An official website of the United States government
A .mil website belongs to an official U.S. Department of Defense organization in the United States.
A lock (lock ) or https:// means you’ve safely connected to the .mil website. Share sensitive information only on official, secure websites.

The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status.
To learn how the lapse in appropriations affects your TRICARE benefit, visit 
tricare.mil/shutdown.

News | Oct. 7, 2024

DOD Announces Health Care Supplement Program Pilot for DOD Civilian Employees in Japan

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.

Picture of a doctor using a stethoscope on a patient's chest; "Patients needed on Oct. 17 for a focus group discussion about chronic obstructive pulmonary disease, or COPD."

Share your experiences with COPD care and treatm...

News
Sep. 30, 2025

Have you been diagnosed with chronic obstructive pulmonary disease, or COPD? Your feedback could play a key...
Read More
Service member presses down on another service member's arm while lying on a medical table.

National Guard or Reserve? Learn What To Do if Y...

News
Sep. 25, 2025

Are you a member of the National Guard or Reserve? If so, it’s important to know how TRICARE covers you if you...
Read More
DHA logo and Unlock Your Health logo; Medical professional in scrubs shows man in wheelchair papers on a clipboard.

Learn How TRICARE Can Help You Manage Chronic He...

News
Sep. 23, 2025

Living with a chronic health condition can feel hard. But you don’t have to do it alone. TRICARE offers...
Read More
Woman in a dentist's chair holds a mirror and looks at her teeth.

What To Do in a Dental Emergency

News
Sep. 19, 2025

Dental emergencies can happen anywhere, at any time. Whether you crack a tooth or have severe mouth pain,...
Read More
Young boy smiles and hugs mother

Unlock Your Health: How TRICARE Can Support Your...

News
Sep. 18, 2025

Childhood and teen years can be full of ups and downs. It’s normal for kids to be sad or irritable or to have...
Read More
Dental care provider wearing gloves performs dental procedure on patient in dental chair.

Opioids, Pain Management, and Your Oral Health

News
Sep. 17, 2025

If you’ve had certain dental procedures, like wisdom teeth removal, a root canal, or oral surgery, some...
Read More
Woman wearing dental bib opens her mouth as a dentist uses dental equipment.

The Power of Prevention: Using the TRICARE Denta...

News
Sep. 16, 2025

When it comes to your oral health, a little prevention goes a long way. That’s why the TRICARE Dental Program...
Read More
Unlock Your Health graphic, DHA logo, elderly woman and medical care worker sit together on a couch

Unlock Your Health With TRICARE Home Health Care...

News
Sep. 16, 2025

Is leaving home for care a challenge? TRICARE covers solutions that make it easier to get the care—and...
Read More

Sept. 30, 2025

Share your experiences with COPD care and treatment at Oct. 17 Clinical Practice Guideline patient focus group

Have you been diagnosed with chronic obstructive pulmonary disease, or COPD? Your feedback could play a key role in developing and updating clinical practice guidelines across the military and veteran health care systems.

Sept. 25, 2025

National Guard or Reserve? Learn What To Do if You Need Line of Duty Care

Are you a member of the National Guard or Reserve? If so, it’s important to know how TRICARE covers you if you become sick or are injured while activated for 30 days or less. This article explores how, where, and under what circumstances National Guard and Reserve members can get line of duty care.

Sept. 23, 2025

Learn How TRICARE Can Help You Manage Chronic Health Conditions

Living with a chronic health condition can feel hard. But you don’t have to do it alone. TRICARE offers programs and coverage to help you live better with chronic conditions like asthma, diabetes, heart disease, anxiety, and depression.

Sept. 19, 2025

What To Do in a Dental Emergency

Dental emergencies can happen anywhere, at any time. Whether you crack a tooth or have severe mouth pain, knowing what to do can save your smile and reduce damage.

Sept. 18, 2025

Unlock Your Health: How TRICARE Can Support Your Child’s Mental Health

Childhood and teen years can be full of ups and downs. It’s normal for kids to be sad or irritable or to have trouble paying attention or interacting with others at times. But sometimes, these feelings and behaviors are signs that your child could need mental health care. Learn how TRICARE can support your child’s mental health and find tips and resources for supporting your child’s well-being.

Sept. 17, 2025

Opioids, Pain Management, and Your Oral Health

If you’ve had certain dental procedures, like wisdom teeth removal, a root canal, or oral surgery, some dentists may prescribe an opioid painkiller to help manage your pain. While your comfort is a priority, it’s important to also understand any potential negative side effects posed by opioids and the importance of using opioids responsibly.

Sept. 16, 2025

The Power of Prevention: Using the TRICARE Dental Program Benefit To Save You Money

When it comes to your oral health, a little prevention goes a long way. That’s why the TRICARE Dental Program covers two routine dental cleanings and examinations each year.

Sept. 16, 2025

Unlock Your Health With TRICARE Home Health Care and Pharmacy Home Delivery

Is leaving home for care a challenge? TRICARE covers solutions that make it easier to get the care—and drugs—you may need. Your TRICARE plan may cover certain in-home health services and pharmacy home delivery options. This gives you flexibility and convenience in your care.

Sept. 10, 2025

Explore Available Counseling and Mental Health Services

Are you a service member, family member, or survivor? Your TRICARE benefit covers a variety of mental health services. But did you know there are other counseling services available to you? This article explores what services you can access if you need support.

Sept. 9, 2025

Live in the West Region? Learn if You Need To Take Action on Your Referrals Before Oct. 1

Are you a TRICARE Prime beneficiary living in the West Region? Are you currently using a referral to get specialty care? If you used the West Region referral approval waiver to see a specialist between Jan. 1 and June 30, 2025 and need to continue seeing that specialist, you’ll need to get a new referral to a network specialist before Oct. 1, 2025. If you’re still using a valid referral issued by a previous contractor before Jan. 1, 2025, you also need to get a new referral for any care received starting Oct. 1.