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Medical Billing

Medical and Dental Insurance: Off-Base

Some medical/dental insurance plans may not be suited for off base or overseas medical services. You should research the best insurance company/plan before coming to Spain that will provide you and your family with the best service.

You may enroll or change enrollment when you transfer from a duty post within the United States to a duty post outside the United States or the reverse. You have 31 days before the date you are expected to leave your former duty post and 60 days after your arrival at the new duty post to enroll or change enrollment.

Qualifying life event, code 1J from Table of Permissible Changes in FEHB Enrollment:
OPM - Healthcare Insurance

Important Facts about Overseas Coverage from the U.S. Office of Personnel Management:
OPM - Facts About Overseas Coverage

The following links are to insurance companies that personnel have used successfully by other USCS employees stationed overseas.†

(This is not an exhaustive list)
Blue Cross Blue Shield – Coverage Overseas
AFSPA (American Foreign Service Protective Association)
AFSPA Foreign Service Benefit Plan Brochure
GEHA (Dental Insurance)


Spain Tours website, FDRMC or Department of the Navy (DON) does not endorse, recommend, or make representations with respect to the medical or dental offices or services referenced on this website.

The material provided on the Spain Tours website is designed for informational purposes only.

The information on the Spain Tours website is provided with the understanding that the organization is not engaged in rendering medical or dental recommendations. You should not rely on any information on the website to replace consultations with qualified health care professionals to meet your individual needs. Reference to any medical or dental service, treatment or therapy option is not an official endorsement by Spain Tours website, FDRMC or DON. Individuals with medical and dental needs are encouraged to fully investigate service and treatment options and providers that may be most appropriate for a specific individual.

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