Department of the Navy, DoD § 728.60

during their period of service which in- (d) Report. Complete and submit, per cludes all periods of training. Depend- subpart J, a DD 7 (Report of Treatment ents of volunteers specified in para- Furnished Pay Patients, Hospitaliza- graph (a)(3) of this section are author- tion Furnished, part A) or DD 7A (Re- ized care to the same extent as their port of Treatment Furnished Pay Pa- sponsor. tients, Outpatient Treatment, part B) (4) Dental care. Limit dental care to when outpatient or inpatient care is emergencies. Render only that care es- rendered. sential to relieve pain or prevent immi- nent loss of teeth. All beneficiaries § 728.60 Job Corps and Volunteers in seeking dental care will be requested, Service to America (VISTA) bene- whenever possible, to furnish advanced ficiaries. authorization. (a) Beneficiaries. Job Corps and (c) Care authorized outside the United VISTA enrollees and Job Corps appli- States—(1) Physical examinations. Termi- cants may be provided services as set nation physical examinations may be forth. For former members, see § 728.53. provided volunteers and eligible de- (b) Authorization required—(1) Job pendents of volunteers. In most in- Corps enrollees. Presentation of a Job stances, Peace Corps staff physicians Corps Identification Card after ap- will provide these examinations; how- pointment has been made by the corps- ever, help may be required of naval member’s Job Corps center. MTFs for ancillary services. (2) Job Corps applicants. Presentation (2) Immunizations. When requested, of a letter from a screening agency immunizations may be provided all (e.g., State Employment Service) after beneficiaries listed in paragraph (a) of an appointment has been made by that this section. agency. (3) Medical care. When requested in writing by a representative or physi- (3) VISTA Volunteers and VISTA cian of a Peace Corps foreign service Trainees. A ‘‘Blue-Cross and Blue post, volunteers, eligible dependents of Shield Identification Card’’ is issued to volunteers, and trainees of the Peace such personnel as identification. Each Corps may be provided necessary med- card has a VISTA identification num- ical care at Peace Corps expense. When ber which will be used on all records emergency treatment is rendered with- and correspondence. out prior approval, forward a request (c) Care authorized. Normally, med- to the Peace Corps foreign service post ical services are provided only when ci- as soon as possible. vilian of VA facilities are not avail- (4) Dental care. Limit dental care to able. or if available, are incapable of emergencies. Render only that care es- providing needed services. However, sential to relieve pain or prevent immi- upon presentation of an appropriate nent loss of teeth. All beneficiaries authorization, the following services seeking dental care will be requested, may be rendered subject to the provi- whenever possible, to furnish advanced sions of § 728.3. authorization. (1) Job Corps enrollees are authorized (5) Evacuation to the . emergency medical care upon presen- When a beneficiary in an overseas tation of their Job Corps Identification naval MTF requires prolonged hos- Card; however, the corpsmember’s Job pitalization, the commanding officer of Corps center should be notified imme- the overseas facility will report the re- diately. quirement to the nearest Peace Corps (2) Job Corps applicants may be pro- foreign service post and request au- vided preenrollment physical examina- thorization to return the patient to the tions and immunizations on an out- United States. Releases custody of de- patient basis only. pendents to their sponsor when evacu- (3) Job Corps enrollees, VISTA train- ation is declined. Aeromedical evacu- ees, and VISTA volunteers are author- ation may be used per OPNAVINST ized: 4630.25B. Travel of attendant(s) is au- (i) Outpatient medical examinations, thorized when the patient is too ill or outpatient treatment, and immuniza- too young to travel unattended. tions.

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(ii) Inpatient care for medical and the emergency is terminated and it is surgical conditions which, in the opin- permissible from a medical standpoint, ion of the attending physician, will discharge or transfer the patient to a benefit from definitive care within a facility that participates in . reasonable period of time. When found (2) Notification. Notify the nearest of- probable that a patient will require fice of the Social Security Administra- hospitalization in excess of 45 days, no- tion as soon as possible when a Medi- tify the Commander, Naval Medical care beneficiary is rendered treatment. Command (MEDCOM–33) by the most (d) Report. Complete and submit, per expeditious means. subpart J, a DD 7 (Report of Treatment (iii) Limit dental care to emer- Furnished Pay Patients, Hospitaliza- gencies. Render only that care essen- tion Furnished, part A) or DD 7A (Re- tial to relieve pain or prevent immi- port of Treatment Furnished Pay Pa- nent loss of teeth. Beneficiaries seek- tients, Outpatient Treatment, part B) ing dental care will be requested to fur- when outpatient or inpatient care is nish, whenever possible, advanced au- rendered. thorization. (d) Report. Complete and submit, per Subpart G—Other Persons subpart J, a DD 7 (Report of Treatment Furnished Pay Patients, Hospitaliza- § 728.71 Ex-service maternity care. tion Furnished, part A) or DD 7A (Re- (a) Eligible beneficiaries. After separa- port of Treatment Furnished Pay Pa- tion from the service under honorable tients, Outpatient Treatment, part B) conditions because of pregnancy, or when outpatient or inpatient care is separated from the service under hon- rendered. orable conditions and found to have been pregnant at the time of separa- § 728.61 Medicare beneficiaries. tion, the following former members (a) Care authorized. Emergency hos- and their newborn infant(s) may be pitalization and other emergency serv- provided care as set forth below. The ices are authorized for beneficiaries of rendering of this care is subject to the the Social Security Health provisions of § 728.3. When certified by Program for the Aged and Disabled medical authorities that the pregnancy (Medicare) who reside in the 50 United existed prior to entry into service States and the District of Columbia, (EPTE), maternity benefits are not au- Guam, , the Virgin Islands, thorized. American Samoa, and the Northern (1) Former women members of the Mariana Islands. Such care in naval Army, Air Force, Navy, and Marine MTFs may be rendered when emer- Corps. gency services, as defined in § 728.61(b), (2) On or after 12 August 1985, former are necessary. women members of the Commissioned (b) Emergency services. Services pro- Corps of the United States Public vided in a hospital emergency room Health Service (USPHS) and the Na- after the sudden onset of a medical tional Oceanic and Atmospheric Ad- condition manifesting itself by acute ministration (NOAA). symptoms of sufficient severity (in- (b) Care authorized. (1) Former women cluding severe pain) such that the ab- members may be rendered medical and sence of immediate medical attention surgical care in naval MTFs incident to could reasonably be expected to result that pregnancy, prenatal care, hos- in: pitalization, postnatal care, and, when (1) Placing the patient’s health in se- requirements of SECNAVINST 6300.2A rious jeopardy. are met, abortions. Limit postnatal (2) Serious impairment to bodily care to 6 weeks following delivery. Do functions of serious dysfunction of any not promise civilian sources under any bodily organ or part. circumstances for either the mother or (c) General provisions—(1) Limitations. the infant as such care is not author- Benefit payments for emergency serv- ized. ices under Medicare can be made for (2) Treatment of the newborn infant only that period of time during which in USMTFs includes care, both inpa- the emergency exists. Therefore, when tient and outpatient, only during the

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