Hospital Nacional, founded in 1974, offers care for members of the Department of Veterans Affairs USA, within the Foreign Medical Program (FMP). It maintains a department dedicated to handling the insurance policies of foreign companies as a special service medical tourists. This allows the patient to receive care without previous disbursement. Spanish, English, French, Italian, Portuguese and other languages are spoken by members of the staff. Hospital Nacional maintains agreements for care of patients with active and retired status of the United States Army within the Tricare programs.