Overseas Retiree Tools

Which hospitals bill TRICARE or the VA FMP for retirees

Fourteen hospitals in Thailand were asked the same five questions by email. Twelve answered in writing. This page is those answers, quoted, with the date and the desk that gave them. Updated as more reply.

Direct billing is a courtesy offered at each hospital's discretion. It is not a TRICARE or VA contract, it can change or end without notice, and it can differ for the sponsor and for family members. Always confirm with the hospital's international insurance desk in writing before you receive services, and keep enough cash to pay in full.

Why this exists

“We accept TRICARE” on a hospital website usually describes the active-duty arrangement. For a retiree the question is narrower, and the answer changes by branch: five branches of the same hospital group gave five different answers. So each hospital was asked the same five questions, in writing:

  1. Do you bill TRICARE directly for military retirees (not active duty)? Inpatient, outpatient, or both?
  2. Does that also apply to a retiree's spouse and children?
  3. Do you bill the VA Foreign Medical Program directly for service-connected conditions?
  4. Is there a minimum bill amount for direct billing under either program?
  5. What documents do you need on file beforehand, and who is the contact at your insurance desk?

What a hospital's desk states is kept separate from what a patient reports. Where a retiree who used the hospital reports something different, both are shown, with dates. Treat the desk answer as the policy and the patient account as what happened that month.

What the answers add up to

Thailand

Bangkok Hospital Udon · Udon Thani (Isan)
TRICARE retireesYes. Direct billing for TRICARE retired beneficiaries. USD 150 deposit (deductible) at the first visit, then the 25% cost-share. You sign the hospital's TRICARE MOU and claim form before the first visit.
Family membersYes, eligible family members.
VA FMPYes. Sign the VA MOU and claim form first. Only bills over THB 5,000. Annual limit THB 200,000 per person. Treatment must match the approved conditions.
Minimum billTHB 5,000 (FMP)
DocumentsSSN for the eligibility check. Tabien Baan (yellow house book) or other proof of permanent residence. FMP Authorization Letter for follow-ups.
Confirmed byInternational Coordinator desk, 21 Sep 2026
In their words“The hospital accepts direct billing for TRICARE Retired beneficiaries only.”
Bangkok Hospital Pakchong · Pak Chong, Nakhon Ratchasima
TRICARE retireesYes. Direct billing under the TRICARE Overseas Program. About USD 150 annual deductible at the first visit of the year, then the 25% cost-share.
Family membersYes, sponsor and eligible family members.
VA FMPYes, limited to conditions on the VA Authorization Letter. Veteran only, not family.
Minimum billNot stated
DocumentsVA Authorization Letter for FMP.
Confirmed byRegistration & Medical Record, 21 Sep 2026
In their words“Both the TRICARE Overseas Program (TOP) and the Foreign Medical Program (FMP) are eligible for direct billing services.”
Bangkok Hospital Pattaya · Pattaya, Chonburi
TRICARE retireesInpatient only, and only if you have no other health insurance. Outpatient is pay and claim. They verify eligibility on the TRICARE portal. USD 150 deductible per member per year and 25% up to the catastrophic cap.
Family membersYes.
VA FMPYes, outpatient and inpatient, with the Benefits Authorization Letter.
Minimum billNone
DocumentsSSN or DBN for TRICARE. Benefits Authorization Letter for FMP.
Confirmed byInternational Insurance department, 21 Sep 2026
In their words“Direct billing service is available for Inpatient treatment only provided that you do not have other health insurance.”
Bangkok Hospital (headquarters campus) · Bangkok
TRICARE retireesInpatient only, through pre-approval under their TRICARE contract. All outpatient care is pay and claim.
Family membersYes, if their names are listed in the TRICARE portal.
VA FMPYes, once they see an Authorization Letter showing the diagnosis and coverage. They check each planned treatment against it.
Minimum billNot stated
DocumentsSSN to verify eligibility. FMP Authorization Letter.
Confirmed byInternational Third Party Payer Services, 21 Sep 2026
In their words“We are only able to request pre-approval for inpatient care.”
Samitivej Srinakarin · Bangkok (Srinakarin)
TRICARE retireesThey verify eligibility on the portal and bill with a 25% copayment. They quoted a USD 3,000 family catastrophic cap; check your own group's cap at tricare.mil/costs before relying on that figure.
Family membersImplied (they quoted a family cap). Confirm for your family.
VA FMPYes, cashless, with a Benefits Authorization naming the diagnosis. The only Samitivej branch in the VA FMP cashless agreement.
Minimum billNot stated
DocumentsBenefits Authorization for FMP.
Confirmed byInternational Insurance Department, 21 Sep 2026
In their words“Samitivej Srinakarin Hospital is the only branch currently participating in the VA FMP cashless facility agreement.”
A patient reportsA retiree who used them in August 2026 says they billed TRICARE for both outpatient and inpatient care against a USD 1,500 deposit, refunded once he reached the catastrophic cap, and that procedures Samitivej does not perform (CT scans, for example) were contracted to Bangkok Hospital in Bangkok and still billed through Samitivej. The hospital's own desk did not mention outpatient billing or the deposit, so confirm both before you rely on them.
Bumrungrad International · Bangkok
TRICARE retireesOutpatient is pay and claim. For inpatient they send a pre-approval request to TRICARE, and bill directly only if TRICARE issues a Guarantee of Payment.
Family membersSame arrangement as the sponsor.
VA FMPNo. FMP is pay and claim.
Minimum billNo minimum for inpatient, subject to the Guarantee of Payment
DocumentsCopy of your insurance card, full name and date of birth.
Confirmed byInsurance Verification of Benefits Center, 21 Sep 2026
In their words“We are unable to provide direct billing for VA Foreign Medical Program (FMP).”
Rajavej Chiang Mai · Chiang Mai
TRICARE retireesYes. Direct billing for retirees and their families, inpatient and outpatient.
Family membersYes.
VA FMPYes, inpatient and outpatient for service-connected conditions, with no out of pocket cost when FMP applies.
Minimum billNone for either program
DocumentsFMP authorization letter. SSN so they can verify you in the TRICARE Overseas Program system.
Confirmed byInternational Medical Service Consultant, 23 Sep 2026
In their words“We do a direct billing for retirees and their families on both inpatient and outpatient.”
Chiang Mai Ram · Chiang Mai
TRICARE retireesDid not answer the TRICARE question.
Family membersNot answered.
VA FMPYes. Anything over THB 10,000 is billed directly to FMP. Under that you pay. Go to the cashier department on the 4th floor.
Minimum billTHB 10,000 (FMP)
DocumentsAuthorization letter listing your service-connected conditions, VA card, passport.
Confirmed bySecretary Department, 21 Sep 2026
In their words“Anything over 10,000 baht is automatic bill direct to FMP.”
Samitivej Sriracha · Si Racha, Chonburi
TRICARE retireesInpatient only. If the doctor recommends admission or a major procedure after the consultation they coordinate direct billing with TRICARE. Outpatient is pay at the time of service and claim afterwards. A cost-share still applies depending on your benefit status.
Family membersYes, if the family members are on the plan and their coverage verifies as active.
VA FMPYes, inpatient and outpatient for service-connected conditions. Tests and treatment must relate to the approved condition and medications must be FDA approved. Vitamins and supplements are not covered.
Minimum billNone for either program
DocumentsPassport or government ID, Uniformed Services ID card, TRICARE or benefit card, FMP Benefits Authorization Letter, any TRICARE referral, recent records and medication list, and details of any other health insurance.
Confirmed byInternational Insurance & Patient Services, 24 Sep 2026
In their words“Our direct billing arrangement is currently available for inpatient services only.”
MedPark Hospital · Bangkok (Rama IV)
TRICARE retireesNo. TRICARE is not a partnered insurer. Pay upfront and claim reimbursement afterwards.
Family membersNo.
VA FMPNot offered.
Minimum billn/a
Documentsn/a
Confirmed byPatient Access Officer, 28 Sep 2026
In their words“We are so sorry that TRICARE insurance is not our partnered Insurance yet. The payment policy will be pay upfront and reimburse later.”
A patient reportsMembers report MedPark already bills through International SOS for other insurers and that an article this year described work toward TRICARE direct billing. The hospital says there is no date for a direct billing contract.
Bangkok Hospital Chiang Mai · Chiang Mai
TRICARE retireesYes. Direct billing inpatient and outpatient, for TRICARE Select Overseas and TRICARE For Life only. Bring your TRICARE card to registration so they can verify eligibility. Expect the USD 150 deductible plus the 25% cost-share.
Family membersSubject to the patient's own eligible benefits, verified on the day of the visit.
VA FMPYes, inpatient and outpatient, limited to the service-connected conditions on the VA letter. Direct billing for hospital charges above THB 5,000; at or below that you pay and claim from the VA yourself.
Minimum billTHB 5,000 (FMP)
DocumentsYour current TRICARE card or the FMP Benefits Authorization Letter from the VA, plus valid photo ID, handed in at registration on the day.
Confirmed byInternational Patient Services, 27 Sep 2026
In their words“Bangkok Hospital Chiang Mai can proceed with direct billing both IPD & OPD for only two types of policies: TRICARE Select Overseas and TRICARE For Life.”
A patient reportsTwo members reported this independently before the hospital replied: one said TRICARE is billed with no minimum and has used it since 2021, another that FMP claims are filed above THB 5,000. The hospital's answer matches on FMP and adds that TRICARE direct billing is limited to Select Overseas and TRICARE For Life.
Bangkok Hospital Phitsanulok · Phitsanulok
TRICARE retireesNo direct billing.
Family membersNo.
VA FMPNo direct billing.
Minimum billn/a
Documentsn/a
Confirmed byInternational desk, 21 Sep 2026
In their words“Our hospital does not provide direct billing services for the healthcare benefits under TRICARE Select Overseas or the VA Foreign Medical Program.”

Asked, no answer yet

Bangkok Hospital Ratchasima (Korat). No answer is not a no. Ask them yourself before you rely on anything.

Asked, but never actually reached

Two Bangkok hospitals on the original list never received the questions at all. They are listed here rather than as silent, because a bounced or misrouted email is not a refusal.

BNH Hospital (Bangkok). The published general address, info@bnhhospital.com, rejected the message on 21 September 2026 (“Unable to deliver... Recipient rejected”), so BNH never received the five questions. BNH's own domain is bnh.co.th, not bnhhospital.com, and its international patient coordinators publish ipc@bnh.co.th; the questions are going there next.

Samitivej Sukhumvit (Bangkok). Samitivej publishes the same international insurance address, svhinterinsurance@samitivej.co.th, for both Sukhumvit and Srinakarin. The reply came back on Samitivej Srinakarin letterhead, answered for that branch only, and stated that Srinakarin is the single Samitivej branch in the VA FMP cashless agreement. So Sukhumvit's own desk has never answered these questions in writing. If you need Sukhumvit specifically, its International Insurance Department is on the 7th floor, +66 2022-8806, and you should say which branch you mean. What is known about Sukhumvit comes from a patient, below.

Reported by a patient, not confirmed by the hospital

The hospital below has given no written answer. Everything here comes from a retiree who used it and reported what happened, with dates. It is one person's experience, which is worth more than a brochure and less than a policy you can hold the hospital to.

Samitivej Sukhumvit · Bangkok (Sukhumvit)
TRICARE retireesA retired US military member was told at the international insurance desk in person on 3 October 2026 that they direct bill TRICARE for anything over THB 5,000, and that anything at or below that is pay and claim through the TRICARE Overseas Program portal. The THB 5,000 figure was verbal only; the printout she was handed about her TRICARE plan does not mention it, and she notes it could change. Her initial orthopaedic consult came in under THB 5,000 and she paid cash for it.
Family membersNot answered by the hospital.
VA FMPNot answered by the hospital. The Samitivej international insurance desk states that Samitivej Srinakarin is the only branch in the VA FMP cashless agreement.
Minimum billTHB 5,000 for TRICARE, stated verbally
DocumentsNot answered by the hospital. She was told the hospital had sent the request to TRICARE and that she should call TRICARE to “open the case”; the TRICARE representative found the request on the call and said two decision emails would go to her and to the hospital before the surgery date.
Confirmed byNo written reply from the hospital's own desk. Patient account, 3-9 October 2026
A patient reportsShe had the knee surgery on 9 October 2026. After an initial snafu where the hospital said it had not received the TRICARE approval, she produced her own copy and was not asked for it again. At checkout she signed a bill stating the hospital would bill it to TRICARE, and she left without paying the hospital anything directly. She rates the care as exceptional and will report how the claim settles. One case, one month, not a policy statement.

Philippines

The Philippines works differently. TRICARE runs a Philippine Preferred Provider Network, and beneficiaries living or travelling there are expected to use a PPN or certified provider; pharmacy claims are only cost-shared at a TRICARE certified pharmacy. So the question there is less “will you bill” and more which status the hospital holds and what you pay at the desk.

The Medical City Clark · Clark Freeport Zone, Angeles, Pampanga, Philippines
TRICARE retireesYes. Bills TRICARE direct for retirees, inpatient and outpatient, provided you come to their office before the procedure.
Family membersYes, for an eligible spouse and children.
VA FMPYes, billed direct for service-connected conditions, with no minimum bill.
Minimum billNone
DocumentsA copy of your service-connected condition letter for FMP. Your SSN so they can check TRICARE eligibility.
Confirmed byInternational Patient Services, Center for Patient Experience, 29 Sep 2026
In their words“Yes we are still a preferred provider po... Yes for both inpatient and outpatient as long as you drop by on our office before you do the procedure.”
A patient reportsTheir pharmacy is not TRICARE certified, so prescriptions are filled outside at Mercury or Watsons.

Baypointe in Olongapo publishes no email address. If you have the address for their TRICARE desk, it is worth sending them the same questions.

Ask your own hospital

The only answer that counts is the one from the branch you will use. Copy this to their international insurance desk:

Subject: US military retiree - TRICARE and VA FMP direct billing question

Hello,

I am a retired US military member living here. My family and I are covered by
TRICARE Select Overseas and I am registered with the VA Foreign Medical Program
(FMP). Before we choose a hospital I would like to confirm your current policy
in writing.

1. Do you bill TRICARE directly for military RETIREES (not active duty)? If yes,
   is that for inpatient care, outpatient care, or both?
2. Does TRICARE direct billing also apply to a retiree's spouse and children?
3. Do you bill the VA Foreign Medical Program directly for service-connected
   conditions? Inpatient, outpatient, or both?
4. Is there a minimum bill amount for direct billing under either program?
5. What documents do you need on file beforehand, and who is the contact person
   at your insurance desk?

Thank you for your help.

If you get an answer, it is worth posting it wherever other retirees in your country gather. That is how this list grew.

Free two-page PDF: 10 questions to ask a Thai hospital before you trust your TRICAREThe direct-billing question decides how much cash you keep on hand.
Get the free PDF

Sources and limits

Every Thailand and Philippines entry above comes from a written email reply from that hospital's own insurance, international or registration desk, between 21 September and 10 October 2026. Staff are not named. Patient accounts are labelled as such and are one person's experience, not policy. This page is not affiliated with TRICARE, the VA, International SOS or any hospital, and it is not legal, medical or financial advice. Policies change without notice; confirm in writing before you receive care.

Last updated 10 October 2026.

Free PDF: 10 questions to ask a Thai hospital about TRICARE Get it