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North Atlantic Treaty Organization (NATO) guidelines

TRICARE covers NATO foreign nations’ armed forces members who are stationed in the United States or are in the United States at the invitation of the U.S. 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 hospitals and clinics. NATO beneficiary eligibility is maintained in DEERS and claims submission procedures are the same as for American ADFMs.

NATO family members follow the same prior authorization requirements as TRICARE Standard/ TRICARE Extra beneficiaries and are responsible for TRICARE Standard cost-shares and deductibles.

To collect charges for services not covered by TRICARE, providers must have the NATO beneficiary agree, in advance and in writing, to accept financial responsibility for any noncovered service by signing the TRICARE Noncovered Services Waiver form.

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TRICARE does not cover inpatient services for NATO beneficiaries. To be reimbursed for inpatient services, the NATO beneficiary must make the appropriate arrangements with the NATO nation embassy or consulate in advance.