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Health Care/Special Needs

Military treatment facilities

The clinics and services available at military treatment facilities vary by location. Before you move, identify the military treatment facility that will serve you, visit its website to learn about the services available and get contact information.

Moving to a new TRICARE region

If you anticipate a move to another TRICARE region, learn the steps you should take to make sure your transition is as smooth as possible by visiting Moving. On arrival at the new duty location, you or your sponsor can contact the Beneficiary Counseling and Assistance Coordinator, or BCAC, at the military treatment facility if you have questions or need assistance to obtain authorizations for TRICARE Extended Care Health Option services, if applicable.

Beneficiary counseling and assistance coordinator

All TRICARE regional offices and most military treatment facilities are staffed with beneficiary counseling and assistance coordinators, or BCAC, who can provide help with understanding your health care benefit and guidance on getting the services needed. If you or your family member has more severe needs, contact your TRICARE case manager.

Case management

Case management involves a team of health care professionals who help you and your family find solutions to complex health problems. It is important to inform your case manager if you are moving as he or she will connect you with the case manager at your new location.

Extended Care Health Option

The Extended Care Health Option provides financial assistance to beneficiaries of active-duty service members who qualify based on specific mental or physical disabilities. The Extended Care Health Option offers an integrated set of services and supplies beyond the basic TRICARE program. Regional contractors in each of the TRICARE regions and overseas administer the program.

Transporting medical equipment

Contact your installation’s household goods/transportation office for information on special procedures for the transportation of medical equipment.

Federal and state health care programs

Medicaid provides health coverage for individuals and families with low incomes or have a disability. The department of social services or the department of medical assistance may administer the Medicaid program in your state. Supplemental Security Income, or SSI, is a cash assistance program intended to meet basic needs for disabled adults and children who have limited resources. Families must reapply after moving to a new state.

Many states offer services for children with special health care needs funded by the Maternal and Child Health Services Block Grant, or Title V. State departments of health websites and local health departments can provide information on state health benefits. The Maternal and Child Health Bureau website has more information, including state points of contact.

Other important resources

TRICARE debt collection assistance officers, or DCAO, are assigned to regional offices and military treatment facilities worldwide and can help beneficiaries understand and get assistance with debt collection issues related to TRICARE.

Installation Specific Information

The Navy's Exceptional Family Member Program (EFMP) is designed to assist sailors by addressing the special needs of their exceptional family members (EFM) during the assignment process. Special needs include any special medical, dental, mental health, developmental or educational requirement, wheelchair accessibility, adaptive equipment or assistive technology devices and services. EFMP/special needs guidance is contained in:

  • DOD Instruction 1315.19, 20 Dec 05, Authorizing Special Needs Family Members Travel Overseas at Government Expense 
  • SECNAV Instruction 1754.5B, 14 Dec 05, Exceptional Family Member Program 
  • OPNAV Instruction 1754.2B, 16 Jun 03, Exceptional Family Member Program 
  • BUMEDINST 1300.2A, 23 Jun 06, Suitability Screening, Medical Assignment Screening and Exceptional Family Member Program (EFMP) Identification and Enrollment

The primary goal of the EFMP is to ensure the special needs of EFM can be met at a new assignment location. EFMP enrollment information enables Navy detailers to proactively consider a family member's special need requirements during the assignment process and to pinpoint the assignment to a location with appropriate resources that address the special needs. Successful implementation requires up-to-date enrollment information and extensive coordination among the personnel, medical, and educational communities.

EFMP enrollment is mandatory and required immediately upon identification of a special need. Command points of contact and Navy military treatment facility (MTF) EFMP coordinators can assist service and family members with the enrollment process. DD Form 2792 (9-03), Exceptional Family Member Medical Summary and DD Form 2792-1 (9-03), Exceptional Family Member Special Education/Early Intervention Summary, are used for enrollment. DoD civilian employees and their family members do not enroll in the EFMP.

There is a reluctance to enroll because of misconceptions that EFMP enrollment may limit assignments and career advancement, or preclude family members from accompanying sponsors on overseas tours. These negative perceptions are not supported by fact. Sailors enrolled in the EFMP have always received equal consideration for accompanied assignments and for promotions.

There are six EFMP enrollment categories which include:

  • Category I - for monitoring purposes only 
  • Category II - pinpoint to specific geographic locations 
  • Category III - no overseas assignments 
  • Category IV - major medical areas in CONUS
  • Category V - homesteading 
  • Category VI - temporary enrollment - update required in 6-12 months

The Navy Personnel Command (NAVPERSCOM) in Millington, TN is the proponent for EFMP. Contact info for EFMP operations (PERS-451) is: 901-874-4390 or DSN 312-882-4390. Contact info for EFMP policy (N151) is: 901-874-6770 or DSN 312-882-6670. NAVPERSCOM is responsible for:

  • Prescribing EFMP enrollment and disenrollment procedures. 
  • Coordinating detailing procedures including those for severely disabled EFM. 
  • Prescribing procedures for expeditious screening and forwarding of EFM forms from the sponsor or MTF via the Central Screening Committee to the EFMP Manager. 
  • Establishing and maintaining a database of enrolled service members with EFM. 
  • Establishing and maintaining a current EFM resource database which includes medical, educational, and support agencies, facilities, and services in key fleet concentration areas. 
  • Developing and periodically conducting training and information campaigns. 
  • Providing relocation assistance.

The Bureau of Medicine and Surgery (BUMED) in Washington, DC also has EFMP responsibilities. BUMED (M322) EFMP contact info is: 202-762-3451 or DSN 312-762-3451. BUMED & Navy MTFs are responsible for:

Developing policy for healthcare providers and patient administrators to identify and enroll eligible family members in the EFMP. 

  • Maintaining Central Screening Committees comprised of healthcare providers who review completed EFMP applications and recommend disposition to NAVPERSCOM. 
  • Identifying an EFMP coordinator at each Navy MTF who will assist staff and service members with the application process and provide necessary enrollment forms. 
  • Providing training, as necessary, to all area commands on the EFMP. 
  • At an overseas MTF, coordinating early intervention, special education and related services with the cognizant Department of Defense Dependents School (DODDS) special education coordinator and/or military service with responsibility for Educational and Developmental Intervention Services (EDIS).

Each military component has developed its own program that addresses special needs and assignment coordination. For additional information contact:

  • Marine Corps, HQ, USMC, Quantico, VA, Telephone: 703-784-9654/0298.
  • Army, Army MEDCOM, San Antonio, TX, Telephone: 210-221-8926/6476.
  • Air Force, AFSMA/SGOF, Falls Church, VA, Telephone: 703-681-6320.
  • Coast Guard, HQ, USCG, Washington, DC, Telephone: 202-267-6731.

Additional information can be found in the following publications (available at each command, Fleet and Family Support Center, or Navy MTF) or websites:

  • Exceptional Family Member Program Resource Guide (NAVPERS 15614F) 
  • Children With Special Needs - A Navy Parent Handbook 
  • The Navy Exceptional Family Member Program (VCR or DVD - NAVPERS 806683) 
  • Navy EFMP 
  • Military Homefront  
  • Military OneSource
  • DoD Special Needs website

EFMP forms:

EFMP Enrollment Process

Special needs are:

  • Identified during routine healthcare (MTF or TRICARE Health Provider) 
  • Self-identified (Service or Family Member) 
  • Identified during Suitability Screening (Suitability Screening Coordinator)

Special needs include any special medical, dental, mental health, developmental or educational requirement, wheelchair accessibility, adaptive equipment or assistive technology devices and services.

Step 1: Refer the service and family member to the MTF EFMP Coordinator who assists with completing DD Form 2792, Nov 06, Exceptional Family Member Medical Summary or DD Form 2792-1, Nov 06, Exceptional Family Member Special Education/Early Intervention Summary. For school age children, both the Medical and Special Education summaries must be completed and signed by appropriate medical and educational officials.

Step 2: The MTF EFMP Coordinator forwards completed enrollment forms to the appropriate regional Central Screening Committee (CSC), which includes NMC Portsmouth, NMC San Diego and USNH Yokosuka.

Step 3: The CSC reviews the enrollment forms, recommends a category code, and forwards the forms to the Navy EFMP (PERS-451) in Millington, TN or to the USMC EFMP in Quantico, VA.

Step 4: PERS-451 confirms the category code and enters the enrollment data into an EFMP database.

Personnel assignment managers (detailers) use the EFMP enrollment data to pinpoint assignments to locations with appropriate resources that can address the special needs.

For more specific information on Yokosuka's EFM Program contact the EFMP Coordinator at Naval Hospital Yokosuka DSN 315-243-5794, internationally at 011-81-816-5794 or online.

Associated Links

Find out everything you need to know about your medical benefits.

Beneficiary Counseling Assistance Coordinator
A BCAC educates beneficiaries, and enhances a thorough understanding of TRICARE programs.

TRICARE Mobile App for Pharmacy Assistance
Check prescriptions status; order home delivery; find a pharmacy and more all from your phone. You must be registered before downloading the mobile app.

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