1 PAS will insure completeness of the request before indorsement to ARPC.

2 A personal letter with an official current transcript of grades attached will be forwarded to AFIT (CIE).

3 A copy of the approved delay request will be forwarded to AFIT.

4 Hq USAF Educatlonal Delay Board results will be forwarded to ARPC and AFIT for action and/or information.

5 At the end of each grading period (School term), the student must forward a personal letter, with an official, current transcript of grades to: A FIT (CIE), Wright-Patterson
AFB OH 45433.

In request for additional delay, indicate the approving authority, date of approval, total period of delay, and major academic field of initial delay.

880.8

880.9

When not authorized.

Emergencies.

Eye refractions obtained by individuals.

880.10 Surgical and orthopedic appliances. 880.11 Information required on statements and bills from civilian hospitals, physicians, dentists, and nurses. Veterinary care authorized. When to authorize civilian veterinary care.

880.12 880.13

This part tells how to authorize and eimburse at Air Force expense for:

(a) Essential medical and dental care from civilian sources when Government facilities are not available for:

(1) Air Force members on active duty and

(2) Air Force military personnel of the NATO Forces stationed in or passing through the United States in connection with their official duties;

(b) Supplemental medical care necessary for uniformed service members, including eligible military personnel of the NATO Forces while under treatment at Air Force medical treatment facilities;

(c) Veterinary service for Air Forceowned animals and prospective sentry dogs when Government veterinary service is unavailable.

[29 F.R. 13720, Oct. 6, 1964, as amended at 31 F.R. 4146, Mar. 9, 1966]

or injured military personnel. The term includes nursing, hospital care, medicine, whole blood or blood derivatives, laboratory and X-ray services, physical therapy, etc.

(b) Civilian physician. Any person legally qualified and licensed without limitation to administer drugs and to perform surgical procedures in the geographic area where such service is

provided.

(c) Civilian dentist. Any person legally qualified and licensed without limitation in the geographic area concerned to administer drugs and to perform all procedures related to the teeth, jaws, and structures contiguous to one or the other.

(d) Emergency care. Medical or dental care required to save life, limb, sight, or to prevent undue suffering.

(e) Uniformed services. The Army, Navy, Air Force, Marine Corps, Coast Guard, the Commissioned Corps of the Coast and Geodetic Survey, and the Commissioned Corps of the Public Health Service.

(f) Member of a uniformed service. A person appointed, enlisted, inducted, called, ordered, or conscripted into a uniformed service who is serving on active duty or active duty for training.

(g) Physical examination, treatment, surgery, or hospitalization by a civilian veterinarian. This term includes Xray, professional services, surgical appilances, materials and medicines where indicated.

(h) Civilian veterinarian. Any person legally qualified and licensed without limitation to practice veterinary medicine where the veterinary service is performed.

(i) NATO Forces. Military personnel belonging to the land, sea, or air armed services of any State which is a party to the North Atlantic Treaty. These nations are Belgium, Canada, Denmark, Federal Republic of Germany, France, Greece, Iceland, Italy, Luxembourg, Netherlands, Norway, Portugal, Turkey, and the United Kingdom.

[29 F.R. 13720, Oct. 6, 1964, as amended at 31 F.R. 4146, Mar. 9, 1966] § 880.3

Policies.

(a) When treatment is authorized. Civilian medical and dental attendance for Air Force military personnel and authorized NATO Air Force member at

public expense is authorized only when the required treatment cannot be obtained from available facilities of the Air Force or other Government agencies such as Army, Navy, Veterans' Administration, and U.S. Public Health Service.

(b) Paying civilian agencies. Vouchers for payment to civilian agencies will ordinarily be prepared by the director of base medical services of the Air Force installation nearest the civilian facility which provided the medical care and will be processed through the local accounting and finance officer for payment. Approving authority, see § 880.6, or certifying officers, will prepare vouchers at locations where there is no director of base medical services.

statement.

(c) Itemized When charges appear excessive, an itemized statement will be obtained from the doctor or hospital before payment is made. The itemized statements should be submitted to the local medical society or referred to the next Air Force echelon of command for evaluation. This will avoid placing the Air Force medical facility commander in a position of controversy with doctors or hospitals.

(d) Unsatisfactory identification. If satisfactory identification of an individual as an Air Force member, former Air Force member or NATO Air Force member, or his unit of assignment, cannot be obtained, inquiry should be made as follows:

(1) USAF Airmen-USAF Airmen Records Annex (AFDASEF), Randolph Air Force Base, Texas, 78148.

(2) USAF Officers-Hq USAF (AFDASEB), Washington, D.C., 20330.

(3) NATO Air Force Personnel-Military Representative to NATO, % Embassy of the respective NATO Country, Washington, D.C.

(e) NATO military personnel in the United States. NATO Forces military personnel listed in § 880.2(i), stationed in or passing through the United States in connection with their official duties, may be provided civilian medical and dental care under the same conditions and comparable to that authorized active duty U.S. military personnel at Department of Defense, other Federal and civilian medical facilities.

Force medical or dental facilities if they were available. Such care is authorized at Air Force expense as follows:

(a) When an Air Force member and authorized NATO Air Force member within the meaning of § 880.5 requires essential medical or dental care and there is neither an Air Force medical or dental facility nor any other Government medical or dental facility available.

(b) When an Air Force medical or dental facility is unable to provide an essential medical or dental service for a uniformed service member due to a limitation of the facility or its staff.

(c) Civilian ambulance service at Air Force expense is authorized to move an Air Force member and authorized NATO Air Force member who is absent without leave or in desertion to a civilian medical facility or place of treatment or to a Government medical facility if the Air Force member is returned to military control or custody during or directly after such transportation or treatment. § 880.5 For whom authorized.

Medical and dental care from civilian sources in the absence of Air Force or other Government medical facilities is authorized at Air Force expense for the following Air Force personnel:

(a) Active duty military personnel of the Air Force, including Air Force Academy cadets and aviation cadets, on a duty status or in authorized absence, i.e., leave, pass, or authorized travel.

(b) Members of the Air Force Reserve who are injured or contract a disease in line of duty while on active duty or who are injured in line of duty while performing inactive-duty training or while voluntarily participating in an aerial flight in a Government-owned aircraft under proper authority and as an incident of training. Rehospitalization may be authorized under the provisions of this section for the same condition for which hospitalization at Air Force expense was initially required until no improvement will derive from further treatment.

(c) Members of the Air National Guard who are injured or become ill in line of duty when on active duty for the purpose of performing Air Force directed missions such as ferrying aircraft, runway alert, or such other duties as the Secretary of the Air Force may direct on competent Air Force orders. (Air National Guard members who are on active duty for training or inactive-duty

training are also eligible for medical and dental care from civilian sources in accordance with ANG directives at Air National Guard expense. Such hospitalization may be authorized by the Air National Guard organization or Air Force base commander. This does not preclude admission and treatment of Air National Guard members at Air Force medical facilities.

(d) Members of Air Force Reserve Officer Training Corps (AFROTC) who are injured or become ill in line of duty while en route to or from or while participating in summer encampments only. An AFROTC member is not entitled to medical service from civilian sources at Air Force expense beyond the training period specified in his training orders.

(e) Members of NATO Air Forces, stationed in or passing through the United States in connection with their official duties, are authorized medical and dental care under the same conditions and comparable to that provided active duty U.S. Air Force personnel. § 880.6

Who authorizes.

Authority to approve civilian medical and dental attendance at Air Force expense is the responsibility:

(a) In emergencies, of the commander of the Air Force base or his authorized representative nearest the civilian medical facility providing the medical care. Emergency medical service will not be delayed pending approval (see § 880.8).

(b) In other than emergencies, of the Air Force base commander or his authorized representative under whose jurisdiction the member requiring medical care is assigned, or the commander of the unit to which a member is assigned in cases where the member's organization is not at an Air Force base.

(c) For supplemental care, of the director of base medical services.

an Air Force or other Government medical or dental facility.

(d) Retired or discharged members of the Air Force. (An exception will be made for periodic examination, in whole or in part of Air Force members and authorized NATO Air Force member temporarily retired for disability (TDRL) when ordered by competent authority to civilian medical facilities for such examination.)

(e) Air Force military personnel and authorized NATO Air Force member absent without leave or in desertion.

NOTE: Charges incurred for civilian medical care when absent without authority are the sole responsibility of the individual concerned. Payment of charges for civilian medical care obtained after return of the individual to military control may be made from Air Force funds. Return to military control is effected when an absentee or deserter surrenders to, is delivered to, or is apprehended by an agent of the Armed Forces authorized to apprehend. (For ambulance service see § 880.4(c).)

(f) Air Force Reserve, Air National Guard, and AFROTC members other than those listed in §880.5.

Emergency civilian medical or dental care at Air Force expense may be obtained without prior authority by or in behalf of Air Force members and authorized NATO Air Force member authorized in § 880.5. Emergency dental care is limited to relief of pain, treatment of acute septic conditions, or essential correction of dental injuries requiring immediate correction.

§ 880.9 Eye refractions obtained by individuals.

In the absence of an Air Force medical facility, and when eye refraction cannot be obtained from other Government agencies, refractive examinations necessary for the fitting of spectacles may be obtained from a civilian physician or licensed optometrist at Air Force expense by Air Force personnel and authorized NATO Air Force member on active duty only.

(a) Authority. Eye refraction under this section shall be approved by the authority in § 880.6 (a) or (b). Exception: Prior authority will not be required for refractions for Air Force personnel and authorized NATO Air Force member on duty in foreign countries away from a uniformed service unit.

(b) Prescribing lenses. Civilian physicians or optometrists performing refractions for Air Force personnel and authorized NATO Air Force member will be requested to prescribe lenses to the closest 14 diopter.

(c) Costs. The charge for refraction should be at local rates and should include the adjustment of frames and fitting of spectacles when delivered.

(d) Procuring spectacles. Procurement at Government expense of spectacles from civilian physicians or optometrists who perform refractions is not authorized. Spectacles are supplied and will be shipped to the Air Force member and authorized NATO Air Force member for whom prescribed.

§ 880.10 Surgical and orthopedic appliances.

Items authorized for base procurement may be provided by the civilian medical facility in connection with treatment and services otherwise authorized by this part.

§ 880.11 Information required on statements and bills from civilian hospitals, physicians, dentists, and nurses. (a) Hospital service. (1) Hospitalization charges at the daily or weekly rate will be shown with applicable dates.

(2) Charges for services not included in the daily or weekly rate including dates of such charges as, use of operating room, laboratory service, X-ray, medicine, ambulance service, etc., will be shown as follows:

(i) X-rays: Aggregate.

(ii) Routine laboratory tests: Aggregate.

(iii) Special laboratory tests by name. (iv) Medicines: Aggregate.

(v) First aid or emergency treatment: State the exact nature of the services.

(vi) Ambulance service: Show the mileage involved and the flat rate or rate per mile, as the case may be. See § 880.3 (c).

(vii) Long distance telephone call or telegram charges: Must be accompanied by certificate or copy of telegram.

(viii) Use of operating room: Indicate if this includes administration of anesthetic and if administered by a member of hospital staff. If not, show the charge separately in the name of the person administering the anesthetic. If the hospital has paid anesthetist, charge may be listed on hospital voucher, but must be accompanied by receipted bill

from the anesthetist showing payment by hospital.

(ix) Items incident to treatment: List and itemize separately, crutches, special therapy, etc.

(x) Physician and nurses: Include only those regularly employed on a salary basis by the hospital and for whose services payments are due to the hospital. If this is the case, state that nurse or physician is a salaried member of hospital staff. If the hospital has paid physicians and nurses who are not salaried members of the staff, such charge may be included in the hospital bill but must be accompanied by a receipted bill showing payment by the hospital.

(b) Bills for physicians' or surgeons' services. (1) Visits: Show where visits were made, i.e., hospital, doctor's office, patient's home, etc. List date and charge for each visit chronologically. If two or more visits are made on any one day, enter the number for each day and mark them "first visit" and "second visit," etc. List date and charge for operations separately. List chronologically the date of each visit after the operation and itemize the charges and the services rendered.

(2) Other services (such as X-rays, laboratory services, and medicines): Aggregate.

(3) Medicines: Aggregate. If furnished from physician's own stock, certify on the voucher that they were furnished from his stock, charges, etc.

(c) Special nursing service. Indicate place where service was rendered, the hour it began and ended, the number of hours served each day or night, the rate per day or night, and the number of days or nights served.

NOTE: If a nurse went on duty at 11:00 p.m. on one day and went off duty at 7:00 a.m. the next day, only one night will be counted, although two dates are involved.

(d) Dental services. (1) Show each service rendered, such as extraction, filling, etc., and the charge for each. Identify each tooth involved. Show the number of tooth surfaces involved and filling material used.

(2) Filling operations, treatment of chronic lesions, prosthetic replacements, dental repair, and prolonged or extensive procedures, such as those required following the relief of immediate emergency, require prior approval of the authority cited in § 880.6.