Eligibility for the MHS Modified Payment and Waiver Program isn't based on citizenship. It's based on the authority under which the care was provided. The Federal Rule explicitly excludes individuals who receive care "pursuant to an agreement between the United States and a foreign government or other entity." Therefore, if a foreign national is treated under the authority of an international agreement (such as a Status of Forces Agreement or Host Nation Support Agreement), their bill is handled according to the terms of that specific agreement, and the Modified Payment and Waiver Program would not apply.

However, if a foreign national is treated as a civilian non-beneficiary outside of such an agreement (for example, a tourist who is injured in an accident and taken to a military hospital for trauma care), they'd be eligible to apply for the MHS Modified Payment and Waiver Program.

Yes, the MHS Modified Payment and Waiver Program applies to civilian non-beneficiaries treated at our facilities worldwide, including federal employees. However, it doesn't apply to individuals who receive care under a specific international agreement between the U.S. and a foreign government, such as a Status of Forces Agreement that dictates billing terms.