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This section applies to Foreign Service Agency Limited Non-Career Appointments (LNA)/Foreign Service Limited (FSL) only.

If you will be a DOS Limited Non-Career Appointment (LNA), USAID Foreign Service Limited (FSL), or their Eligible Family Member (EFM) click on what describes your next assignment best.


New Hire or Pre-Assignment Candidate (Includes EFMs and Individuals from Other Government Agencies Becoming a LNA/FSL)

This section applies to pre-assignment candidates for DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employees and their eligible family members (spouses and dependents under the age of 21).

    1. Complete a DS-1843: Medical History and Examination for Individuals Age 12 and Older  or DS-1622: Medical History and Examination for Children Age 11 and Younger  physical exam.

 

    1. 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.

 

    1. 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.

 

    1. 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.

 

    1. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and “Explanation of Benefits” to Medical Claims at MEDClaims@state.gov.

 

    1. For more detailed information about the pre-assignment medical clearance process see Pre-Assignment Guidance.

 

    1. Going to an ESCAPE Post? You must also read and complete the information here.

 


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

This section applies to DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employees or their eligible family members (spouses and dependents under the age of 21) who are in-service. This includes Permanent Change of Station (PCS) to an overseas post, home leave, extending, and actively bidding.

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

 

    1. 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.

 

    1. 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.

 

    1. An 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.

 

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

 

    1. Going to an ESCAPE Post? You must also read and complete the information here.

 


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

This section applies to DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employees or an eligible family member (spouse) who is in-service bidding, undergoing a permanent change of station, roving 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 the following:
      Form DS-1843: Medical History and Examination for Individuals Age 12 and Olderphysical exam.
      Form DS-6570 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) LNAs 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 rather than a full physical. They should consult with their Health Unit or Medical Clearances.

 

    1. 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.

 

    1. If you or your family member have/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.

 

    1. 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.

 

    1. 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.

 

    1. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and “Explanation of Benefits” to Medical Claims at MEDClaims@state.gov.

 

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

 


Washington DC or USA Employees

This section applies to all employees and their Eligible Family Members who are assigned to Washington DC or another location in the USA.

NO medical clearance is required to be posted in the USA. Everyone is “medically cleared” to be in the USA.

This section does not include employees who are Rovers or will be doing overseas TDY travel of thirty or more consecutive days.

All persons must update their clearance before returning overseas.


Rover: Washington DC or CONUS Based

This section applies to DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employees who are assigned to Washington DC or the USA, but as a rover.

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

 

    1. 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 “rove” to for 30 or more consecutive days.

 

    1. 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.

 

    1. For more detailed information about the rover clearance process go to In-Service Medical Clearance Guidance.

 

    1. Roving to an ESCAPE post? You must also read and complete the information here.

 


TDY: Washington DC or CONUS Based

This section applies to DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employees who are assigned to Washington DC or the USA, but will do 30 or more days of consecutive overseas TDY travel.

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

 

    1. 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.

 

    1. 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.

 

    1. For more detailed information about the TDY clearance process go to In-Service Medical Clearance Guidance.

 

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

 


Language Training

This section applies to DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employees or their eligible family members (spouses and dependents under the age of 21) who require language training, then have a linked assignment to an overseas post. You must be medically cleared for your future overseas language post before starting language training.

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

 

    1. If you or your family members have/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.

 

    1. 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.

 

    1. An 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.

 

    1. For more detailed information go to In-Service Medical Clearance Guidance.

 

    1. Going to an ESCAPE post after language training? You must also read and complete the information here.

 


New Family Member (Spouse, Newborn, or Adoption)

This section applies to new eligible family members of a DOS Limited Non-Career Appointment Employees (LNA)/USAID Foreign Service Limited (FSL) employee. 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 has access to the MED Medical Program during those 90 days.

    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.

 

    1. Complete a DS-1843: Medical History and Examination for Individuals Age 12 and Older  or DS-1622: Medical History and Examination for Children Age 11 and Younger  physical exam.

 

    1. 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.

 

    1. 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.

 

    1. 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.

 

    1. Medical Clearance related medical expenses not covered by your medical insurance may be reimbursed by receiving a DS-3069 payment authorization form from your human resources and submitting your invoices and “Explanation of Benefits” to Medical Claims to MEDClaims@state.gov.

 

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

 

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

 


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).

A medical clearance is not required for students between their 21st and 23rd birthdates. They have access to MED Program benefits while at post. However, 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 120 days per year. Students are no longer eligible for MED Program benefits upon their 23rd birthday.

Students below the age of 21 must have a valid medical clearance. Within 90 days of their 21st birthday, eligible EFMS are encouraged to have a Separation Exam.

Members of Households who are not on educational travel orders are not authorized to use MED Medical Services 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.

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, at 202-663-1662 or MEDForeignPrograms@state.gov.


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. Members of household do not have access to MED Program benefits and 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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