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Patient Administration - Army Publishing Directorate - U.S. Army

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3–52. Family members of certain members sentenced, discharged, or dismissed from the Uniformed<br />

Services<br />

Health care is authorized in MTFs and under the TRICARE Program for Family members of former military members<br />

under the following conditions.<br />

a. Family members and children of a Soldier who was separated from the <strong>Army</strong> for an abuse-related offense may be<br />

eligible for continued health care benefits under the Transitional Compensation Program. This includes one year of<br />

medical and dental TRICARE benefits. Medical care at the MTF is provided on a space-available basis.<br />

b. Information on the Transitional Compensation Program is outlined in AR 608-1, paragraph G-8. Family members<br />

are referred through local Family Advocacy channels for processing into the program.<br />

3–53. Ineligible persons outside the United States<br />

In special circumstances, a major overseas commander (para 1-4b) may authorize care for an ineligible person in <strong>Army</strong><br />

MTFs under his or her jurisdiction when he or she considers this to be in the best interest of his or her command.<br />

Charges for care provided under this paragraph will be at the full reimbursable rate and collection will be made locally.<br />

3–54. Certain personnel evacuated from one area to another<br />

Personnel may be evacuated for medical reasons from an area in which they are eligible for medical care to an area<br />

where they are not otherwise eligible for such care. In these cases, personnel will be admitted to or furnished treatment<br />

at <strong>Army</strong> MTFs to which evacuated or while en route thereto when medical care is deemed necessary. Care should be<br />

furnished under this paragraph on a temporary basis only until such time as appropriate disposition can be accomplished.<br />

When tranferring Secretarial designees of one Service to another, prior approval should be acquired from the<br />

Office of the Secretary of the Service of the gaining MTF.<br />

3–55. Civilians in emergency<br />

Any person is authorized care in an emergency to prevent undue suffering or loss of life. Civilian emergency patients<br />

not authorized <strong>Army</strong> MTF services will be treated only during the period of the emergency. Action will be taken to<br />

transfer such patients as soon as the emergency period ends. Charges for medical care under this paragraph will be at<br />

the full reimbursable rate.<br />

3–56. Volunteer subjects in approved Department of the <strong>Army</strong> research projects<br />

Volunteers under the provisions of AR 40-38 and AR 70-25 are authorized necessary medical care for injury or disease<br />

that is the proximate result of their participation in clinical investigation or research protocols. Medical care charges for<br />

all categories of personnel described in this chapter will be waived when they require care which is the proximate<br />

result of participation in clinical investigation or research protocols. Medical care for civilian employees who volunteer<br />

and who perform duty as a volunteer during their regularly scheduled tour of duty will be provided according to<br />

paragraph 3-24.<br />

3–57. U.S. nationals in foreign penal institutions<br />

U.S. nationals serving with, employed by, or accompanying the Armed Forces outside the United States and its<br />

possessions, and their Family members, when confined in foreign penal institutions, are authorized medical care of the<br />

type and quality furnished prisoners in U.S. military confinement (AR 27-50).<br />

3–58. Domestic servants outside the United States<br />

<strong>Army</strong> MTFs located outside the United States are authorized to provide the following with charges as indicated in<br />

appendix B for domestic servants employed or to be employed by DOD military and civilian personnel:<br />

a. Preemployment health examinations.<br />

b. Periodic communicable disease detection examinations.<br />

c. Immunizations.<br />

3–59. U.S. contractor civilian employees stationed in American Samoa<br />

Upon request of the Governor of American Samoa, U.S. contractor civilian employees stationed in American Samoa<br />

may be provided care at TAMC. Charges will be collected locally from the individual at rates prescribed in appendix<br />

B.<br />

3–60. Civilians injured in alleged felonious assaults on <strong>Army</strong> installations<br />

When required to complete a criminal investigation, the Secretary of the <strong>Army</strong> has given commanders of <strong>Army</strong> MTFs<br />

discretionary authority to provide examination and initial treatment without charge to a civilian injured in an alleged<br />

felonious assault (for example, alleged rape) occurring on an <strong>Army</strong> installation. There is no authority to provide care<br />

for civilians in the private sector.<br />

30 AR 40–400 27 January 2010

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