VA Form 10-7959f-2: FMP Claim Cover Sheet Guide – The VA Foreign Medical Program (FMP) helps eligible U.S. veterans living or traveling abroad receive reimbursement for medical care related to service-connected conditions. VA Form 10-7959f-2, the FMP Claim Cover Sheet, serves as the essential document for submitting these claims.
This comprehensive guide explains everything you need to know about the form, eligibility, the claims process, and tips for successful reimbursement.
What Is VA Form 10-7959f-2?
VA Form 10-7959f-2 is the official Foreign Medical Program (FMP) Claim Cover Sheet. Veterans (or providers) use it to request reimbursement for approved medical services received outside the United States.
The current version (August 2025) includes updated contact information, direct deposit instructions, and clear requirements for supporting documents. It streamlines claims processing for the VHA Office of Integrated Veteran Care.
Download the latest form here:
Download VA Form 10-7959f-2 (PDF)
Who Is Eligible for the VA Foreign Medical Program (FMP)?
You may qualify for FMP if you are a veteran with a VA-rated service-connected disability and you receive care outside the U.S. for that condition (or a related/aggravated condition).
Key points:
- No enrollment in VA health care is required.
- No prior authorization is needed for care.
- Coverage focuses on service-connected conditions only.
- You must first register using VA Form 10-7959f-1 (FMP Registration Form) to receive a benefits authorization letter.
Review your FMP benefits letter on VA.gov to confirm covered conditions.
How to Use VA Form 10-7959f-2: Step-by-Step Instructions?
- Complete Veteran Information (Section I): Provide your full name, SSN, VA claim number, addresses, phone, email, and date of birth.
- List Diagnosis/Nature of Illness (Section II): Include details matching your service-connected conditions.
- Claimant Certification (Section III): Sign and date the form, certifying accuracy.
- Indicate Payment Recipient: Choose Veteran or Provider.
Required Attachments:
- Itemized billing statements with provider details, services, dates, and charges.
- Proof of payment (receipts).
- Explanation of Benefits (EOB) if you have other health insurance.
- Any other supporting medical documentation.
Timely Filing: Submit claims within 2 years from the date of service (or discharge for inpatient care).
How to File an FMP Claim Using VA Form 10-7959f-2?
You have multiple convenient options:
File Online (Recommended)
Use the VA’s online FMP claims portal for faster processing.
File by Email or Fax
- Email or fax the completed VA Form 10-7959f-2 plus documents.
- Fax: 1-303-331-7803 (or specific number for Canada).
File by Mail
Send to the address on the form: Foreign Medical Program, PO Box 200, Spring City, PA 19475.
Contact: 1-833-930-0816 or [email protected].
Required Supporting Documents for FMP Claims
- Provider’s full itemized bills (name, address, services, dates, charges).
- Proof of payment.
- Translation (VA provides this if needed).
- EOB from other insurance if applicable.
Providers should submit bills in English when possible to speed processing.
Direct Deposit and Payment Information
VA now issues FMP reimbursements via direct deposit for veterans with U.S. bank accounts on file. Update your banking info on VA.gov for fastest payment.
Payments use the exchange rate on the date of service.
Common Questions About VA Form 10-7959f-2
Do I need to register first?
Yes — submit VA Form 10-7959f-1 before or with your first claim.
Can providers file on my behalf?
Yes. Share your FMP benefits letter with them.
What if I have other health insurance?
Submit the EOB along with your claim.
Processing Time: Expect several weeks to months; track status via VA channels.
Tips for Successful FMP Reimbursement
- Keep copies of everything.
- Use the latest form version (August 2025).
- File promptly within the 2-year window.
- Organize documents clearly.
- Consider online filing for speed.
Official Resources and Download
This article provides general information based on official VA sources as of 2026. Always verify details on VA.gov, as policies may update. Consult a VA representative or accredited claims advisor for personalized assistance.