TRICARE covers North Atlantic Treaty Organization (NATO) foreign nations’ armed forces members who are stationed in the United States, or in the United States at the invitation of the United States Government. They receive the same benefits as American ADSMs, including no out-of-pocket expenses for care if the care is directed by the military treatment facility (MTF). Eligible accompanying family members of ADSMs of NATO nations who are stationed in, or passing through, the United States in connection with their official duties can receive outpatient services under TRICARE Standard and TRICARE Extra. A copy of the family member’s identification card will have a Foreign Identification Number or a SSN and indicate on the reverse “Outpatient Services Only.”
NATO family members do not need MTF referrals prior to receiving outpatient services from civilian providers, follow the same prior authorization requirements as TRICARE Standard beneficiaries, and are responsible for TRICARE Standard deductibles and cost-shares. To collect charges for services not covered by TRICARE, you must have the NATO beneficiary agree, in advance and in writing, to accept financial responsibility for any non-covered service by completing the
TRICARE Non-Covered Services Waiver form.
TRICARE will not cover inpatient services for NATO beneficiaries. To be reimbursed for inpatient services, have the NATO beneficiary make the appropriate arrangements with the NATO nation embassy or consulate in advance.
NATO beneficiary eligibility is maintained in the Defense Enrollment Eligibility Reporting System (DEERS). Claims submission procedures are the same as for U.S. ADFMs.
