Digital Library: New Financial Assistance for Civilians Treated in Military Hospitals

May 13, 2026 — Article

The Department of Defense (DoD) operates a worldwide network of military treatment facilities, including 45 hospitals and 606 clinics. These facilities are not open to civilians for routine care. However, many of these facilities, particularly the 40+ that provide emergency services and 14 trauma centers, provide critical care to civilians who are not eligible for military health services. Annually, more than 20,000 civilians receive treatment in these facilities.

The DoD aggressively pursues collection for medical services provided to civilians at military treatment facilities pursuant to its authority under the Debt Collection Improvement Act. Unpaid medical debts that are more than 180 days delinquent are transferred to the Treasury Department, often leading to severe financial consequences for patients, including the seizure of tax returns and administrative wage garnishment.

This article describes new regulations that can provide pathways to financial assistance for some civilian patients: discounts, repayment agreements, and waivers.  The article also sets out the eligibility requirements for financial assistance and how to apply for assistance.