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Medical and Dental Evaluations

Form PC-127C is used to authorize payment for evaluation of medical and dental health conditions related to your overseas service. After your Volunteer service ends only evaluation, not treatment, of these conditions is covered and only the evaluation authorized on the voucher will be reimbursed. The form has three parts. One part is kept in your Peace Corps health record. You should give the original to the health care provider you consult and keep the remaining copy for yourself.

If you have a service-related medical or dental condition that will require evaluation after you leave Peace Corps, your medical officer will give you a PC-127C authorization. If the need for evaluation does not become apparent until after you terminate, you should contact the Post-Service Unit at 855.855.1961, ext. 1540 to request authorization for evaluation. The authorization form must be used within six months of ending service.

If, on evaluation, you need treatment for a service-related condition, you can apply for benefits under FECA as explained in the next chapter. If the condition is not service-related the treatment may be covered by AfterCorps or other insurance.

Using the PC-127C

Like many insurance providers, the Peace Corps has created a fee schedule based on average health care costs nationwide adjusted to account for regional price differences. The PC-127C will reimburse your provider based on this fee schedule.

To avoid misunderstandings and bills for any difference between the scheduled fee and your provider's fee, make sure your provider's office will accept the PC-127C before you receive services. If the health care provider has questions about the authorization or the fee schedule, encourage the provider to contact the Peace Corps health claims administrator at 800.544.1802. The administrator can give your health care provider additional information on reimbursement rates and how to submit claims.

If a call to the health claims administrator does not resolve your provider's concerns, as with most forms of health insurance, you have two choices: 1) find a provider who is willing to accept the PC-127C, or 2) pay for authorized services out-of-pocket and submit a request for reimbursement to the health claims administrator. If you pay for health services out-of-pocket, you will be reimbursed at fee schedule rates. You will have to absorb any difference between the fee you have paid and the authorized reimbursement rate.

To appeal an expense you incur if you pay for authorized services out-of-pocket, write to:

Peace Corps
Health Benefit Program Manager
1111 20th Street, NW
Washington, DC 20526

The written appeal should consist of four things: 1) an explanation of why you chose to pay for services out-of-pocket; 2) a photocopy of your PC-127C; 3) a copy of the itemized bill from the provider; and 4) a receipt from your provider, canceled check, or a credit card statement that verifies your payment.

Providers who accept PC-127Cs have agreed to accept the Peace Corps Health Benefit Program fee schedule rates as payment in full for the services provided to you. If you receive a bill for an additional amount from a provider who has accepted your PC-127C, contact the Peace Corps Health Benefit Program claims payment administrator at 800.544.1802 or:

Peace Corps Health Benefit Program
P.O. Box 3370
Carmel, IN 46082-3370

Failure to have these disputes resolved can lead to providers turning the claim over to a collection agency and may affect your credit rating. If you need changes in the evaluations that have been authorized, additional evaluations authorized, or have questions about a condition you believe to be service-related, contact the Post-Service Unit using the information on the top right of this page.

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Frequently Asked Questions

  • Can Peace Corps pay for an initial evaluation after my Volunteer service ends?

    Yes. The Peace Corps Post-Service Unit can authorize an evaluation for a service-related medical or dental condition that occurs within six months after the date your service ends.

  • Can the PC-127C be used overseas? I plan to travel extensively after service.

    Yes. There is no mechanism, however, for direct payment to medical providers overseas. You will need to pay for services rendered and file for reimbursement. To do this, you must submit the medical reports, translated into English, along with the bill and receipt, and a copy of the PC-127C authorization.

  • What if my physician tells me I need treatment?

    Form PC-127C is not an authorization for post-service medical treatment. If your condition is service-related, you will need to file a workers' compensation claim. If you believe your illness or injury is service-related, review the FECA section of this handbook for information on benefits and requirements and contact the Post-Service Unit for a FECA claim package. If you require treatment for a problem unrelated to Volunteer service, contact CorpsCare or your insurer to confirm benefits.

  • What if my health care provider is not paid for an authorized evaluation?

    The Peace Corps has hired a contractor to handle payment of bills for the Health Benefit Program. You should contact the claims payment administrator at 800.544.1802.

  • What should I do if my health care provider bills me for the difference between the PC-127C reimbursement and the actual fee?

    Contact the Peace Corps Health Benefit Program claims payment administrator at 800.544.1802. The administrator will contact the provider to resolve the dispute.

  • My physician did not accept the PC-127C and I paid out-of-pocket and applied for reimbursement. I was not reimbursed the full amount. Why?

    The Peace Corps Health Benefit Program reimburses based on a fee schedule. If you paid an amount that is higher than the authorized reimbursement rate, you will be paid according to the fee schedule.

  • I paid out-of-pocket due to extenuating circumstances and have not been fully reimbursed. What can I do?

    You may appeal your loss by writing to:

    Peace Corps Health Benefit Program
    P.O. Box 3370
    Carmel, IN 46082-3370

    Your appeal should contain four things: 1) an explanation of why you chose to pay for services out-of-pocket; 2) a photocopy of your PC-127C; 3) a copy of the itemized bill from the provider; and 4) a receipt from your provider, a canceled check, or a credit card statement that verifies your payment.

Last updated Oct 08 2014