documents in the last year, 83 Note: Individuals with cardiomyopathy who have had an implantable cardioverter defibrillator (ICD) placed, will be evaluated under the criteria for condition #81, Anti-tachycardia devices or implantable defibrillators. Notwithstanding its still possible to receive clearance: Medical problems like scoliosis dont always automatically disqualify you from service. To submit your comment online, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Submit a Comment on the line associated with this document. Here are some frequently asked questions about military medical waivers. Published guidance on the criteria that will be used in determining whether an applicant's medical condition warrants a medical waiver will support Coast Guard efforts to consistently evaluate merchant mariners with these conditions and assess whether the risk associated with an applicant's medical condition is sufficiently mitigated to warrant a medical waiver under 46 CFR 10.303. border-width: 1pt; Grace Period Extension For License Renewal, Constructive Refusal to Submit Hair Sample, I Didnt Know Where To Go For My Drug Test, Coast Guard To Raise Casualty Reporting Thresholds.
Disability Evaluation Branch - United States Coast Guard Important medical standards update expected to improve retention of Medical Waivers for Merchant Mariner Credential Applicants With Anti Each military branch handles medical waiver reviews differently but usually goes through several layers of approval. padding: 0in 5.4pt 0in 5.4pt; { Your medical provider can help you understand these exigent circumstances; all applicable policies are listed below. Learn more here. However, one branch may approve a waiver while another branch may not based on the condition, your role in the military, and other factors. margin-top: 0in; border-bottom-style: solid; years depending on the medical condition, condition status and the need for periodic medical evaluations. Federal Register provide legal notice to the public and judicial notice Expiration for national mariners: Medical certificates issued to national mariners will be issued for a maximum of 5 years. (4) Hand delivery: Same as mail address above, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. Does the Coast Guard offer medical waivers? New Documents Hopefully, you will hear soon! Does the condition create an undue hazard to the recruit or other service members in combat situations. As a result, you may face more obstacles to overcoming disqualifying health conditions yet a medical waiver is still possible. Color perception deficiency, either complete or partial. Other conditions, like mental health, makes it more challenging to receive clearance to serve the military: NOTE: The U.S. Navy recently adapted its medical waiver process. { Just What Does It Take To Get Equal Access To Justice? For example, someone with Schizophrenia is likely to get denied by every military branch, while another recruit with a small curvature of scoliosis might have better luck the second time around. The Coast Guard Disability Evaluation Branch is mandated by Congress to maintain an effective and fit military organization with maximum use of available manpower, provide benefits to eligible Coast Guard members whose military service is terminated because of service-connected disability, and provide prompt disability processing while ensuring that the rights and interests of the government . padding: 0in 5.4pt 0in 5.4pt; Additionally, the Coast Guard does not consider the conditions Start Printed Page 8588of narcolepsy,idiopathic hypersomnia, or other hypersomnias of central origin, as low enough risk to warrant consideration for a medical waiver. Here is your guide to military medical waivers and what you need to know. 4 0 obj
(c) Medical waivers may be granted with specific conditions to which the applicant must adhere, such as more frequent monitoring of the medical conditions, submission of medical exams and/or tests at varying intervals to track the ongoing status of the medical condition, or operational limitations in the manner the mariner may serve under the MMC. Highest customer reviews on one of the most highly-trusted product review platforms. Viewing comments and documents: To view comments, go to http://www.regulations.gov,, type the docket number (USCG-2015-0090) in the SEARCH box and click SEARCH. Click on Open Docket Folder on the line associated with this rulemaking. border-bottom-style: solid; The following disorders are generally automatic disqualifiers in the Coast Guard: However, the Coast Guard (like other branches) is starting to apply more waivers to anxiety and depression than in the past. However, there is no opportunity for an appeal if the doctor fails to recommend you at MEPS. Spanish, Localized Feeling Very Strongly About It Both Ways: Just What Makes A Dangerous Drug Dangerous, Anyway? Therefore, the disqualifying medical conditions for one branch is the same for another branch, yet the rate of approving medical waivers is different. Horseshoe kidney or absence of one kidney, Active or difficult to treat genital herpes (even if asymptomatic), Bilateral kidney stones or single kidney stone in the preceding 12 months of the exam, Cardiovascular defects or other congenital abnormalities, History of recurrent or ongoing cardiopulmonary symptoms including, but not limited to syncope (fainting) and pre-syncope, History of pneumothorax within the past year if due to simple trauma or surgery, or a history within the past three years if spontaneous. { Notify me of follow-up comments by email. 7101 et seq. Following a thorough review of your Department of Defense Medical Examination Review Board (DoDMERB) exam results and medical history, our medical waiver panel (consisting of our Chief Medical Officer (CMO) and at least one other medical officer) has recommended that you NOT be recommended for a medical waiver to attend the Coast Guard Academy. NVIC 04-08, Condition #194: Diabetes requiring oral medication. My DS have been waiting 100+ days. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators (ICDs) have, since the September 15, 2008 promulgation of NVIC 04-08, had to face the near-impossible task of getting the Coast Guard NMC to issue them a medical waiver. [FR Doc. I know of one that came through this past Wednesday.
Policy update: Significant improvements to mental and behavioral health padding: 0in 5.4pt 0in 5.4pt; font-size: 10pt; For example, most branches like the U.S. Navy admit sailors with scoliosis as long as the curvature isnt greater than 30 degrees. Mariners with anti-tachycardia devices or implantable cardioverter defibrillators ("ICD's") have, since the September 15, 2008 promulgation of NVIC 04-08, had to face the near-impossible task of getting the Coast Guard NMC to issue them a medical waiver. These markup elements allow the user to see how the document follows the Medical waivers allow applicants to enter military service programs even though they may not have met DoD medical standards. 2. Current Coast Guard guidance in Enclosure (3) to Navigation and Vessel Inspection Circular 04-08, Medical and Physical Evaluation Guidelines for Merchant Mariner Credentials (NVIC 04-08), which is available at http://www.uscg.mil/hq/cg5/nvic/pdf/2008/NVIC%2004-08%20CH%201%20with%20Enclosures%2020130607.pdf. color: #666666; This information is not part of the official Federal Register document. xY[o7~7Q1&rR}HAf~H3F&!N=;{/_W3B,20_*bR[dH^Zjqy\pi|BM% J.
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b4,wH~Q_1W{AeY)}2"! DD still waiting. You may also visit the Docket Management Facility in Room W12-140 on the ground floor of the Department of Transportation West Building, 1200 New Jersey Avenue SE., Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday, except Federal holidays. In support of this new policy, Coast Guard health services personnel will withdraw all waiver and medical evaluation board requests for members that are covered by these updates. It may not display this or other websites correctly. This table of contents is a navigational tool, processed from the Our state-specific browser-based samples and simple instructions eradicate human-prone faults. Waivers may be granted by the program to which you're applying, NOT DoDMERB. Once again, speak to a recruiter if you have any of the following: The Coast Guard also needs to take into account mental health conditions that make it difficult for you to serve the country without elevated safety and security risk. Click on tabs below for more information. The health condition is sometimes correctly through surgery or with medication. Wow, I had no idea the wait could be so long and drawn out. Treatments may include medication, therapy, or counseling, but may not permanently interfere with your ability to perform your current duties. All Rights Reserved. NVIC 04-08, Condition # 193: Diabetes mellitus treated with insulin or with history of diabetic ketoacidosis (DKA). Asthma, including reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, reliably diagnosed and symptomatic after the 13th birthday. USLegal received the following as compared to 9 other form sites. 03/03/2023, 1465 Complete applications are accepted at Regional Examination Centers (RECs) via mail, e-mail, fax, or in person. Any deviation or curvature of the spine likely to impair normal function or wearing of proper military uniform or gear or causes physical symptoms. QUESTION: What about Medical Waivers? Applicants must comply with the accompanying waiver letter in order to renew their certificate. These can be useful These standards are the same for all military branches, including the Coast Guard, as the Department of Homeland Security has agreed to use the same standards to make Military Entrance Processing Station (MEPS) processing easier. ); (2) The applicant does not have a prior history of ventricular fibrillation or episodes of sustained ventricular tachycardia within the last three years; (3) The ICD or anti-tachycardia device was implanted more than three years ago; (4) The ICD has not fired nor has the applicant required anti-tachycardia pacing therapy within the last three years; (5) There are no additional risk factors for inappropriate shock such as uncontrolled atrial fibrillation; (6) The applicant's left ventricular ejection fraction is greater than 35% with a steady or improving trend; (7) There is no history of any symptomatic or clinically significant heart failure in the past two years; (8) There is no evidence of significant reversible ischemia on myocardial perfusionimaging exercise stress testing; (9) The applicant's exercise capacity on formal stress testing (using standard Bruce Protocol) is greater than or equal to the 8 METs (metabolic equivalents); (10) The applicant's treating cardiologist or electrophysiologist provides a written assessment of the individual that supports a determination that the mariner is at low risk for future arrhythmia, adverse cardiac event or sudden incapacitation based upon objective testing and standard evaluation tools; (11) The applicant does not have any other medical conditions which may alone, or incombination with an ICD or anti-tachycardia device, affect the mariner's fitness.