New Strategy Can Improve Process for Recovering Certain Medical Care Costs

HRD-77-132: Published: Sep 13, 1977. Publicly Released: Sep 13, 1977.

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The Department of Defense (DOD) follows a complex and time-consuming process in recovering medical costs of military personnel injured because of another individual's negligence.

Defense could simplify the recovery process, improve its timeliness, and possibly increase the amounts it recovers by first seeking reimbursement from an injured person's insurance company when possible. There types of insurance offer the opportunity to make the process easier: no-fault automobile insurance, medical expense coverage under automobile insurance policies, and health insurance. Where possible, recovery from these insurance companies should be sought as the first course of action, rather than as a last resort, since this is not as cumbersome or as time-consuming as recovery under the Federal Medical Care Recovery Act.

Recommendation for Executive Action

  1. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: DOD should take advantage, where possible, of existing avenues of recovery before pursuing claims under the Federal Medical Care Recovery Act and standardize the administrative processes of the three services. Congress could help simplify the recovery process and perhaps increase recoveries by: enacting legislation which would limit the ability of insurance companies to exclude reimbursement to the Government; clarifying whether mandatory no-fault automobile insurance can be classified as insurance provided by law; and changing the Civilian Health and Medical Program of the Uniformed Services to require that insurance provided by law or through employment pay for medical care given to all eligible beneficiaries in civilian hospitals.

    Agency Affected:

 

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