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 section).
Under no circumstances will the clerk performing the eligibility check deny the requested care. Only command designated supervisory personnel will perform this function.
Listed are nine “DEERS Eligibility Overrides.” Unless otherwise stated, all overrides must be supported by a valid ID card.
1. DD 11 72—The patient presents an original or a copy of the DD 1172 used for DEERS enrollment. There are specific items required for verification and current service directives must be checked.
2. All Other Dependents Recently Becoming Eligible For Benefits—Patients 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 parent’s or guardian’s ID card is acceptable. Upon application for care beyond 120 days, the procedure in number 1 must be used.
3. New Identification Card-Patients presenting 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 Days—A 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. Newborns—Newborns will not be denied care for a period of 1 year following birth. The patient’s birth certificate suffices when presented with a parent’s valid ID card.
7. Emergency Care—This is a medical decision and shall be determined by criteria established within the command.
8. Sponsor’s 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 DEERS.
9. Survivors—When 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 “DEERS Eligibility Exceptions.” Although authorized care, they are not authorized to be enrolled in the DEERS system and will not be denied care based upon a DEERS check.
Secretary of the Navy Designees— Secretary of the Navy Designees will be treated as indicated on their letter of designation.
Foreign Military Personnel—These 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. 15-7