Okinawa Overseas Screening - Disapproval

Medical Conditions That May Result in Disapproval

These criteria can be grouped into four different categories

Overseas clearance may be disapproved if a family member has/requires:

Braces/splints (difficulty in obtaining parts, supplies, and/or repair services)

Prosthetics for major limbs (difficulty in obtaining parts, supplies, and/or repair services)

2.Services:
Overseas clearance may be disapproved if a family member requires care by the following sub-specialists more than once a year:

Cardiology, Endocrinology, Rheumatology, Bowel or Bladder rehabilitation services (routinely available only through Medevac)

Medications not available on island and without an easy substitute

Laboratory monitoring required in a timely fashion that is not available on island (i.e., drug levels)

3. Any specialty requiring Medevac more than once a year Specific medical conditions:

USN dependants with EFMP category 3 assignment or equivalent conditions with other services

Bilateral deafness (non-hearing, requiring full time sign language translator)

Family members with chronic medical conditions that have required or have a high probability of requiring ICU facilities may be disapproved

Cancer patients that have required or have a high probability of requiring ongoing oncology services may be disapproved

Medical conditions which have a high probability of resulting in ICU admissions, e.g., insulin-dependent diabetes

Morbid Obesity (BMI >40 kg/m2 or 35 kg/m2 in the presence of comorbidities)

Chronic Pain syndromes requiring multidisciplinary pain therapy

Gastroenterology disorders such as Chron's disease, Ulcerative colitis, Liver cirrhosis

Urologic pain disorders

Pediatric disorders requiring subspecialist management

4. Psychiatric Conditions:
Major Depression

Anxiety Disorder

Personality Disorder

Adult ADHD

Substance Abuse/Dependence 10 years prior to arrival on island

Mental Health Conditions in which the family member or active duty member has not achieved a one year therapy free and medication free stable status