On-site emergency medical care is available 24 hours a day in the institution. For routine care, those who want to be seen for evaluation of medical complaints are required to report to the medical department triage services sign-up. At that time, you will be given an appointment slip with an appointment to be seen. You will then report to your assigned work detail after making the triage appointment. The triage appointment slip should be presented to your work supervisor.
FCI Terminal Island may, under certain circumstances, charge an inmate under our care and custody, a fee for providing health care services. All inmates have access to FCI Terminal Island health care services. FCI Terminal Island will charge a co-pay fee for inmate requested visits to health care providers. Inmates will not be denied access to necessary health care because of an inmate’s inability to pay the co-pay fee.
Procedures for Payment for Health Care Services
Generally, an inmate must pay a fee for health care services of $2.00 per health care visit if you:
a. receive health care services in connection with a health care visit that the inmate requested (except for services described in non co-pay visits); or
b. if the inmate(s) are 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 Services Provided Without a Co-pay Fee:
a. Health care services based on Health Services staff referrals;
b. Staff-approved follow-up treatment for a chronic condition;
c. Preventive health care services;
d. Emergency services;
e. Diagnosis or treatment of chronic infectious diseases;
f. Mental health care; or
g. Substance abuse treatment.
Appealing the Fee
An inmate may seek review of issues related to health service fees through the Bureau’s Administrative Remedy Program. Inmates without funds will not be charged a health care service fee if they are considered indigent and unable to pay the health care service fee.
An inmate without funds (indigent inmate) is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.
Routine Medical Care Triage Services
Triage services for routine medical and dental care are conducted Monday, Tuesday, Thursday and Friday between 6:15 a.m. and 6:45 a.m. Inmates will be provided a triage services form by the housing unit officer the night before the sign-up period. Inmates should fill out the form in their housing units and take it with them to the out-patient department the day of the triage services sign-up. The inmate will be given an appointment based upon the nature of their complaint and will be placed on call out for a future appointment if necessary. Those who become ill after the triage services sign-up period should ask their work supervisor or unit officer to call the medical department for an appointment.
Inmates in the Special Housing Units (SHU) may request to be seen on sick call by filling out the sick-call triage form. This can be requested from the SHU Officer. Present this form to medical staff conducting rounds in SHU on a daily basis. Upon triage, you will be evaluated by your Primary Care Provider/Physician/Dentist based on your medical/dental condition.
You may request an Advanced Directive (Living Will) to be written for you with the assistance of the Health Service Staff. This procedure is initiated by writing a cop-out to Health Services with an indication of its purpose.
If you have any questions about communicable diseases, there are information pamphlets available in the Outpatient waiting area, or you may present a cop-out to the Infection Control Coordinator.
If you need your vision checked for prescription glasses, request the exam on a cop-out. You will be placed on the call out to see the Optometrist. After you have seen the Optometrist you will be provided with a copy of your prescription. If you desire to have a pair of Bureau provided prescription glasses then send a cop-out to the Assistant Health Services Administrator. If you decide to procure prescription glasses from an outside source at your own expense, then request a property form from your Unit Team and process through them.
Note: All inmates must have their photo I.D. card when they come to the Health Services or Pharmacy for any reason.
Dental Services: On site emergency dental care is available. Those who wish to have routine dental care should request it on a cop-out. For emergency dental problems, sign-up for dental sick call during regular triage sign-up days and times. You will be given an appointment to see the dentist. Sick call is strictly for dental emergencies, not routine dental care.
Emergency Medical Treatment
All emergencies or injuries will be given priority for treatment. Appropriate medical care will be provided by Health Services staff. Medical coverage on evenings, weekends, and holidays is for the treatment of emergency medical problems only. Health Services clinical staff are on duty twenty-four hours a day, seven days a week.
6:15 a.m. to 6:30 a.m. Diabetics Only
6:30 a.m. to 7:15 a.m. Morning Pill Line
11:00 a.m. to 12:00 p.m. Noon Pill Line
4:00 p.m. to 4:15 p.m. Diabetics Only
5:30 p.m. to 6:30 p.m. Evening Pill Line
Injured inmates should be escorted by staff to be evaluated by the Physician Assistant on duty.
If you are injured while performing an assigned duty, you must immediately report this injury to your work supervisor. The work supervisor will then report the injury to the institution Safety Manager. You may be disqualified from eligibility for lost time wages and compensation if you fail to report a work injury promptly to the supervisor.
If injured while performing an assigned duty and you expect to be continually impaired to some degree, you may submit a claim for compensation. A medical evaluation must be included in the claim before any compensation can be considered.
All inmates are eligible for age-specific periodic physical examination such as cardiac
screening and cancer screening.