maximum extent possible and are required for
pharmacy outpatients presenting prescriptions
written by civilian providers.
When a DEERS check is performed and
the patient is found ineligible for any of the
listed reasons, routine nonemergency health
care will be denied (except as noted later in this
. Sponsor not enrolled in DEERS
. Dependent not enrolled in DEERS
. Ineligible due to passed terminal (end)
. Sponsor has separated from active duty
. Spouse is divorced from sponsor and is not
entitled to benefits as a former spouse
. Dependent child is married
. Dependent becomes an active duty
member of a uniformed service (only
CHAMPUS benefits are lost)
Under no circumstances will the clerk per-
forming the eligibility check deny the requested
care. Only command designated supervisory
personnel will perform this function.
Listed are nine DEERS Eligibility Over-
rides. Unless otherwise stated, all overrides must
be supported by a valid ID card.
1. DD 11 72The patient presents an original
or a copy of the DD 1172 used for DEERS enroll-
ment. There are specific items required for
verification and current service directives must be
2. All Other Dependents Recently Becoming
Eligible For BenefitsPatients who become
eligible for benefits in the previous 120 days may
be treated upon presentation of a valid ID card.
For children under 10 years of age, a valid
parents or guardians ID card is acceptable. Upon
application for care beyond 120 days, the
procedure in number 1 must be used.
3. New Identification Card-Patients present-
ing with a new valid ID card issued within the
previous 120 days will not be denied care.
4. Ineligible due to ID Card Expiration
When the data dase shows a patient as ineligible
due to ID card expiration, care maybe rendered
as long as the patient has a new ID card issued
within the previous 120 days. After 120 days, the
procedure in number 1 must be used.
5. Sponsors Entering Active Duty Status for
a Period of Greater than 30 DaysA copy of
orders ordering a reservist or guardsman to an
active duty period of greater than 30 days may
be accepted for the first 120 days of the
active duty period. After that, the procedure in
number 1 must be used.
6. NewbornsNewborns will not be denied
care for a period of 1 year following birth. The
patients birth certificate suffices when presented
with a parents valid ID card.
7. Emergency CareThis is a medical
decision and shall be determined by criteria
established within the command.
8. Sponsors Duty Station is Outside the 50
United States or has an APO/FPO Address
Dependents whose sponsors are assigned outside
the 50 United States or to a duty station with an
APO/FPO address will not be denied care as
long as the sponsor is enrolled and eligible in
9. SurvivorsWhen an eligibility check
indicates that a deceased sponsor is not enrolled
in DEERS or the survivor is listed as the
sponsor, the survivor will be treated on the first
visit and referred to the appropriate personnel
office for correction of the DEERs data base. For
second and subsequent visits the survivor will be
required to follow the procedure in number 1.
The following beneficiaries are categorized as
authorized care, they are not authorized to be
enrolled in the DEERS system and will not be
denied care based upon a DEERS check.
l Secretary of the Navy Designees
Secretary of the Navy Designees will be treated
as indicated on their letter of designation.
. Foreign Military PersonnelThese
personnel, assigned through the Personnel
Exchange Programs or through other means, are
or may be eligible through Public Law or DOD
agreements. As such, they will be treated in
accordance with current service directives.
Other categories of patients such as Red Cross
Workers, Secret Service Agents, and Federal
Aviation Administration personnel, to name a
few, are also in this category. Ensure current
eligibility requirements are met for these personnel
prior to treatment.