The Department of Defense (DOD) today announced a one-year pilot program to provide no-cost supplemental health support services to DOD civilian employees serving in Japan after a yearlong effort to identify and address concerns regarding access to medical care.

"The Department recognizes the significant contributions of our DoD civilian workforce around the world," said Ashish Vazirani, who is performing the duties of the Undersecretary of Defense for Personnel and Readiness. "In keeping with Secretary of Defense Lloyd J. Austin III's commitment to taking care of all our people, we owe it to our civilians to facilitate access to health care no matter where they are. The support from this pilot program will help enhance the patient experience for the approximately 11,000 civilians stationed in Japan through the new pilot."

This pilot is called the Pilot Health Insurance Enhancement for DOD Civilian Employees in Japan and will assist eligible civilian employees with health care navigation and upfront costs associated with accessing Japan's healthcare system.

To be eligible, the employee must be enrolled in a participating health plan through the Federal Employees Health Benefits (FEHB) program. The enrollment window for eligible employees will be the Federal Benefits Open Season, which runs this year Nov. 11 through Dec. 9. Federal Benefits Open Season allows federal civilians to enroll in or change health care options.

The services provided under this pilot will begin Jan. 1, 2025, when participants can use the services and access support through a call center. The call center will be open 24/7 and staffed with bilingual service representatives who will assist callers with identifying their needs, make appointments with provider offices, and issue payment guarantees up front. Dependents are not eligible for services during the pilot, which runs through Sept. 29, 2025.

Employees working in Japan with the following military departments, defense agencies and DoD field activities are eligible for this supplemental coverage:

• Department of the Air Force
• Department of the Army
• Department of the Navy
• Defense Information Systems Agency
• Defense Logistics Agency
• Department of Defense Education Activity
• Defense Commissary Agency
• Defense Contract Management Agency
• Defense Finance and Accounting Service
• Defense Health Agency
• Defense Media Activity
• Defense Threat Reduction Agency
• National Security Agency
• Defense Intelligence Agency
• National Geospatial-Intelligence Agency

"We are excited to offer this program," said Seileen Mullen, who is the Principal Deputy Assistant Secretary of Defense for Health Affairs. "This is a no-cost supplemental service, and we encourage civilian employees in Japan to use it."

The Office of the Assistant Secretary of Defense for Health Affairs will oversee the pilot program and has awarded a $4.2 million contract to International SOS Government Services Inc., which is also the prime contractor for the TRICARE Overseas Program. The contract for this pilot is being funded by the military departments, defense agencies and DoD field activities that have civilian employees working in Japan.

Active-duty service members and TRICARE Prime beneficiaries have prioritized access to health care in military hospitals and clinics based on current federal law and DoD policy. DoD civilians who are not TRICARE beneficiaries may use military health facilities on a space-available basis.

Agreements with FEHB insurance carriers who currently provide coverage for DoD civilian employees in Japan will be established to provide direct billing agreements. Non-appropriated Fund (NAF) employees are eligible for this program if enrolled in an Aetna International plan.

Additional details dedicated to this pilot program will be announced before Federal Benefits Open Season begins. This information will also be posted to web sites for military hospitals and clinics in Japan in their "Getting Care" section.