scope:

PURPOSE. This Instruction:

a. In accordance with the authority in DoD Directive (DoDD) 5124.02 (Reference (a)), establishes policy and assigns responsibilities pursuant to section 1074(c) of title 10, United States Code (U.S.C.) (Reference (b)), for health care eligibility in accordance with the Secretarial Designee Program.

b. Implements the requirement of section 2559 of Reference (b), that the United States receive reimbursement for inpatient health care provided in the United States to foreign military or diplomatic personnel or their dependents, except in certain cases covered by reciprocal health care agreements (RHCAs) between the DoD and a foreign country.

APPLICABILITY. This Instruction:

a. Applies to OSD, the Military Departments, the Office of the Chairman of the Joint Chiefs of Staff and the Joint Staff, the Combatant Commands, the Office of the Inspector General of the Department of Defense, the Defense Agencies, the DoD Field Activities, and all other organizational entities in the DoD (hereinafter referred to collectively as the "DoD Components").

b. Does NOT apply to:

(1) Health care services provided to coalition forces in operational settings, or to allied forces in overseas training exercises and similar activities.

(2) Health care services provided to foreign nationals overseas pursuant to DoD Instruction (DoDI) 3000.05 (Reference (c)), DoDI 2205.02 (Reference (d)), or DoDI 2310.08E (Reference (e)).