The Health Services Unit at FDC SeaTac offers medical and dental services to the inmate population. Sick call for medical and dental services is conducted on Monday through Friday. A written request for a sick call appointment must be completed by the inmate and dropped off in mailboxes located in the housing units marked “sick call”. Medical sick call patients are seen in the medical examination room located on each housing unit floor. Dental sick call is seen in the Dental unit on A floor. Emergencies are seen immediately upon notification.
A complete physical examination(PE), including dental screening, laboratory tests as clinically indicated, are completed on all inmates at FDC SeaTac, within fourteen days of arrival. Immunizations and HIV testing may be requested.
Inmates being released from custody may request a physical examination if he/she has not had one within one year prior to the expected date of release. Such an examination will be conducted within 2 months prior to release. Submission of an Inmate Request to Staff Member is given to medical staff and these physical examinations will be scheduled.
Female inmates receive the above PE plus gynecological tests. Mammograms are offered to female inmates who are at least 40 years old, sentenced, and in BOP custody for over a year.
Chest x-rays are performed on all inmates as they are clinically indicated. All inmates are screened for tuberculosis annually.
Pill lines at FDC SeaTac are offered twice a day. The morning pill line starts immediately after 6:00 am; serving court line first, followed by the cadre units and continues until all units have been visited. The evening pill line starts at approximately 6:00pm. The A.M. insulin pill line is conducted in conjunction with the morning pill line and the P.M. insulin pill line is initiated immediately after the 4:00pm stand up count.
Inmates who have chronic medical problems are followed by a physician in chronic care clinics, at least once every 6 months or as clinically warranted.
Inmates may draw up a living will, may prepare an advanced directive or execute a durable power of attorney for health care. If an inmate prefers a living will other than a standard form, an opportunity will be provided for a private attorney to prepare the necessary documents, at the inmate’s expense. Note: living wills and advance directives are not operative within the institution. They are effective when hospitalized in the community.
FDC SeaTac is a smoke-free institution. Inmates interested in the program shall inform a health care provider who will certify approval using the nicotine replacement therapy (NRT). The inmate will take the signed approval form to the institution commissary, which will allow the inmate to purchase two weeks of NRT at a time.
II. Routine Care: Only inmates sentenced or designated to FDC SeaTac are eligible for non-urgent care. These procedures can include: comprehensive examinations; x-rays; fillings; elective dental extractions and dental cleanings. Access to routine care must be equitable controlled and the use of a National BEMR Dental Wait list is the method used here to equally distribute and manage the care delivered.
Prosthetics (Dentures and Partials): All urgent and routine care must be accomplished before prosthetics can be started. Policy dictates the number of teeth a person must be missing to be eligible for replacement teeth. Prosthetics will not be started for inmates who are being released in less than one year due to the time needed to complete all laboratory work.
III. Oral Hygiene and Dietary Habits: It is up to you to take care of your teeth daily if you want to keep them healthy, this includes brushing twice a day, flossing once a day and limiting sweets to meal times. The treating dentist may discontinue care at any time if it becomes apparent that the patient is not practicing proper oral hygiene.
IV. Accessory Dental Care: Accessory treatment is considered elective and extends beyond the scope of routine care. The following areas of treatment are not available at this facility: crown and bridge treatment, porcelain bonding, cosmetic procedures, including tooth whitening, orthodontic treatment to include braces and retainers to move or straighten teeth, dental implants, root canals, edentulous ridge augmentation, orthogenetic surgery, and temporomandibular joint (TMJ) surgery, and periodontal surgery.
Inmate Copayment Program for Health Services provided
Application: 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 MRCs and inmates assigned to the General Population at these facilities are subject to copay fees. This applies to inmates in pretrial and detainees.
Health Care Visits with a Fee:
You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you receive health care services in connection with a health care visit that you requested, except for services described in the section below.
These requested appointments include Sick Call and after-hours requests to see a health care provider. If you ask a non-medical staff member to contact medical staff to request a medical evaluation on your behalf for a health service not listed in the section Health Care with No Fee, below, you will be charged a $2.00 copay fee for that visit.
You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you 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 Visits with no Fee:
We will not charge a fee for:
1. Health care services based on health care staff referrals;
2. Health Care staff-approved follow-up treatment for a chronic condition;
3. Preventive health care services;
4. Emergency services;
5. Prenatal care;
6. Diagnosis or treatment of chronic infectious diseases;
7. Mental health care; or
8. Substance abuse treatment.
If a health care provider orders or approves any of the following, we will also not charge a fee for:
-Blood pressure monitoring -Glucose monitoring
-Insulin injections -Chronic care clinics
-TB testing -Vaccinations
-HIV -Patient Education
Your health care provider will determine if the type of appointment scheduled is
subject to a copay fee.
Indigence: An indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.
If you are considered indigent, you will not have the copay fee deducted from your Inmate Commissary Account.
If you are NOT indigent, but you do not have sufficient funds to make the copay fee on the date of the appointment, a debt will be established by TRUFACS, and the amount will be deducted as funds are deposited into your Inmate Commissary Account.
You may seek review of issues related to health service fees through the Bureau’s Administrative Remedy Program (see 28 CFR part 542).