This section applies to DoD Civilians. Active Military DoD should return to the main page.

If you will be a DOD Civilian or their Eligible Family Member (EFM), click on what describes your next assignment best:


New Hire or Pre-Assignment Candidate

 
This section applies to pre-assignment DoD Civilians and their eligible family members (spouses and dependents under the age of 21).

  1. Complete a DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel physical exam.
  2.  

  3. If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. For more detailed information see Post Specific (Class 2) Clearance Guidance.
  4.  

  5. Send your completed forms and medical reports:

     
    Via email in a PDF format to MEDMR@state.gov (preferred)
    Or fax to 202-647-0292 (less preferred)
    Include the Medical Records coversheet

  6.  

  7. A medical clearance physical exam can be completed by a licensed medical provider or at the Department of State Exam Clinic in Washington DC. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779.
  8.  

  9. The process of reimbursement for Medical Clearance related medical expenses varies with each sponsor. Please discuss with your Human Resources.
  10.  

  11. DoD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post.
  12.  

  13. For more detailed information about the pre-assignment medical clearance process go to Pre-Assignment Guidance.
  14.  

  15. Going to an ESCAPE post? You must also read and complete the information found here.
  16.  


In-Service: Permanent Change of Station (PCS), Home Leave, Extending, or End of Tour

 
This section applies to DOD Civilians and their eligible family members (spouses and dependents under the age of 21) who are in-service. This includes Permanent Change of Station (PCS) to another overseas post, home leave, end of tour, or extending.

  1. Complete a DS-3057: Medical Clearance Update (MCU) form.
  2.  

  3. If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. For more detailed information see Post Specific (Class 2) Clearance Guidance.
  4.  

  5. Send your completed forms and medical reports:

     
    Via email in a PDF format to MEDMR@state.gov (preferred)
    Or fax to 202-647-0292 (less preferred)
    Include the Medical Records coversheet

  6.  

  7. A MCU can be submitted to your health unit (preferred) or directly submitted to MEDMR@state.gov if you are in the USA or at a post without a health unit.
  8.  

  9. The process of reimbursement for Medical Clearance related medical expenses varies with each sponsor. Please discuss with your Human Resources.
  10.  

  11. For more detailed information about the in-service medical clearance process go to In-Service Medical Clearance Guidance.
  12.  

  13. DoD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post.
  14.  

  15. Going to an ESCAPE post? You must also read and complete the information here.
  16.  


ESCAPE Post: Iraq, Afghanistan, Libya, Peshawar, Somalia, Yemen and Syria

 
This section applies to DOD Civilians or an eligible family member (spouse) who is in-service bidding, undergoing a permanent change of station, extending or TDY for 30 or more consecutive days to an ESCAPE post. Current ESCAPE posts are Iraq, Afghanistan, Libya, Peshawar, Somalia, Yemen and Syria.

  1. (A) For a first deployment complete:

     
    Form DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel physical exam.
    Form DS-6570: ESCAPE Post Pre-Deployment Physical Acknowledgement Form co-signed by your medical provider.

     
    All labs clinically indicated on page 4 of DS-6561; plus an HIV 1&2, Hepatitis C antibody screen, a Hepatitis B surface antigen screen, plus a lipid profile for those age 35 and older. These are military command requirements and additional testing depending on an individual’s risk profile may be requested. While not required for Iraq, these tests are advised should you need to travel to other ESCAPE posts.

     
    (B) DOD Civilians who are extending their assignment at an ESCAPE post and who have a current valid ESCAPE post medical clearance may be able to do a DS-3057: Medical Clearance Update (MCU) form rather than a full physical. They should consult with their Health Unit or Medical Clearances.

  2.  

  3. An ESCAPE Post medical clearance is valid for 1 year from arrival at post. An ESCAPE post medical clearance for frequent TDYs is valid for 2 years.
  4.  

  5. If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. For more detailed information see Post Specific (Class 2) Clearance Guidance.
  6.  

  7. Send your completed forms and medical reports:

     
    Via email in a PDF format to MEDMR@state.gov (preferred)
    Or fax to 202-647-0292 (less preferred)
    Include the Medical Records coversheet

  8.  

  9. A medical clearance physical exam can be completed by your post’s health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779.
  10.  

  11. The process of reimbursement for Medical Clearance related medical expenses varies with each sponsor. Please discuss with your Human Resources.
  12.  

  13. For more detailed information about ESCAPE posts medical clearance process see Medical Clearance Guidance for Deploying to ESCAPE Posts.
  14.  

  15. DoD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post.
  16.  


TDY: Washington DC or USA based

 
This section applies to DOD Civilians who are assigned to Washington DC or the USA, but will do 30 or more days of consecutive overseas TDY travel.

  1. Complete:

     
    Form DS-6561: Pre-Assignment for Overseas Duty for Non-Foreign Service Personnel physical exam for an initial overseas TDY assignment.
    Form DS-3057: Medical Clearance Update (MCU) form for subsequent TDY tours.

  2.  

  3. If you or your family members have on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. For more detailed information see Post Specific (Class 2) Clearance Guidance. IMPORTANT: You must obtain a Post Specific Clearance to any post you will travel to for 30 or more consecutive days.
  4.  

  5. Send your completed forms and medical reports:

     
    Via email in a PDF format to MEDMR@state.gov (preferred)
    Or fax to 202-647-0292 (less preferred)
    Include the Medical Records coversheet

  6.  

  7. The process of reimbursement for Medical Clearance related medical expenses varies with each sponsor. Please discuss with your Human Resources.
  8.  

  9. A medical clearance physical exam can be completed by your post’s health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779.
  10.  

  11. DOD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post.
  12.  

  13. TDY to an ESCAPE post? You must also read and complete the information here.
  14.  


New Family Member (Spouse, Newborn, or Adoption)

 
This section applies to new eligible family members of a DOD Civilian. New eligible family members include new spouses, newborns and adoptees. Your new family member has up to 90 days to obtain a medical clearance and during those 90 days has access to the MED Medical Program.

  1. Immediately notify your human resources that you have a new family member. For most direct hire Federal employees this requires filling out an OF-126 form. A medical clearance, insurance, passports, and travel orders cannot be proceed without completing this form.
  2.  

  3. Complete a DS-6561: Pre-assignment for Overseas Duty for Non-Foreign Service Personnel physical exam.
  4.  

  5. If a new family member has on-going medical, mental health, or educational needs, Medical Clearances will be contacting you for additional reports and information. For more detailed information see Post Specific (Class 2) Clearance Guidance.
  6.  

  7. Send your completed forms and medical reports:

     
    Via email in a PDF format to MEDMR@state.gov (preferred)
    Or fax to 202-647-0292 (less preferred)
    Include the Medical Records coversheet

  8.  

  9. A medical clearance physical exam can be completed by your post’s health unit, a licensed medical provider, or at the Department of State Exam Clinic in Washington DC. For information on how to schedule an appointment with the Exam Clinic, contact MEDASEC@state.gov or 202-663-1779.
  10.  

  11. The process of reimbursement for Medical Clearance related medical expenses varies with each sponsor. Please discuss with your Human Resources.
  12.  

  13. DOD Civilians should be aware of their personal financial responsibilities in the event of a medical evacuation and hospital expenses while at post.
  14.  

  15. For more detailed information about the pre-assignment medical clearance process go to Pre-Assignment Guidance.
  16.  

  17. New spouse going to an ESCAPE post? You must also read and complete the information here.
  18.  


Student on Educational Travel Orders (Age 21-22 Only)

 
This section applies to students who travel to post on educational travel orders between their 21st and 23rd birthdates (age 21 or 22).

No medical clearance is required for students between their 21st and 23rd birthdates who are on educational travel orders to access MED Medical Services benefits at post. However, common sense dictates that those students with significant medical or mental health concerns should avoid traveling to a post if the medical capabilities at post cannot meet their medical needs. Health unit access is limited to urgent or emergency care up to 120 days per year. Routine care including physicals, medication refills, and immunizations are not authorized for students. Students are no longer eligible for MED Medical Services benefits upon their 23rd birthday.

Students below the age of 21 must have a valid medical clearance.

Members of Households who are not on educational travel orders are not authorized to receive MED Program benefits after their 21st birthday unless they have a Certificate of Incapacity.


On Medical Evacuation Travel

 
This section applies to individuals on medical evacuation (medevac) travel.

An individual’s medical clearances is suspended during a medevac. The medical evacuee’s medical clearance is considered “pending” throughout the medevac. The individual’s clearance is reinstated or changed dependent upon post’s capability to meet the medical needs of the individual when the medevac ends.

At the end of a medevac, the individual’s medical clearance status may be reinstated or changed dependent upon post’s capability to meet the medical needs of the individual.

Questions? Contact your medevac center or MED Foreign Programs, the medevac center in Washington DC, by calling (202) 663-1662 or emailing MEDForeignPrograms@state.gov.


Separating (Retiring or Changing Federal Agency)

 
INFORMATION COMING SOON


Member of Household

 
This section applies to members of household.

Members of household, even if on an employee’s travel orders, do not have access to Bureau of Medical Services benefits. Because Members of household do not have access to Medical Services benefits a medical clearance is not needed. The exception is an adult dependent with a Certificate of Incapacitation (COI).

Employees are reminded that members of household should have international health and medical evacuation insurance to cover the costs of overseas hospitalizations, medical expenses and an air ambulance evacuation. Medicare and Medicaid do not cover medical expenses outside of the USA.


Certificate of Incapacitation

 
COI adult members of household living with a legal guardian have access to MED Program benefits. The COI must be related to a medical condition that was acquired prior to the adult’s 21st birthday. An adult with a COI designation follows the same medical clearance process as any other Eligible Family Member. For more information contact MED Domestic Programs (MED/CP/HS/OH) at MEDDP@state.gov.

U.S. Department of State

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