FINANCIAL MANAGEMENT POLICY MANUAL

funding responsibility of the Naval Facilities Engineering
Command,
2. the cost of meals which are furnished from the general mess.
f. Reimbursable Guidance
(1) Naval Medical Facilities - Non-Department of Defense (Non-DoD)
Patients and DoD Dependents.
The cost of providing inpatient and outpatient care in Navy
medical facilities to non-DoD patients is reimbursable at rates
based on recovery of full cost. The amounts collected are credited
to the appropriation that supports the maintenance and operation of
the facility as reimbursements for current operating costs to be
used to improve the services provided by that facility. Dependents
of uniformed personnel who are authorized care at Government
expense are charged a nominal sum daily for inpatient care
pursuant to 10 U.S. Code 1078(a), as amended. These amounts are
credited as reimbursements to the operating funds of the medical
facility providing the care. The rates and reimbursement
procedures for these charges are issued annually in a BUMED
Notice.
(2) Non-naval Medical and Dental Care-Active Duty Members
(a) General Policy.
Navy and Marine Corps personnel who incur disease or
injury while on active duty (including active duty for
training and inactive duty for training) and, under the North
Atlantic Treaty Organization-Status of Forces Agreement
(NATO-SOFA), Naval members of NATO-SOFA nations
stationed in or passing through the United States in
connection with their official duties, may receive
reimbursement or settlement for claims for certain medical
or dental care provided in civilian or non-Navy/Federal
medical facilities. DON policy requires that such non-
Federal care should generally be utilized only when Navy
or other Federal medical and/or dental facilities (e.g.,
Army, Air Force, Public Health Service, and Department of
Veterans Affairs) are not available. While non-emergency
care obtained from non-Federal sources may be provided at
Navy expense only when advance authorization is obtained,
in emergency situations, when the need or apparent need
for medical or dental attention is such that time does not
permit obtaining the required authorization in advance,
such non-Federal care may be obtained without prior
authorization. In either case, a Statement of Civilian
Medical/Dental Care (BUMED Form 6320.10) is required,
Financial Management Policy
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