In case of failure on the exam, the Diplomate Exam Fee is non refundable. However, the 5-year membership fee of $150 USD is by default transferred as a credit for eligible candidates taking a second-chance or third-chance exam. Failed candidates can apply for a partial refund of the 5-year membership fee, considering an administrative cost of $25 USD. For the 2022 exam, this refund is set at $125 USD.