Health Services Mission Statement
It is the policy of the Bureau of Prisons to provide medical care and treatment for inmates during incarceration that will maintain health. All medical care will be provided by the health services unit (HSU)staff. If necessary inmates may be referred to a consultant.
Inmate Co-payment Program
The Inmate Copayment Program applies to anyone in an institution under the Bureau’s jurisdiction and anyone who has been charged with or convicted of an offense against the United States, except inmates in inpatient status at a Medical Referral Center (MRC). All inmates in outpatient status at the MRC’s and inmates assigned to the general population at these facilities are subject to copay fees.
Health Care Visits with a Fee:
1. An inmate must pay a fee of $2.00 for health care services, charged to his inmate commissary account, per health care visit, if the inmate receives health care services in connection with a health care visit that the inmate requested, except for services described in section C., below.
These requested appointments include sick call and after-hours requests to see a health care provider. If an inmate asks a non-medical staff member to contact medical staff to request a medical evaluation on his behalf for a health service not listed in section C. below, the inmate will be charged a $2.00 copay fee for that visit.
2. An inmate must pay a fee of $2.00 for health care services, charged to his inmate commissary account, per health care visit, if the inmate is found responsible through the disciplinary hearing process to have injured an inmate who, as a result of the injury, requires a health care visit.
Health Care Visits with No Fee:
An inmate will not be charged a fee for:
Health care services based on health care staff referrals;
Health care staff-approved follow-up treatment for a chroniccondition;
Preventive health care services;
Diagnosis or treatment of chronic infectious diseases;
Mental health care; or
Substance abuse treatment.
If a health care provider orders or approves any of the following, a fee will not be charged for:
Blood pressure monitoring;
Chronic care clinics;
Wound care; or
The inmate’s health care provider will determine if the type of appointment scheduled is subject to a copay fee.
An indigent inmate is an inmate who has not had atrust fund account balance of $6.00 for the past 30 days. If an inmate is considered indigent, he will not have the copay feededucted from his inmate commissary account. If an inmate is NOT indigent, but does not have sufficient funds to make the copayfee on the date of the appointment, a debt will be established by TRUFACS, and the amount will be deducted as funds are deposited into the inmate’s commissary account.
An inmate may seek review of issues related to health service fees through the Bureau’s Administrative Remedy Program (See 28 CFR Part 542).
Health Services Admission and Orientation
Hours of Operation
Routine sick call triage, including dental problems, will be held in the FCI Health Services Department weekdays (except for Wednesday) between 6:00 a.m. and 6:30 a.m. Inmates must be present with their identification card to obtain a triage visit. Inmates at the satellite camp must be present at the health services exam room between 7:15 a.m. and 7:30 a.m. The inmate must obtain a pass from his detail supervisor to report for his appointment. Emergency treatment is conducted on an as-needed basis.
Sick Call Triage
Specialty Clinics and Services
Patients with chronic care needs, such as, diabetes, heart disease, lung disease, etc., will be seen on a regularly scheduled basis. Each clinic will be scheduled appropriately and the patient will be placed on call-out for the clinic.
At the discretion of the health services staff, based on the patient’s medical needs, patients will be scheduled to see physicians who specialize in all aspects of medicine.
All correspondence directed to the Health Services Department must be on the standard inmate request to staff member form.
Pharmacy/Pill Line Procedures
Monday through Friday
6:45 a.m. to 7:15 a.m.
7:00 p.m. to 7:25 p.m.
Pill line times for the satellite camp are as follows:
Monday through Friday
7:00 a.m. to 7:15 a.m.
Evening Pill Line
6:30 p.m. to 6:45 p.m.
The inmate must present his identification card to be served by the pharmacy.
Over-the-counter (OTC) medications are not provided, and must be purchased from the commissary. All prescriptions must be picked up from the pharmacy within three days of the prescription being ordered.Indigent OTC pill line is offered on Wednesdays from 11:00 a.m. to 12:00 p.m. at the main institution. Satellite camp inmates, who are indigent and in need of medications, should sign up for sick call.
Advance Directives and Do-Not-Resuscitate Orders
|Your Health Care Rights:||Your Responsibilities:|
|1. You have the right to access health care services based on the local procedures at this institution. Health services include medical, dental, and all support services.||1. You have the responsibility to comply with the health care policies of this institution and follow recommended treatment plans established for you by the health care staff.|
|2. You have the right to know the name and professional status of your health care providers and to be treated with respect, consideration, and dignity.||2. You have the responsibility to treat these providers as professional and follow their instructions to maintain and improve your overall health.|
|3. You have the right to address any concerns regarding your health care to any member of the institutional staff including the physician, the Health Services Administrator, members of your Unit Team, the Associate Warden, and the Warden||3. You have the responsibility to address your concerns in the accepted format, such as the Inmate Request to Staff Member form, at main line, or the accepted Inmate Grievance Procedures.|
|4. You have the right to provide the Bureau of Prisons with Advance Directives or a Living Will that would provide the Bureau of Prisons with instructions if you are admitted as an inpatient to a hospital.||4. You have the responsibility to provide the Bureau of Prisons with accurate information to complete this agreement.|
|5. You have the right to be provided with information regarding your diagnosis, treatment, and prognosis.||5. You have the responsibility to keep this information confidential.|
|6. You have the right to obtain copies of certain releasable portions of your health record.||6. You have the responsibility to be familiar with the current policy and abide by such to obtain these records.|
|7. You have the right to be examined in privacy.||7. You have the responsibility to comply with security procedures should security be required during your examination.|
|8. You have the right to participate in health promotion and disease prevention programs, including those providing education regarding infectious disease.||8. You have the responsibility to maintain your health and not to endanger yourself, or others, by participating in activities that could result in the spreading or catching of infectious diseases.|
|9. You have the right to report complaints of pain to your health care provider, have your pain assessed, managed in a timely manner, be provided information about pain management as well as information on the limitations and side effects of pain treatments.||9. You have the responsibility to communicate with your health care provider honestly regarding your pain and your concerns about your pain. You also have the responsibility to adhere to the prescribed treatment plan and medical restrictions. It is your responsibility to keep your provider informed of both positive and negative changes in your condition to assure timely follow-up.|
|10. You have the right to receive prescribed medications and treatments in a timely manner, consistent with the recommendations of the prescribing health care provider.||10. You have the responsibility to be honest with your health care provider(s), to comply with prescription treatments and follow prescription orders. You also have the responsibility not to provide any other person with your medication or other prescription item.|
|11. You have the right to be provided healthy and nutritious food. You have the right to instructions regarding a healthy diet.||11. You have the responsibility to eat healthy and not abuse or waste food or drink.|
|12. You have the right to request a routine physical examination as defined in the Bureau of Prisons policy.(If you are under the age of 50, once every 2 years, if over the age of 50, once a year and within one year of your release.||12. You have the responsibility to notify medical staff that you wish to have an examination.|
|13. You have the right to dental care as defined in the Bureau of Prisons policy to include preventative services, emergency care, and routine care.||13. You have the responsibility to maintain your oral hygiene and health.|
|14. You have the right to a safe, clean, and healthy environment that includes smoke free living areas.||14. You have the responsibility to maintain the cleanliness of personal and common areas and safety in consideration of others. You have the responsibility to follow smoking regulations.|
|15. You have the right to refuse medical treatment in accordance with the Bureau of Prisons policy. Refusal of certain diagnostic tests for infectious diseases can result in administrative actions against you. You have the right to be counseled regarding the possible consequences of refusing medical treatment.||15. You have the responsibility to notify health services regarding any ill-effects that occur as a result of your refusal. You also accept the responsibility to sign the treatment refusal form.|