DODFinal Rule

Medical Billing for Healthcare Services Provided by Department of Defense Military Medical Treatment Facilities to Civilian Non-Beneficiaries

HealthcareFinance & Banking

Summary

This regulation establishes how the Department of Defense will bill civilians who are not military beneficiaries (such as retirees, family members, or veterans with benefits) when they receive medical care at military hospitals and clinics. It sets out the rules for determining costs, submitting bills, and collecting payments from non-eligible patients who use these military healthcare facilities.

Key Points

  • 1The DOD will now charge civilians who don't qualify as military beneficiaries for medical services they receive at military hospitals and treatment centers
  • 2The regulation specifies how the DOD will calculate billing amounts and what costs will be included in those charges
  • 3Civilians will receive itemized bills and have a process to dispute or appeal charges if they believe the bill is incorrect
  • 4This rule allows the DOD to recover some costs from non-beneficiary patients instead of absorbing those expenses entirely
  • 5Military hospitals must implement billing procedures and systems to identify who qualifies as a beneficiary versus a non-beneficiary before providing care

Key Dates

Published

February 6, 2026

This summary is for informational purposes only. It may not capture all nuances of the regulation. Always refer to the official text for authoritative information.

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