32 C.F.R. Subpart H—Adjuncts to Medical Care
Title 32 - National Defense
Adjuncts to medical care include but are not limited to prosthetic devices such as artificial limbs, artificial eyes, hearing aids, orthopedic footwear, spectacles, wheel chairs, hospital beds, and similar medical support items or aids which are required for the proper care and management of the condition being treated. Generally, expenses incurred for procurement of such items, either from civilian sources as supplemental care or from stocks maintained by the facility, are payable from operation and maintenance funds available for support of naval MTFs. However, certain adjuncts may be cost-shared under CHAMPUS for CHAMPUS-eligible individuals under circumstances enumerated in the cooperative care or services criteria of §728.4(z). (a) Provide adjuncts to medical care to eligible beneficiaries receiving inpatient or outpatient care when, in the opinion of the attending physician, such adjuncts will offer substantial assistance in overcoming the handicap or condition and thereby contribute to the well-being of the beneficiary. (b) Unless necessary for humanitarian reasons, do not furnish orthopedic and prosthetic appliances on an elective basis to members of the naval service with short periods of service remaining when the defect requiring the appliance existed prior to entry into service and when such members will be separated from the service because of these defects. (c) For active duty members, make the initial allowance of orthopedic footwear and orthopedic alterations to standard footwear the same quantity as provided in the initial clothing allowance. (d) Base the number of orthopedic and prosthetic appliances issued or replaced for other authorized recipients upon the individual's requirements as determined by the attending physician to be consistent with the highest standards of modern medicine. (e) Former members of the uniformed service should be advised that they may obtain durable medical equipment, medical care, and adjuncts from Veterans Administration facilities. (f) Dependents are authorized certain adjuncts per §§728.31 (c) and (d) and in instances where items are not normally authorized at the expense of the Government, they may be provided at cost to the United States if available from Government stocks under the following conditions: (1) Outside the United States. (2) At specific stations within the United States which have been authorized by the Secretary of the Navy to sell these items. The following chart and footnotes provide information relative to adjuncts which may be furnished the several categories of beneficiaries eligible for medical care at naval MTFs.
Title 32: National Defense
PART 728—MEDICAL AND DENTAL CARE FOR ELIGIBLE PERSONS AT NAVY MEDICAL DEPARTMENT FACILITIES
Subpart H—Adjuncts to Medical Care
§ 728.91 General.
§ 728.92 Policy.
§ 728.93 Chart of adjuncts.
-------------------------------------------------------------------------------------------------------------------------------------------------------- Others authorized the same Adjuncts Active duty and retired benefits as active duty or Dependents authorized the Other beneficiaries(\8\) members retired members(\8\) same benefits--------------------------------------------------------------------------------------------------------------------------------------------------------Ambulance service.................. Yes........................ Yes........................... Yes(\1\)................... NoArtificial eyes.................... Yes........................ Yes........................... Yes........................ Maybe(\3\)Artificial limbs................... Yes........................ Yes........................... Yes........................ Maybe(\3\)Contact or special lenses(\1\\1\).. Yes(\4\)................... Yes(\4\)...................... Maybe(\2\) (\4\) (\6\)..... NoCrutches(\7\)...................... Yes........................ Yes........................... Yes........................ YesDental prostheses.................. Yes........................ Yes........................... Maybe(\9\)................. Maybe(\9\)Elastic stockings.................. Yes........................ Yes........................... Yes........................ YesHearing aids(\1\\0\)............... Yes(\5\)................... Yes(\5\)...................... Maybe(\2\)................. Maybe(\3\)Hearing aid parts and batteries.... Yes(\1\\0\)................ Yes(\1\\0\)................... Maybe(\2\) (\1\\0\)........ NoHospital beds (\7\)................ Yes........................ Yes........................... Yes........................ YesJoint braces....................... Yes........................ Yes........................... Yes........................ YesOrthopedic footware................ Yes........................ Yes........................... Maybe(\2\)................. Maybe(\3\)Prosthetic devices, other(\7\)..... Yes........................ Yes........................... Maybe(\2\)................. NoRespirators and inhalators(\7\).... Yes........................ Yes........................... Yes........................ Yes(\1\)Resuscitators (\7\)................ Yes........................ Yes........................... Yes........................ Yes(\1\)Spectacles......................... Yes........................ Yes........................... Maybe(\2\) (\6\)........... NoWalking irons(\7\)................. Yes........................ Yes........................... Yes........................ YesWheel chairs(\7\).................. Yes........................ Yes........................... Yes........................ Yes--------------------------------------------------------------------------------------------------------------------------------------------------------\1\ When considered medically appropriate by the attending physician.\2\ See § 728.92(f).\3\ Outside the United States and at designated remote stations when considered medically appropriate by the attending physician.\4\ Contact or special lenses are not to be issued solely for cosmetic reasons. Further guidelines are contained in NAVMEDCOMINST 6810.1.\5\ In addition to the hearing aid, include in initial issue one spare receiver cord, approximately 1 month's supply of batteries, and a statement indicating make, model, type of receiver, serial number, code, part numbers, ``B'' battery voltage, and type of ``A'' and ``B'' batteries, as appropriate. Provide replacement of hearing aids upon the same basis as initial issue and, except in unusual circumstances, will not be replaced within 2 years of the initial furnishing or the last replacement of the appliance.\6\ Spectacles, contact lenses, or intraocular lenses may be provided dependents with eye conditions which require these items for complete medical or surgical management of a condition other than ordinary refractive error. For further information, consult NAVMEDCOMINST 6810.1.\7\ May be loaned on a custody basis at the discretion of the attending physician.\8\ See subpart of this part relating to specific beneficiary.\9\ When considered by the attending physician and dentist to be an adjunct to a medical or surgical condition other than dental and when in consonance with existing legislation and directives.\10\ For further guidelines, consult BUMEDINST 6320.41B.\11\ Includes intraocular lenses required for implantation upon removal of cataracts.
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