The overall Bureau health care delivery system includes local medical facilities, as well as the major medical facilities. For routine care, inmates who wish to be seen for evaluation of medical problems are required to submit an appropriate request in the designated drop box in the Green Corridor. The requests will be triaged and scheduled appropriately. During the A&O lecture the Health Services Administrator will provide additional information regarding medical services. Inmates who become ill after the regular sick call appointment sign-up period should ask their work supervisor or Unit Officer to call the Health Services Unit for further instruction. Inmates in detention or segregation units are unable to sign up for this procedure. For that reason, a staff member from Medical Services tours these housing units daily.
Preventive Health Care Overview
The BOP defines a scope of preventive health care services for inmates based on the recommendations of the U.S. Preventive Services Task Force (USPSTF) that incorporates targeted patient counseling and immunizations, as well as screening for infectious diseases, cancer, and chronic diseases. The BOP preventive health care program includes the following components:
A health care delivery system that uses a multi-disciplinary team approach, with specific duties assigned to each team member.
An emphasis on the inmates’ responsibility for improving their own health status and seeking preventive services.
Prioritization of inmates who are at high risk for specific health problems, by age, sex, and social risk factors.
Discontinuation of routine annual physical examination.
Inmate Copayment Program
Pursuant to the Federal Prisoner Health Care Copayment Act (FHCCA) of 2000 (P.L. 106-294, 18 U.S.C. § 4048), The Federal Bureau of Prisons and USP HAZELTON provide notice of the Inmate Copayment Program for health care, effective October 3, 2005.
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.
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 section C.
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 section C, 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:
Health care services based on health care staff referrals,
Health Care staff-approved follow-up treatment for a chronic condition,
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, we will also not charge a fee for:
Blood pressure monitoring;
Chronic care clinics;
TB testing; Vaccinations;
Wound Care; or
Your 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 a trust fund account balance of $6.00 or more 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.