A-Z of Healthcare Coverage

What does the MOD fund off base/at a civilian provider?


Under the terms of the Reciprocal Healthcare Agreement between the US Department of Defense (DoD) and the UK Ministry of Defence (MOD), certain elements of healthcare for UK military personnel assigned to the US (and their entitled dependants) is provided on a reciprocal no-cost basis.

All care (including prescriptions) should always be sought ‘on base’ at US Military Treatment Facilities (MTFs) in the first instance, where treatment will be funded in full by the DoD. There is no requirement to obtain authorisation from the Defence Medical Services (DMS) or the Healthcare and Education Department at the British Embassy for any treatment received at an MTF.

For active duty personnel, ‘off base’ outpatient care will also be funded in full by the DoD as long as Tricare has authorised the referral. However, off base inpatient care will not be funded by the DoD.

For dependants, off base outpatient care will only be funded in part by the DoD. Off base inpatient care will not be funded at all by the DoD.

The MOD will fund treatment off base that is not funded by the DoD provided all three of the following conditions are met:

  • The treatment you need is not available at the MTF
  • Prior authorisation has been received from DMS in the UK (via the Healthcare and Education Department)*
  • The civilian provider you see for your care is in-network with Tricare

Please note that any authorisations provided by Tricare are not valid; these only state that Tricare will pay their portion of the bill. You must have written authorisation in the form of an email from the Healthcare and Education Department in order for the MOD to fund your treatment. 

The A-Z index below details what treatment is funded by the MOD off base/at a civilian provider.

Please note that whilst the index below covers a comprehensive range of medical treatments, it is highly unlikely that basic medical care such as GP visits to diagnose an illness/monitor a pre-existing condition, physical exams/wellness checks and vaccinations will be unavailable at your local MTF.

**Any emergency treatment (treatment received in a civilian Emergency Room (ER) or in a civilian hospital when you are admitted through the ER) does not require authorisation, and will be fully funded by the MOD**

Entitlement to off base treatment funded by the MOD

You are entitled to all medically necessary treatment that would be available to you on the NHS. 

Please note that this does not grant entitlement to all procedures available on the NHS. Elective procedures (i.e. procedures that are not medically necessary) are not funded. 

This is in accordance with JSP 468, which states that the standard of healthcare received overseas (rather than the span of care) must be in line with that available on the NHS (NHS England is used as the benchmark). Current guidance from the Secretary of State is that only essential treatment should be funded (overseas) by the MOD; any elective treatment should wait until the employee or dependant returns to the UK where, if available on the NHS, it will be funded from NHS resources.

Please also remember that most civilian healthcare facilities in the US are privately owned businesses. American doctors may recommend a more complex or superior treatment for a medical problem than would be available on the NHS. NHS doctors are also more conservative in recommending some treatments that are widely available in the US.

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AbortionThe MOD will fully fund abortion. Clinics offering abortions are not widely available in the US. If you need to terminate your pregnancy, please contact the Healthcare and Education Department for guidance and assistance.
Acupuncture​Acupuncture is not funded by the MOD off base.
Allergy​ testingBasic testing for allergies (such as skin prick tests and blood tests) is fully funded by the MOD off base if this is not available at your Military Treatment Facility. More extensive testing may be funded in certain circumstances. Testing for food intolerances is not funded by the MOD off base. **Authorisation must be received before you have any testing off base**
Allerg​y treatmentAll prescriptions for allergy medication should be filled at the pharmacy on base. Prescription medication to treat allergies will only be funded by the MOD off base if the base pharmacy does not have the particular drug that you have been prescribed. The drug must also be available on the NHS. Injections to treat allergies are fully funded by the MOD off base if these are not available at your Military Treatment Facility. Please note, however, that the ‘talking’ Auvi-Q epipen (with voice instructions) is not available on the NHS; therefore it will not be funded by the MOD. **Authorisation must be received before you have any non-emergency treatment off base or fill any prescriptions off base**
Ambu​lance​Emergency transport is fully funded by the MOD if not covered by Tricare. Non-emergency journeys by ambulance (e.g. transfers between hospitals) must be pre-authorised and will be considered on a case-by-case basis. **Authorisation must be received for any non-emergency journeys**
Anti-malarial tabletsIf you cannot fill a prescription for malaria prevention medication at the pharmacy on base, the MOD will only fund prescriptions filled off base if you are travelling to an area where malaria is prevalent for business purposes. If you are travelling to an area where malaria is prevalent for leisure purposes, the MOD will not fund malaria prevention medication. This is because anti-malarial tablets are not available on the NHS in the UK. Instead, they are provided by private prescription.​
Aromatherapy​Aromatherapy is not funded by the MOD off base.
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Birth controlAll prescriptions for contraceptive pills and devices should be filled at the pharmacy on base. Contraceptive pills and devices will only be funded off base by the MOD if the base pharmacy does not have the particular drug that you have been prescribed. The drug must also be available on the NHS. This also applies to other methods of birth control (such as implants, injections and devices that need to be fitted/administered by a physician); these must be sought from the Military Treatment Facility in the first instance. If they are not available on base, the MOD will only fund treatment off base provided it is also available on the NHS. **Authorisation must be received before you have any treatment off base or before you fill any prescriptions off base**
Birthing poolThe use of a birthing pool for a mid-wife led home delivery will only be funded by the MOD if authorised by the Defence Medical Services (DMS). DMS take into consideration the midwife’s qualifications (funding is only approved for Certified Nurse Midwives) and whether a home birth would be offered as an option to the mother in the UK (funding would not be approved if there were medical risks (to the mother or child) involved in a home birth or water birth). **Authorisation must be received before you use a birthing pool at home**
Blood testsIf your doctor has ordered blood tests to diagnose a medical problem or monitor an existing condition, tests will be fully funded by the MOD off base if they cannot be done at the Military Treatment Facility. No routine blood testing is funded by the MOD off base. **Authorisation must be received before you have any non-emergency blood tests off base**
Boardin​g school childrenIf your children are at boarding school in the UK, you must register them at the military personnel office on base as soon as possible during their first visit to the US. If they are over 10 years old they will receive a military ID card. They must also be enrolled in Tricare in order to receive medical care. After they have been registered, they may receive any care offered to them at a Military Treatment Facility (MTF). Any treatment they receive on base will be fully funded by the US DOD. Off base, they are only covered for care at an Emergency Room. Please see ‘Emergency Room Visits’ (under ‘Children – Military Healthcare’) for further information on Emergency Room visits. They are not eligible to receive any routine or non-urgent care at civilian providers in the United States at the DoD or MOD’s expense. This includes routine medical, dental and optical exams. If these are not offered by your MTF they must be done in the UK.
Bowel cancer screening​If bowel cancer screening is not available at your Military Treatment Facility, the MOD will fully fund a routine colonoscopy off base once every two years for individuals over the age of 55. The frequency limitation and age requirement can be waived if a parent or sibling has had bowel cancer. **Authorisation must be received before you have any screening off base**
Breast pumpsIf you are given a breast pump (hand-operated or electric) to use whilst you are still in the hospital following the birth of your baby, this will be funded by the MOD if it is not covered by Tricare. Once you (the mother) have been discharged from the hospital, hire or purchase of a breast pump (manual or electric) will be at your own expense and will not be funded by the MOD. In the UK, new parents are expected to purchase or hire their own breast pump, even when the use of one has been recommended by a doctor
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Caesarean sectionThe MOD will only fund medically necessary scheduled and emergency caesarean sections off base. Elective scheduled caesarean sections that are not medically necessary in a civilian hospital will not be funded by the MOD and are a personal expense. If you have been given authorisation to use a civilian provider for your delivery and you are told by your doctor that your baby needs to be delivered by caesarean section, please inform the Healthcare and Education Department. **Authorisation must be received before you have a non-emergency caesarean section off base**
Cervical smear testCervical smear/Pap smear testing should be available at your local Military Treatment Facility. If you cannot have a cervical smear test done on base, routine cervical smear tests are fully funded by the MOD off base once every three years for women between the ages of 25 and 49, and once every five years for women aged between 50 and 64. If you have been given authorisation by the Healthcare and Education Department to see a civilian doctor to obtain birth control, they may require you to have an annual cervical smear test before prescribing contraceptives. If this is the case, the frequency limitation can be overridden. If your mother or sister has had cervical, uterine or ovarian cancer the MOD will fund more frequent exams off base if exams are unavailable on base. If you have been given authorisation to have a test off base, please ensure you tell the doctor that you are only covered for a Pap smear. Your civilian doctor may recommend other tests, such as the HPV (human papilloma virus) test, however these will not be funded by the MOD unless your Pap smear result is abnormal. **Authorisation must be received before you have any tests off base**
ChiropodyIf there is not a chiropody clinic at your Military Treatment Facility, the MOD will fund an initial consultation with a chiropodist off base. Any treatment, including further appointments, requires authorisation from Defence Medical Services. If your treatment is approved, it will be fully funded by the MOD. **Authorisation must be received before you go to any appointments or have any treatment off base**
Chiropractic careChiropractic care is not funded by the MOD off base.
Colonoscopies​If a colonoscopy cannot be done at your Military Treatment Facility, the MOD will fully fund a routine colonoscopy off base (as part of the screening process for colorectal/bowel cancer) once every five years for individuals over the age of 55. The frequency limitation and age requirement can be waived if a parent or sibling has had colon disease or a non-routine colonoscopy has been recommended by your physician to diagnose an illness or monitor an existing condition. **Authorisation must be received before you have a colonoscopy off base**
Colorectal cancer screeningIf colorectal cancer screening is not available at your Military Treatment Facility, the MOD will fully fund a routine colonoscopy off base once every two years for individuals over the age of 55. The frequency limitation and age requirement can be waived if a parent or sibling has had colon disease. **Authorisation must be received before you have any screening off base**
​Contact lenses: adults​The MOD will fund contact lenses for certain active duty personnel. Pease see ‘Optical care’ (under ‘Active Duty – Military Healthcare’) for further guidance. Contact lenses for non-entitled active duty personnel and spouses are not funded by the MOD.
Contact lenses: children​If your child is aged 18 or under and in full time education, and is prescribed contact lenses, you are entitled to claim the equivalent of an NHS voucher amount. Please see ‘Optical care’ (under ‘Children – Military Healthcare’) for further guidance.
ContraceptivesAll prescriptions for contraceptive pills and devices should be filled at the pharmacy on base. Contraceptive pills and devices will only be funded off base by the MOD if the base pharmacy does not have the particular drug that you have been prescribed. The drug must also be available on the NHS. This also applies to other methods of birth control (such as implants, injections and devices that need to be fitted/administered by a physician); these must be sought from the Military Treatment Facility in the first instance. If they are not available on base, the MOD will only fund treatment off base provided it is also available on the NHS. **Authorisation must be received before you have any treatment off base or before you fill any prescriptions off base**
Convalescent facilitiesCare at a civilian convalescent facility is not funded by the MOD.
Cosmetic surgeryCosmetic surgery is not funded by the MOD off base.
CounsellingCounselling appointments are not widely available on the NHS. If counselling is not available at your Military Treatment Facility, any appointments off base are subject to authorisation by Defence Medical Services, and will only be funded if approval is received. **Authorisation must be received before you attend any appointments or have any treatment off base**
Cryotherapy (refezing of warts)The routine use of Cryotherapy for warts or Verrucae is fully funded by the MOD as available on the NHS. The use of Cryotherapy for cosmetic purposes is not funded by the MOD and will be a personal expense.
CT scans​If your doctor has order a CT scan to diagnose an illness or monitor an existing condition and it cannot be done at your Military Treatment Facility, the MOD will fully fund a scan off base. **Authorisation must be received before you have any non-emergency scans off base**
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Dental (for active duty)Active duty personnel must use a military dental clinic on base/at a Military Treatment Facility. The MOD will not fund any dental treatment off base for active duty personnel.
Dental (for dependants): bridgesThe MOD will only fund pre-authorised bridge work. Adults will be responsible for a Band 3 co-pay (NHS contribution). If your dentist has recommended a bridge as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended a bridge as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense.
Dental (for dependants): crownsThe MOD will only fund pre-authorised crown work. Adults will be responsible for a Band 3 co-pay (NHS contribution). If your dentist has recommended a crown as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended a crown as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. For children, silver crowns on baby teeth must be approved by the consultant dentist at Meritain Health. If the work is authorised, the MOD will fully fund the treatment. If you do not receive prior authorisation all costs will be a personal expense
Dental (for dependants): dentures​The MOD will only fund pre-authorised dentures. You will be responsible for a Band 3 co-pay (NHS contribution). If your dentist has recommended dentures as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended dentures as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense.​
Dental (for dependants): emergency treatment​Dental emergencies are considered severe pain requiring medication, bleeding & hemorrhaging, infection or the painful breaking or chipping of a tooth. Treatment for dental emergencies can be sought without prior notice being given to the Healthcare and Education Department, Meritain Health or Defence Dental Services and will be funded by the MOD. All relevant co-pays (NHS contributions) for adults will apply. Emergency treatment can include temporary crowns. Any follow up treatment, including permanent crowns, is not considered emergency treatment and requires approval.
Dental (for dependants): extractionsThe MOD will only fund pre-authorised tooth extractions. Adults will be responsible for a Band 2 co-pay (NHS contribution). If your dentist has recommended any extractions as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended any extractions as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense. For children, extractions of baby teeth must be approved by the consultant dentist at Meritain Health. If the extractions are authorised, the MOD will fully fund the treatment. Wisdom teeth extractions for adults and children are subject to a different approval process. Please see ‘Dental (for dependants): Wisdom teeth’ for further guidance.
Dental (for dependants): fillingsFor adults, the MOD will fund up to three fillings without authorisation. Up to three fillings are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department. You will be responsible for a Band 2 co-pay (NHS contribution). If your dentist recommends more than three fillings, the MOD will only fund the treatment if pre-authorisation has been received. If your dentist has recommended more than three fillings as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended more than three fillings as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense. For children, the MOD will fund any number of fillings without authorisation. They are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department.
Dental (for dependants): fluoride treatmentFluoride treatments for adults are not funded by the MOD. Any treatment you have will be a personal expense. Fluoride treatments for children are fully funded by the MOD. They are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department.
Dental (for dependants): implants​Implants are not funded by the MOD. Any treatment you or your child has will be a personal expense.
Dental (for dependants): onlays​The MOD will only fund pre-authorised onlays. You will be responsible for a Band 3 co-pay (NHS contribution). If your dentist has recommended an onlay as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended an onlay as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense.
Dental (for dependants): oral examFor adults, the MOD will fund one routine oral exam every 12 months. This includes the exam, prophylaxis (basic clean and polish) and any x-rays as required by your dentist. Routine oral exams are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department. You will be responsible for a Band 1 co-pay (NHS contribution). For children, the MOD will fund one routine oral exam every six months. This includes the exam, prophylaxis (basic clean and polish) and any x-rays as required by your dentist. Routine oral exams are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department.
Dental (for dependants): orthodontic treatmentOrthodontic treatment for adults is not funded by the MOD. Orthodontic treatment for children will be fully funded by the MOD if it has been pre-authorised by Defence Dental Services. If you do not receive approval for your child’s orthodontic treatment all costs will be at a personal expense.
Dental (for dependants): periodontal/deep cleaningThe MOD will only fund pre-authorised periodontal/deep cleaning. Adults will be responsible for a Band 2 co-pay (NHS contribution). If your dentist has recommended periodontal/deep cleaning as part of a treatment plan costing under $5,000, the consultant dentist at Meritain Health must approve the work. If your dentist has recommended periodontal/deep cleaning as part of a treatment plan costing over $5,000, Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense
Dental (for dependants): prophylaxis (basic clean and polish)For adults, the MOD will fund one basic clean and polish every 12 months. Prophylaxis is automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department. You will be responsible for a Band 1 co-pay (NHS contribution). For children, the MOD will fund one basic clean and polish every six months. Prophylaxis is automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department.
Dental (for dependants): root canalsThe MOD will fund root canal work. Adults will be responsible for a Band 2 co-pay (NHS contribution). Root canals are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department if your dentist wants to peform root canal treatment.
Dental (for dependants): sealantsSealants for adults are not funded by the MOD. Any treatment you have will be a personal expense. Sealants for children are fully funded by the MOD. They are automatically authorised; therefore there is no requirement to contact the Healthcare and Education Department.
​Dental (for dependants): teeth whiteningTeeth whitening is not funded by the MOD. Any treatment you or your child has will be a personal expense.​
Dental (for dependants): veneersVeneers are not funded by the MOD. Any treatment you or your child has will be a personal expense.
Dental (for dependants): wisdom teethThe MOD will only fund pre-authorised wisdom teeth extractions for both adults and children. Adults will be responsible for a Band 2 co-pay (NHS contribution). If your dentist has recommended the extraction of your wisdom teeth Defence Dental Services must approve the work. If you do not receive prior authorisation all costs will be a personal expense
Dermatology​If there is not a dermatology clinic at your Military Treatment Facility, the MOD will fund an initial consultation with a dermatologist off base. Any treatment, including further appointments, requires authorisation from Defence Medical Services. If your treatment is approved, it will be fully funded by the MOD.  **Authorisation must be received before you go to any appointments or have any treatment off base**
Diagnostic tes​ts/scansIf your Military Treatment Facility (MTF) cannot perform diagnostic procedures (such as blood tests, x-rays, CT scans, PET scans and MRI scans) ordered by a doctor to diagnose an illness or monitor an existing condition, the MOD will fund them off base. No routine testing for adults is funded by the MOD off base with the exception of cervical smear tests, mammograms, prostate cancer screening and colonoscopies. These are, however, subject to age restrictions and frequency limitations. ‘Wellness testing’ for adults is not funded by the MOD off base as this is not available on the NHS. If your MTF is unable to offer wellness testing or a physical exam, any wellness tests obtained from a civilian provider will be a personal expense. If your MTF is unable to offer wellness testing or physical exams for children, the MOD will fully fund tests off base for children. The entitled frequency to exams is as follows: Six routine wellness exams in the 1st 12 months of life Two routine wellness exams in the 13th-24th months of life One routine wellness exam per year between the ages of two and 18 n.b. the most commonly suggested visit schedule within this entitlement is visits at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 18 months, 24 months, 3 years, and once a year thereafter up to 18 years **Authorisation must be received before you have any non-emergency tests or scans off base**
Doulas​A doula is a woman who provides support and advice to another woman during pregnancy and during and after birth. They may be a ‘birth doula’ or a ‘postnatal doula’, or both. They have no medical qualifications. Doula fees are not funded by the MOD.​
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Elective careAn elective procedure is one that is not medically necessary. Elective surgery and procedures are not funded by the MOD off base. This is in accordance with JSP 468, which states that the standard of healthcare received overseas (rather than the span of care) must be in line with that available on the NHS (NHS England is used as the benchmark). Current guidance from the Secretary of State is that only essential treatment should be funded (overseas) by the MOD; any elective treatment should wait until the employee or dependant returns to the UK where, if available on the NHS, it will be funded from NHS resources.​
Emergency RoomEmergency services (transport to the Emergency Room (ER) and treatment received at a civilian ER) are fully funded by the MOD.​​​
Erectile dysfunctionAll prescriptions should be filled at the pharmacy on base. Men whose erectile dysfunction is associated with any of the following conditions may be eligible for MOD funded off base prescriptions if the base pharmacy does not have the drug that you have been prescribed, and if proof of the condition can be provided: ·      Diabetes ·      Kidney failure requiring dialysis ·      Kidney transplant ·      Multiple sclerosis ·      Parkinson’s disease ·      Polio ·      Prostate cancer ·      Removal of the prostate gland (prostatectomy, including men who have had a transurethral resection of the prostate) ·      Radical pelvic surgery ·      Severe pelvic injury ·      Single gene neurological conditions ·      Spinal cord injury ·      Spina bifida **Authorisation must be received before you fill any prescriptions off base**
Experimental surgery​Experimental surgery is not funded by the MOD off base.​​
​Eye exams: adultsActive duty   Active duty personnel must have all eye exams conducted on base/at a Military Treatment Facility, where the cost of the exam will be covered in full by the US DoD. Eye exams off base are not funded by the MOD. Spouses If eye exams are not available at the Military Treatment Facility, the MOD will fund one routine eye exam off base every 24 months. The NHS patient contribution for an eye exam in the UK is £21.10 (equivalent to $32); this amount will be a personal expense unless you are exempt. If you have a medical/optical condition that requires more regular exams or the care of a specialist, the MOD may fund more frequent exams. Please see ‘Optical care’ (under ‘Spouses – Military Healthcare’) for further guidance. **Authorisation must be received before you have an eye exam off base**
Eye exams: childrenIf your Military Treatment Facility is unable to offer eye exams, the MOD will fund an eye exam off base. The MOD will fully fund a routine eye exam once every 24 months for children under 16 and children age 16-18 and in full time education. For children age 16-18 and not in full time education, or age 19 or older, the MOD will partially fund one routine eye exam every 24 months. You will be responsible for paying the equivalent of the NHS contribution for an eye exam in the UK (£21.10 (equivalent to $32)). If your child wears glasses, is experiencing vision problems or has a medical/optical condition that requires more regular exams or the care of a specialist, the MOD may fund more frequent exams. Please see ‘Optical care’ (under ‘Children – Military Healthcare’) for further guidance. **Authorisation must be received before your child has an eye exam off base**
Eyeglasses: adultsEyeglasses for adults are not funded by the MOD.​​​
Eyeglasses​: children​If your child is aged 18 or under and in full time education, and is prescribed eyeglasses, you are entitled to claim the equivalent of an NHS voucher amount. Please see ‘Optical care’ (under ‘Children – Military Healthcare’) for further guidance.
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Flu vaccinationDue to the recent and ongoing COVID 19 pandemic, the MOD will fund one influenza vaccination per year for all MOD staff and their family members moving into the fall of 2020/2021. If this cannot be done under your military or civilian medical provider, these can be obtained at your local CVS/Walgreens and claimed back through the Embassy using the Form 200.
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Gastric band surgeryGastric band surgery is not funded by the MOD off base.​
Genetic testing​Genetic testing is not funded by the MOD off base.​
GP visitGeneral Practitioner (GP) (or Primary Care Physician (PCP)) office visits should be available at your local Military Treatment Facility. They will not be funded by the MOD off base except in exceptional circumstances (for example, if you are in a ‘Remote Location’). If you are referred off base to see a GP/PCP please contact the Healthcare and Education Department.​
Gynaecological care examGynaecological care exams should be available at your local Military Treatment Facility. If you cannot have a gynaecological care exam done on base, routine cervical smear/Pap smear tests are fully funded by the MOD off base once every three years for women between the ages of 25 and 49, and once every five years for women aged between 50 and 64. If you have been given authorisation by the Healthcare and Education Department to see a civilian doctor to obtain birth control, they may require you to have an annual cervical smear test before prescribing contraceptives. If this is the case, the frequency limitation can be overridden. If your mother or sister has had cervical, uterine or ovarian cancer the MOD will fund more frequent exams off base if exams are unavailable on base. If you have been given authorisation to have a test off base, please ensure you tell the doctor that you are only covered for a Pap smear. Your civilian doctor may recommend other tests, such as the HPV (human papilloma virus) test, however these will not be funded by the MOD unless your Pap smear result is abnormal. **Authorisation must be received before you have any tests/exams off base**​​
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Hearing aids​If your Military Treatment Facility cannot provide you with a hearing aid, the MOD will fund ‘behind the ear’ hearing aids only off base. If possible, current NHS hearing aids should be repaired rather than replaced. **Authorisation must be received before you have any treatment or hearing aids off base**​
Home health careHome health care is not funded by the MOD off base.​​
HomeopathyHomeopathy is not funded by the MOD off base.​
HPV vaccinationThe HPV (Human Papilloma Virus) vaccination (also known as the cervical cancer vaccination) is part of the NHS childhood vaccination program. It is offered to girls aged 12 to 13 in the UK. This age group is year 8 in schools in England and grade 7 in schools in the United States. If your Military Treatment Facility is unable to offer the HPV vaccination, the MOD will fully fund the vaccination off base for all girls aged 12–17 in the US. Women aged 18 or over are not routinely offered a vaccination against HPV on the NHS; therefore it is not funded by the MOD off base for this age group in the US. American doctors sometimes recommend that boys are vaccinated too; however the MOD will not fund a vaccination off base for boys as the NHS vaccination program only covers girls. **Authorisation must be received before your child has any vaccinations off base**
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Immunisations: adultsAll vaccinations are to be sought from your Military Treatment Facility (MTF). If your MTF is unable to offer vaccinations, the MOD will fund one influenza vaccination per year off base and any vaccinations that are necessary for official travel. Please note that no vaccinations are needed for adults to enter the United States. **Authorisation must be received before you have any vaccinations off base**
Immunisations: childrenAll vaccinations are to be sought from your Military Treatment Facility (MTF). If your MTF is unable to offer vaccinations, the MOD will fund all routine childhood vaccinations (as recommended by the US Centers for Disease Control and Prevention) off base, along with one influenza vaccination per year. Please see ‘Vaccinations’ (under ‘Children – Military Healthcare’) for further guidance, including the UK and US childhood vaccination schedules. **Authorisation must be received before your child has any vaccinations off base**​​
​​Infertility testingIf you have been trying to conceive for at least one year, you may be entitled to receive certain investigative tests funded by the MOD off base to establish if there is problem with fertility. This applies to both women and men. ​ If you have any reason to be concerned about your fertility (for example, if you have had treatment for cancer) or you are a woman over the age of 35, you may be entitled to receive testing funded by the MOD off base if you have been trying for less than a year. Please note that the MOD will not fund any consultations concerning options for actual infertility treatment or any infertility treatment itself. **Authorisation must be received before you have any testing off base**​​
Infertility treatment​Infertility treatment includes infertility drugs, intrauterine insemination (IUI) and in-vitro fertilisation (IVF). Infertility treatment is not funded by the MOD as per the Assisted Conception and Fertility Defence Instruction and Notices 2021DIN01-020.
​Influenza vaccinationIf your Military Treatment Facility is unable to offer influenza vaccinations, the MOD will fully fund one vaccination per year for both adults and children at a civilian provider. **Authorisation must be received before you have any vaccinations off base**​
Inpatient careInpatient care, including surgery, is fully funded by the MOD if you or your child is admitted to a civilian hospital in an emergency. Non-emergency inpatient care, such as scheduled surgery or an extended period of observation or monitoring, is subject to authorisation by Defence Medical Services, and will only be funded by the MOD off base if approval is received. **Authorisation must be received before you have any non-emergency treatment off base**​
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Laser eye surgeryLaser eye surgery is not funded by the MOD off base
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Malaria prevention medicationIf you cannot fill a prescription for malaria prevention medication at the pharmacy on base, the MOD will only fill prescriptions filled off base if you are travelling to an area where malaria is prevalent for business purposes. If you are travelling to an area where malaria is prevalent for leisure purposes, the MOD will not fund malaria prevention medication. This is because anti-malarial tablets are not available on the NHS in the UK. Instead, they are provided by private prescription.​
MammogramsMammograms should be sought from your Military Treatment Facility (MTF). If your MTF is unable to offer mammograms, a routine mammogram is fully funded by the MOD off base once every three years for women between the ages of 47 and 70. Please note that routine mammograms are recommended at more frequent intervals in the US, and for women under the age of 47; however the MOD will only fund one every three years off base, as would be available on the NHS. The age requirement and frequency limitation can be waived if your mother or sister has had breast cancer or your doctor has ordered a non-routine mammogram. **Authorisation must be received before you have any mammograms off base**
Marriage counsellingMarriage counselling is not funded by the MOD off base.​
Medical equipmentIf unavailable at your Military Treatment Facility (MTF), or required following emergency treatment or preauthorised non-emergency treatment at a civilian hospital, crutches, walkers and manual wheelchairs are funded by the MOD off base. Custom made orthotics ordered by a doctor, including custom made footwear, adaptations to the heel or sole of your own footwear, custom made shoe insoles and custom made fabric supports are fully funded by the MOD off base if unavailable at the MTF. Braces, such as back, hip and leg braces fitted by a doctor or orthotist to provide support following surgery are fully funded by the MOD off base. All other equipment (including machines and rental equipment) is subject to approval by Defence Medical Services (DMS), and will only be funded by the MOD off base if approval is received. Off the shelf/generic orthotics that can be bought over the counter, such as knee or ankle supports and insoles are not funded by the MOD. Please note that most durable medical equipment provided to patients in the US is not available on the NHS. You should not take any equipment home with you until it has been approved by DMS, otherwise it will be a personal expense (even that which has been provided by your Military Treatment Facility, unless you are certain there will be no charge for it). **Authorisation must be received before you receive any medical equipment off base**​​
Midwife visitsPost-natal home visits by a nurse, midwife or doula are not funded by the MOD.
Missed appointmentsCharges for missed appointments are not funded by the MOD.
MRI scansIf your doctor has ordered an MRI scan to diagnose a medical problem or monitor an existing condition, a scan will be fully funded by the MOD off base if it cannot be done at the Military Treatment Facility. This policy does not apply if you have an MRI scan as part of a visit to a civilian Emergency Room. Emergency MRI scans will be funded without prior approval. **Authorisation must be received before you have any non-emergency scans off base**​​
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​Orthopaedic careIf your Military Treatment Facility does not have an orthopaedic clinic, the MOD will fund an initial consultation with an orthopaedic doctor off base. Any treatment, including further appointments, requires authorisation from Defence Medical Services. If your treatment is approved, it will be fully funded by the MOD. **Authorisation must be received before you attend any appointments or have any non-emergency treatment off base**​​
OrthoticsCustom made orthotics ordered by a doctor, including custom made footwear, adaptations to the heel or sole of your own footwear, custom made shoe insoles and custom made fabric supports are funded by the MOD off made if unavailable at the Military Treatment Facility. Braces, such as back, hip and leg braces fitted by a doctor or orthotist to provide support following surgery are funded by the MOD off base. Off the shelf/generic orthotics that can be bought over the counter, such as knee or ankle supports and insoles are not funded by the MOD. **Authorisation must be received before you receive any orthotics off base**
OsteopathyOsteopathy is not funded by the MOD off base.​
Outpatient surgery​Outpatient surgery is fully funded by the MOD at a civilian hospital in an emergency. Non-emergency outpatient surgery requires approval from Defence Medical Services before you (or your child) receives care off base. If the treatment is approved, it will be fully funded by the MOD. **Authorisation must be received before you have any non-emergency treatment off base**
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Paediat​​rician visitsPaediatrician visits (both routine checks and visits due to illness) should be available from your Military Treatment Facility (MTF). If your MTF is unable to offer routine checks (‘wellness tests’ or physical exams) for children, the MOD will fully fund tests off base for children. The entitled frequency to exams is as follows: Six routine wellness exams in the 1st 12 months of life Two routine wellness exams in the 13th-24th months of life One routine wellness exam per year between the ages of two and 18 n.b. the most commonly suggested visit schedule within this entitlement is visits at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 18 months, 24 months, 3 years, and once a year thereafter up to 18 years  Paediatrician visits due to illness are not subject to the above schedule and will be fully funded off base only if unavailable at the MTF. **Authorisation must be received before your child goes for any visits off base*​​
Pap test/Pap smearPap smear/cervical smear testing should be available at your local Military Treatment Facility. If you cannot have a cervical smear test done on base, routine cervical smear tests are fully funded by the MOD off base once every three years for women between the ages of 25 and 49, and once every five years for women aged 50 to 64. If you have been given authorisation by the Healthcare and Education Department to see a civilian doctor to obtain birth control, they may require you to have an annual cervical smear test before prescribing contraceptives. If this is the case, the frequency limitation can be overridden. If your mother or sister has had cervical, uterine or ovarian cancer the MOD will fund more frequent exams off base if exams are unavailable on base. If you have been given authorisation to have a test off base, please ensure you tell the doctor that you are only covered for a Pap smear. Your civilian doctor may recommend other tests, such as the HPV (human papilloma virus) test, however these will not be funded by the MOD unless your Pap smear result is abnormal. **Authorisation must be received before you have any tests off base**​​​
PET scansIf your doctor has ordered a PET scan to diagnose a medical problem or monitor an existing condition, a scan will be fully funded by the MOD off base if it cannot be done at the Military Treatment Facility. This policy does not apply if you have a PET scan as part of a visit to a civilian Emergency Room. Emergency PET scans will be funded without prior approval. **Authorisation must be received before you have any non-emergency scans off base**
Physical exams: adultsA physical exam or wellness check/exam is a medical examination which is aimed at preventing health problems in an apparently healthy person. It can include routine testing such as blood tests, and is in contrast to a medical examination that would be carried out to diagnose a problem where there are specific symptoms. Wellness tests/physical exams for adults are not funded by the MOD off base as these are not available on the NHS. If your MTF is unable to offer wellness testing or a physical exam, any wellness tests obtained from a civilian provider will be a personal expense.​
Physical exams: childrenA physical exam or wellness check/exam is a medical examination which is aimed at preventing health problems in an apparently healthy person. It can include routine testing such as blood tests, and is in contrast to a medical examination that would be carried out to diagnose a problem where there are specific symptoms. Physical exams/wellness tests should be available from your Military Treatment Facility (MTF). If your MTF is unable to offer wellness testing or physical exams for children, the MOD will fully fund tests off base for children. The entitled frequency to exams is as follows: Six routine wellness exams in the 1st 12 months of life Two routine wellness exams in the 13th-24th months of life One routine wellness exam per year between the ages of two and 18 n.b. the most commonly suggested visit schedule within this entitlement is visits at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 18 months, 24 months, 3 years, and once a year thereafter up to 18 years **Authorisation must be received before your child has any exams off base*
Physiotherapy/physical therapyIf your doctor has referred you for physiotherapy (or physical therapy as it is known in the US), and your Military Treatment Facility is unable to offer you any appointments, the MOD will fund six sessions of therapy off base. If you have been authorised to see a civilian therapist and they recommend more than six sessions, any additional sessions must be approved by Defence Medical Services before you receive treatment. Please note that in contrast to the USA, physiotherapy is a limited resource in the UK. On the NHS up to six sessions would be the normal provision except in complicated or chronic cases. UK treatment is aimed at minimal therapist intervention with the patient being taught exercises that can be continued at home, with one or two follow-up visits to ensure good compliance with the exercise programme. **Authorisation must be received before you have any physiotherapy off base**
PodiatryIf your Military Treatment Facility does not have a podiatry clinic, the MOD will fund an initial consultation with a podiatrist off base. Any treatment, including further appointments, requires authorisation from Defence Medical Services. If your treatment is approved, it will be fully funded by the MOD. **Authorisation must be received before you attend any appointments or have any treatment off base**
Pre-natal careIf your Military Treatment Facility is unable to provide pre-natal care, all routine pre-natal visits and scans are fully funded by the MOD off base. If you have been authorised to use a civilian provider and your doctor recommends any specialised tests or scans, you will require authorisation from Defence Medical Services for these. Please see ‘Pregnancy’ (under ‘Spouses – Military Healthcare’) for further guidance. **Authorisation must be received before you go for any visits or scans off base**
Pre-natal classesCertain pre-natal classes are available to expectant mothers on the NHS in the UK. The topics include: ·       Health in pregnancy ·       What happens during labour and the birth ·       Pain relief and relaxation ·       Information about different kinds of birth and interventions ·       Emotions and feelings during pregnancy, birth and after ·       Breast feeding ·       Caring for your baby New (first time) fathers may also be offered a session on how they can help during labour and delivery. If these classes are not available at your MTF free of charge, please contact the Healthcare and Education Department for authorisation to claim the costs of these classes with a civilian provider. The MOD will fully fund any pre-natal classes that would be available on the NHS in the UK. **Authorisation must be received before you go to any classes off base**
PregnancyPlease see ‘Pregnancy’ (under ‘Spouses – Military Healthcare’) for details on what care is funded. **Authorisation must be received before you have any non-emergency treatment off base**
Prescription foodAll prescriptions should be filled at the pharmacy on base. Off base food prescriptions will only be funded be funded by the MOD if the base pharmacy does not have the particular food that you have been prescribed. The prescribed food must also be available on the NHS. Adults are responsible for the NHS prescription charge of £8.20​ ($13). Children’s food prescriptions will be fully funded by the MOD since there is no NHS contribution for children’s prescriptions in the UK. **Authorisation must be received before you fill any food prescriptions off base**
Prescriptions – chargesAll prescriptions should be filled at the pharmacy on base. Off base prescriptions will only be funded be funded by the MOD in the event of an emergency or if the base pharmacy does not have the particular drug that you have been prescribed. The drug must also be available on the NHS. If you fill a prescription off base, the NHS patient contribution for a prescription for adults in the UK will be a personal expense unless you are exempt. This is £8.20 (equivalent to $13). There is no NHS contribution for children’s prescriptions in the UK; therefore the MOD will fully fund your child’s prescription. **Authorisation must be received before you fill any non-emergency prescriptions off base**
Prescriptions – exemptionAll prescriptions should be filled at the pharmacy on base in the first instance. Serving people are exempt a COPAY should they require to get a prescription ‘off base’.  Off base prescriptions will only be funded by the MOD in the event of an emergency or if the base pharmacy does not have the particular drug that you have been prescribed. The drug must also be available on the NHS. If you fill a prescription off base, the NHS patient contribution for a prescription for adults in the UK will be a personal expense unless you are exempt. This is £8.20 (equivalent to $12). You are exempt NHS prescription charges if you: are age 60 or over; are age under 16; are age 16-18 and in full time education; are pregnant or have had a baby in the previous 12 months; have a specified medical condition and have a valid medical exemption certificate. If you are exempt, the MOD will fully fund your prescription. **Authorisation must be received before you fill any non-emergency prescriptions off base**
Prostate cancer screeningProstate cancer screening should be available at your Military Treatment Facility (MTF). If it is unavailable at your MTF, screening is funded by the MOD off base once a year for individuals over the age of 50. Screening includes a PSA (prostate specific antigen) blood test and a physical examination of the prostate. Any other tests, more frequent screening, or screening below the age of 50 must be approved by Defence Medical Services. **Authorisation must be received before you have any screening off base**
PSA testingProstate cancer screening should be available at your Military Treatment Facility (MTF). If it is unavailable at your MTF, screening is funded by the MOD off base once a year for individuals over the age of 50. Screening includes a PSA (prostate specific antigen) blood test and a physical examination of the prostate. Any other tests, more frequent screening, or screening below the age of 50 must be approved by Defence Medical Services. **Authorisation must be received before you have any screening off base**
PsychiatryIf psychiatry appointments are not available at your Military Treatment Facility, the MOD will fund one initial evaluation followed by two appointments off base. After this, the MOD will fund one follow up visit every 90 days. If the psychiatrist recommends a more extensive treatment plan, it must be approved by Defence Medical Services. **Authorisation must be received before you attend any appointments or have any treatment off base**
PsychologyPsychology/counselling appointments are not widely available on the NHS. If they are not available at your Military Treatment Facility, any appointments off base are subject to authorisation by Defence Medical Services, and will only be funded if approval is received. **Authorisation must be received before you attend any appointments or have any treatment off base**
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ReflexologyReflexology is not funded by the MOD off base.​
Rescheduled appointmentsCharges applied for rescheduling appointments are not funded by the MOD.​
Routine testing: adultsNo routine testing for adults is funded off base by the MOD with the exception of cervical smear tests, mammograms, prostate cancer screening and colonoscopies if these are not available at your Military Treatment Facility. These are, however, subject to age restrictions and frequency limitations. Wellness tests/physical exams for adults are not funded by the MOD off base as these are not available on the NHS. A physical exam or wellness check/exam is a medical examination which is aimed at preventing health problems in an apparently healthy person. It can include routine testing (including blood tests, urinalysis, a physical examination, ECG/EKG, vision & hearing screening and spirometry) and is in contrast to a medical examination that would be carried out to diagnose a problem where there are specific symptoms. If your MTF is unable to offer wellness testing or a physical exam, any wellness tests obtained from a civilian provider will be a personal expense.​
Routine testing: childrenA physical exam or wellness check/exam is a medical examination which is aimed at preventing health problems in an apparently healthy person. It can include routine testing such as blood tests, and is in contrast to a medical examination that would be carried out to diagnose a problem where there are specific symptoms. Physical exams/wellness tests should be available from your Military Treatment Facility (MTF). If your MTF is unable to offer wellness testing or physical exams for children, the MOD will fully fund tests off base for children. The entitled frequency to exams is as follows: Six routine wellness exams in the 1st 12 months of life Two routine wellness exams in the 13th-24th months of life One routine wellness exam per year between the ages of two and 18 n.b. the most commonly suggested visit schedule within this entitlement is visits at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 18 months, 24 months, 3 years, and once a year thereafter up to 18 years **Authorisation must be received before your child has any exams off base**
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Sexual health/screening for Sexually Transmitted InfectionsIf it is unavailable on base, screening for Sexually Transmitted Infections (STIs) is fully funded by the MOD off base.
Sight test: adultsActive duty Active duty personnel must have all sight tests/eye exams conducted on base/at a Military Treatment Facility, where the cost of the exam will be covered in full by the US DoD. Eye exams off base are not funded by the MOD. Spouses If sight tests/eye exams are not available at the Military Treatment Facility, the MOD will fund one routine eye exam off base every 24 months. The NHS patient contribution for an eye exam in the UK is £21.10 (equivalent to $32); this amount will be a personal expense unless you are exempt. If you have a medical/optical condition that requires more regular exams or the care of a specialist, the MOD may fund more frequent exams. Please see ‘Optical care’ (under ‘Spouses – Military Healthcare’) for further guidance. **Authorisation must be received before you have an eye exam off base**
​​​Sight test: childrenIf your Military Treatment Facility is unable to offer sight tests/eye exams, the MOD will fund an eye exam off base. The MOD will fully fund a routine eye exam once every 24 months for children under 16 and children age 16-18 and in full time education. For children age 16-18 and not in full time education, or age 19 or older, the MOD will partially fund one routine eye exam every 24 months. You will be responsible for paying the equivalent of the NHS contribution for an eye exam in the UK (£21.10 (equivalent to $32)). If your child wears glasses, is experiencing vision problems or has a medical/optical condition that requires more regular exams or the care of a specialist, the MOD may fund more frequent exams. Please see ‘Optical care’ (under ‘Children – Military Healthcare’) for further guidance. **Authorisation must be received before your child has an eye exam off base**
Smoking cessationSmoking cessation medication should always be filled on base. If the MTF pharmacy does not have the required drug in stock, please contact the Healthcare and Education Department at the British Embassy in order to obtain authorisation to use a civilian pharmacy. The medication must be available on the NHS.
Specialist office visitsIf your Military Treatment Facility does not have a specialist in the type of treatment you require, the MOD will fund an initial consultation with a specialist off base. Any treatment, including further appointments, require authorisation from Defence Medical Services. If your treatment is approved, it will be fully funded by the MOD. **Authorisation must be received before you attend any appointments or have any treatment off base**
Sterilisation​Sterilisation (male and female) is not funded by the MOD off base. Current guidance from the Secretary of State is that only essential treatment should be funded (overseas) by the MOD; any elective or non-medically necessary treatment should wait until the employee or dependant returns to the UK where, if available on the NHS, it will be funded from NHS resources. Since sterilisation is not medically necessary the MOD will not fund any treatment. This policy is not unique to the US and applies to all overseas areas.
SurgeryInpatient and outpatient surgery is fully funded by the MOD if you or your child is admitted to a civilian hospital in an emergency. Non-emergency surgery is subject to authorisation by Defence Medical Services, and will only be funded by the MOD off base if approval is received. **Authorisation must be received before you have any non-emergency surgery off base**
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​​Termination of pregnancyThe MOD will fully fund termination of pregnancy. Clinics offering termination of pregnancy are not widely available in the US. If you need to terminate your pregnancy, please contact the Healthcare and Education Department for guidance and assistance.
​​​Tuberculosis testing​Tuberculosis (TB) testing for dependant employment purposes is not funded by the MOD. It is often required for employment in an environment where there will be contact with people who are susceptible to the disease (e.g. young children, the elderly and sick people). If you choose to have TB testing it will be a personal expense. If you have received the BCG vaccination in the UK, it will be beneficial for you to inform your doctor of this so that they can determine how best to test you for TB. If you have received the BCG vaccination, it is possible for you to test positive for TB if you have a skin test (US citizens do not routinely receive the BCG vaccination therefore the test only shows a positive response for them if they have had TB). TB blood tests (IGRAs), unlike the skin test, are not affected by prior BCG vaccination and are not expected to give a false positive result in people who have received the BCG vaccination. If a TB blood test does yield a positive result, this only tells that a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection or has progressed to TB disease. Other tests, such as a chest x-ray and a sample of sputum, are needed to see whether the person has TB disease.
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Urgent Care CentersUrgent Care Centers are civilian clinics that treat patients who have an injury or illness that requires immediate care, but is not serious enough to warrant a visit to an emergency department. They usually provide care on an unscheduled, walk-in basis. Urgent Care Centers include Convenient Care Clinics based in retail stores, including CVS’ ‘Minute Clinic’, Walgreen’s ‘Take Care Clinic’ and Target’s ‘Target Clinic’. They also include ‘Doc in a Box’, ‘Nurse in a Box’, ‘Express Care’ and ‘Patient First’ Centres. Please note this list is not exhaustive, as there are many other clinics with different names. Active duty If you require urgent care when the MTF is open, you must request a ‘sick call’ appointment there. As active duty, you will be given the highest priority for appointments. If the MTF is unable to offer you an appointment, they may direct you to visit an Urgent Care Center. This is the ONLY circumstance in which you can use an Urgent Care Center. For Tricare to cover the costs, they MUST have a referral in their system from the MTF. You do not require authorisation from the Healthcare Department at the Embassy, only a referral from the MTF. If you choose to visit an Urgent Care Center without a referral, it will NOT be funded by Tricare or the MOD and all costs will be a personal expense. If you require urgent care when the MTF is closed, you must go to your nearest ER, where treatment will be funded in full by Tricare. Dependants You can only use a civilian Urgent Care Center in two instances: If you require urgent care when the MTF is open, you must request a ‘sick call’ appointment there. If the MTF is unable to offer you an appointment, they may direct you to visit an Urgent Care Center. This is the only circumstance in which you can use an Urgent Care Center during MTF opening hours; you MUST be referred by the MTF. You do not require authorisation from the Healthcare and Education Department at the Embassy. If you choose to visit an Urgent Care Center during MTF opening hours without being referred by the MTF, the MOD won’t fund the portion of the bill not covered by Tricare; therefore this cost will be a personal expense. If you require urgent care outside of MTF hours (weekends and evenings/nights), you can visit an Urgent Care Center instead of an ER. In this circumstance, you do not require a referral from the MTF, or authorisation from the Healthcare and Education Department at the Embassy. In both circumstances, the Urgent Care Center MUST be in network with Tricare (see ‘Contacting Tricare’ under ‘Spouses – Military Healthcare’ or ‘Children – Military Healthcare’ for details on how to locate an in network provider). The MOD will not fund care received at an Urgent Care Center that is out of network. When you arrive at the Urgent Care Center, present your US Military ID card and inform the administrative personnel that your insurance is Tricare. When asked for your Social Security Number (SSN), give your spouse’s Foreign Identification Number (FIN) (not your own FIN), which is the nine digit number starting with 9 that your spouse must ask for when they receive their military ID. Any time you use an Urgent Care Center, a bill will be generated by the medical provider. These bills are valid expenses that are claimable, provided you have used the Urgent Care Center in one of the two circumstances described above. If you wish to make a claim, you must contact the Healthcare and Education Department at the Embassy after your visit, stating the circumstances in which you used the Urgent Care Center. You will be sent an email providing retrospective authorisation for your visit, which you must print and attach to your claim form. Please see ‘Claims‘ for guidance on making a claim.
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​​Vaccinations: adultsAll vaccinations are to be sought from your Military Treatment Facility (MTF). If your MTF is unable to offer vaccinations, the MOD will fund one influenza vaccination per year off base and any vaccinations that are necessary for official travel. Please note that no vaccinations are needed for adults to enter the United States. **Authorisation must be received before you have any vaccinations off base**
Vaccinations: childrenAll vaccinations are to be sought from your Military Treatment Facility (MTF). If your MTF is unable to offer vaccinations, the MOD will fund all necessary childhood vaccinations off base, along with one influenza vaccination per year. Please see ‘Vaccinations’ (under ‘Children – Military Healthcare’) for further guidance, including the UK and US childhood vaccination schedules. **Authorisation must be received before your child has any vaccinations off base**
VasectomyIf you’re considering a vasectomy, please contact the BDSUS Health and Education Team.
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Wellness check: childrenA wellness check/exam is a medical examination which is aimed at preventing health problems in an apparently person. It can include routine testing such as blood tests, and is in contrast to a medical examination that would be carried out to diagnose a problem where there are specific symptoms. Wellness checks/physical exams should be available from your Military Treatment Facility (MTF). The US is not set up to deliver post pregnancy/newborn care in the same way that the UK delivers such care, there is no option for midwife visits post birth, or health visitors for example. Individuals should not expect to receive the same care as they would receive in the UK. Wellness checks, by definition, assume the baby is well. If a parent has any heath concerns about their baby immediate medical advice should be sought. The American Academy of Pediatricians recommend that a baby receives seven wellness checks in their first year of life (at 2-days, 2 weeks, 1 month, 2 months, 4 months, 6 months, and 9 months) and you can expect your pediatrician to recommend that you follow the US guidance. The MOD’s Surgeon General recommends following as closely as possible the NHS guidance which set wellness visits in the US at: immediately after birth in the hospital (or at 2 days at the pediatrician if this did not take place) and then at 1 month, 2 months, 4 months, 6 months, 9 months and 12 months. If your MTF is unable to offer wellness testing or physical exams for children, the MOD will fully fund checks off base for children.  Should you ever receive a bill for a childs wellness check from a civilian provider please contact the Health and Education Department as soon as possible. The entitled frequency to exams is as follows: ​Two routine wellness exams in the 13th-24th months of life One routine wellness exam per year between the ages of two and 18 n.b. the most commonly suggested visit schedule within this entitlement is visits at 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 18 months, 24 months, 3 years, and once a year thereafter up to 18 years **Authorisation must be received before your child has any exams off base**
Wellness checks: adultsA wellness check/exam is a medical examination which is aimed at preventing health problems in an apparently healthy person. It can include routine testing such as blood tests, and is in contrast to a medical examination that would be carried out to diagnose a problem where there are specific symptoms. Wellness tests/physical exams for adults are not funded by the MOD off base as these are not available on the NHS. If your MTF is unable to offer you wellness testing or a physical exam, any wellness tests obtained from a civilian provider will be a personal expense.
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​​X-raysIf your doctor has ordered an x-ray to diagnose a medical problem or monitor an existing condition, an x-ray will be fully funded by the MOD off base if it cannot be done at the Military Treatment Facility. This policy does not apply if you have an x-ray scan as part of a visit to a civilian Emergency Room. Emergency x-rays scans will be funded without prior approval. **Authorisation must be received before you have any non-emergency x-rays off base**
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Last Updated: May 23, 2019 @ 12:57 pm

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