteran Care
ATTN: Foreign Medical Program
PO Box 200, Spring City PA 19475
833-930-0816
Monday-Friday, 8 a.m. to 6:45 p.m. ET
303-331-7803
If you have a question, please contact FMP at any of the phone numbers listed below:
- USA/Canada: 877-345-8179
- Australia: 1800 354 965
- Costa Rica: 0800-013-0759
- Germany: 0800 1800011
- Italy: 800 782655
- Japan: 00531-13-0871
- Mexico: (001) 877-345-8179
- Spain: 900 981 776
- UK: 0800-032 7425
