Posted on Nov 30, 2022
SPC Healthcare Specialist (Combat Medic)
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My mom had some major health issue in the past in which has been improved and significantly better for her to do daily activities. She is visiting my duty station, JBLM Washington, during my winter block leave and it is my first time seeing her in 4 years. But I worry if she happens to get sick (she isnt someone strong enough with cold or snow), would she be admitted as a patient if I bring her to army ED (Emergency Department) to get seen?
Thank you for your time!
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Responses: 7
COL Randall C.
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Edited 2 y ago
SPC (Join to see), you're really asking two questions.

1) Will my mom be seen at the Military Treatment Facility (MTF) ED if she has a medical issue?
2) What, if anything, will my mom be charged for being seen there?

The answer to your first is yes. Anyone that walks though the doors of an ED will be seen by a doctor and evaluated. If necessary (they are having medical issues which are possibly life threating, etc.) they would be admitted to the hospital. However, if her issues are not "Emergency" type of issues, then she will be discharged.

The answer to your second is 'it depends'. From your question, it doesn't seem as if your mother is an adult dependent of yours or (more importantly) entered into DEERS as one of your dependents.

This means that she will be billed* for the visit. Assuming she has health insurance, it will be billed to her health insurance which would reimburse the charges based on her policy.

I would talk to your mother's insurance provider (and possibly your MTF) ahead of time to see what would be covered or not.
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* Military Treatment Facilities are required by federal law to bill for any care provided to civilians without military benefits.

If the patient has insurance and the MTF has that information on file, they file a claim with their carrier. Once a bill is generated, the MTF has 120 days to work with the insurance company to help facilitate a payment, whether it’s payment in full or payment less a deductible or copay.

Patients are billed if an insurance company denies a claim and all appeals, if there is a balance remaining after insurance payment, or if a patient’s insurance information is not on file. In the absence of payment, as a federal healthcare facility, the MTF is required by law to transfer the remaining balance to the U.S. Department of Treasury for collections.

Military Treatment Facilities are not authorized to waive, reduce, suspend or terminate debt.
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SFC Retention Operations Nco
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SPC (Join to see) don't take your mom to an Army, don't take your mom to any ER. ER's are for the three emergencies - life, limb, or eyesight. If your mom isn't in dire risk of losing one of those in the next twelve hours, you don't take her to an ER. This is what urgent care is for. ER Departments are backed up and will charge exorbitant fees. An ER visit could cost you tens of thousands of dollars after you've waited six or more hours because it's not a high priority case. People have died in Army ER waiting rooms....
Urgent care you make an appointment for the next morning, show up, pay a nominal and fairly predictable fee for the doctor's time and office space as well as the meds. The ER doctor you're seeing has seven years of medical training while the GP you see at the Urgent care has four. The ER doc costs twice per hour, and so does the nurse, nurses aid, medical assistant, emergency X Ray, after hours pharmacy and after hours lab.

So, make good financial decisions about medical care ahead of time. If your mom isn't dying at that moment, take her to urgent care, or one of the Pierce County Community Health Care Clinics. Because, you are an E4 and cannot afford medical debt in your life right now
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CPT Aaron Kletzing
CPT Aaron Kletzing
2 y
Great advice!
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SPC Healthcare Specialist (Combat Medic)
SPC (Join to see)
2 y
COL Randall C. Thank you for the detailed answer and explanation! I would definitely find out about the categories of available insurance health for my mom and yes she is on a valid Visa and I havent seen her at all for 4 years. So I want to make sure that she at least would be seen in case of emergency.
Thank you again, Sir! I really appreciate your help and concerns!
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SPC Healthcare Specialist (Combat Medic)
SPC (Join to see)
2 y
SFC (Join to see) Thank you so much for your detailed explanation regarding the UC. I really can see what you meant by the ER since I once had appendicitis and was waiting for 6 hours in the military ER and passed out from the pain, definitely could relate to that part.
I really appreciate your help and suggestion! I will definitely look for the UC you mentioned in case anything goes south. Thank you!
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SGM Mikel Dawson
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Just remember, if you go into a civilian emergency room(not a private), they can not turn you down. Must treat you. Yes, you may pay for drugs. Also travel insurance is not that expensive to purchase, I know I do all the time. If she has problems it would be advisable to get it.
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SFC Retention Operations Nco
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Nobody other than military personnel and dependents are eligible to be seen at military hospitals. Lacey and Tacoma have a number of Urgent Care and ER departments available for civilians
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COL Randall C.
COL Randall C.
2 y
SFC Boyd, that's generally true for all non-emergency situations (i.e., those that do not threaten life, limb or eyesight). Emergency situations are different.

Additionally, there are cases where military hospitals are integrated into the civilian medical system of the local community. This generally happens when an MTF is certified as a trauma center that is better than those available in the surrounding community.

However, your point above about using the Urgent Care and ERs in the community are good ones.
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SFC Retention Operations Nco
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COL Randall C. I know that a lot of them, especially BAMC, are utilized by the local community. But as far as I know Harborview in Seattle is the local highest tier trauma unit. As far as the Madigan ER is concerned I believe they only admit patients who are transported in from an ambulance.
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