USAHC SHAPE BRUSSELS
Unit 8100 Box 12
APO, AE 09714-9998
Phone (DSN) 314-566-1515
Fax (DSN) 314-368-9508
Moving with TRICARE
When you move, TRICARE moves with you. It's there before, during and when you get to your next duty station. It's available worldwide. There are steps you need to take to make sure changes to your TRICARE coverage go smoothly. With your move, you may have to use a different TRICARE option.
Prime options in the United States
If you live in a Prime Service Area, then TRICARE Prime is an option for you. A Prime Service Area is usually within a 40-mile area of a military clinic or hospital. With Prime, you have a primary care manager, who may be a military or civilian doctor or a team of doctors, who manages your health care needs.
Some active-duty family members may enroll in the U.S. Family Health Plan, or USFHP. The USFHP offers a TRICARE Prime-like option in six areas of the United States. You'll get all care (including prescription drug coverage) from a network provider. With the USFHP, you can't get care at military hospitals and clinics or from TRICARE network providers (emergency exceptions). You have to work with USFHP when get care overseas. Visit the U.S. Family Health Plan page for more information.
If you don't live in a Prime Service Area, TRICARE Prime Remote is your other option. Eligible family members have to live with their active-duty sponsor (with some exceptions) to enroll in TRICARE Prime Remote. In most cases, your primary care manager is a network provider. If there's no local network provider, you can choose any TRICARE-authorized provider to act as your primary care manager.
Prime options overseas (including U.S. territories)
In overseas locations, you have two options for care:
Note: Active-duty service members must enroll in a Prime option.
When you know you're going to move, call your current TRICARE stateside overseas contractor. Find out if your new location is in a new region and talk about your TRICARE options.
Transferring your TRICARE Prime/Prime Remote coverage
When you move, your Prime options may change. You have to transfer your enrollment if you move to a different region. Some family members may have to disenroll and use TRICARE Standard. Options may vary for each family member. Remember, to enroll in a Prime option overseas, family members must be command-sponsored.
If you move within your current region, you still need to find out if your Prime option changes. You may only need to get a new primary care manager. Again, call your current TRICARE regional or USFHP contractor to talk about your move and your TRICARE options. Follow these steps to transfer your enrollment by phone:
Note: Don't disenroll from Prime before you move.
Other ways to transfer your enrollment include:
To learn more, visit the TRICARE Moving page.
TRICARE Standard and Extra
TRICARE Standard and Extra is an option for active-duty family members. You don't have to enroll—coverage is automatic as long as you show as TRICARE eligible in DEERS. With TRICARE Standard or Extra you can see any TRICARE-authorized provider, non-network or network. You pay a deductible and costs shares.
If you're a family member and don't want to enroll in TRICARE Overseas Program-Prime, or can't enroll because you're not command-sponsored, you have TRICARE Overseas Program-Standard. You can see any civilian provider (except in the Philippines).
If you want or have to use TRICARE Standard when you move, call the new regional contractor to disenroll from Prime when you get to your new location.
If you already using TRICARE Standard and Extra:
If you're in a new region, the claims address changes. Check the TRICARE Filing Claims page for your new mailing address.
TRICARE For Life
TRICARE For Life is for those who have Medicare and TRICARE. You don't have to enroll - coverage is automatic as long as you show in DEERS as TRICARE-eligible and have Medicare Part A and Part B if needed. When you go to a Medicare doctor, show your Medicare and uniformed service identification cards. Your provider files your claims with Medicare. Medicare pays first and sends the claim to the TRICARE For Life claims processor. TRICARE then pays second for TRICARE-covered services.
If you're an active-duty family member, you don't have to have Medicare Part B to keep your TRICARE benefits. You must have Part B to keep TRICARE once your sponsor retires.
When you move, update your personal information in DEERS as soon as possible. To find a new provider:
Getting care along the way
Before you move, take care of any routine medical needs, including immunizations. Fill your prescriptions so you have enough while traveling. TRICARE defines emergency care as "medical services provided for a sudden or unexpected medical or psychiatric condition or the sudden worsening of a chronic condition that is threatening to life, limb or sight and needs immediate medical treatment or a condition which has painful symptoms that need immediate relief to stop suffering." TRICARE defines urgent care as "medical care for a condition that will not result in disability or death if not treated immediately but should be treated within 24 hours to avoid further complications."
If you're using TRICARE Standard or TRICARE For Life, you may get urgent care from any TRICARE-authorized provider. If it's after clinic hours or you're not sure if you need to see a doctor, call TRICARE's Nurse Advice Line at 800-874-2273.
Filling prescriptions while traveling
If you run out of a prescription drug while traveling, contact your military or civilian provider. If you have refills on a military clinic prescription, check to see if your prescription can be moved to and filled by another military treatment facility. If you have refills on your prescription with a major retail pharmacy chain, check with the chain to see if they can transfer your prescription to a local chain pharmacy. If you have refills on a drug you get through TRICARE home delivery, call the TRICARE pharmacy contractor to see what can be done.
Getting dental care while traveling
Getting dental care while traveling depends on your location and whether you are a service member of family member.
Permanent change of station for active-duty service members
With permanent change of station orders, ask for a copy of your medical and dental records from your personnel office, providers/dentists, and medical or dental clinics. Do this at least one month before your permanent change of station date. This way you may be able to carry records to your new duty station.
You may ask providers or the military clinic to transfer your family's medical records to the military hospital or clinic nearest to your new duty station. You may ask to have copies of their records to carry with you or them as well. (You may have to pay to get their records copied.) If you want someone else to be able to get medical or dental information on you or your family while you are moving, you need to complete a DD Form 2870, "Authorization for Disclosure of Medical or Dental Information."
Installation Specific Information
Belgium has very high medical standards and the doctor/patient ratio is one of the highest in the world. Health care is excellent and Belgium is a world leader in certain specialty areas such as fertility treatment and heart-lung transplants. Families who need to use Belgian medical facilities usually find that the cost is much less than stateside. For example: the in vitro process costs about $5,000; a visit to an emergency room for a few stitches (with a doctor in attendance) is about $75.
Visitors from the U.S. should be aware that a travel health insurance policy is usually advisable. Senior citizens over 65 should be aware that the U.S. medicare program does not provide coverage overseas--even at a U.S. facility. U.S. citizens do not have the right to use military medical facilities even if they have private insurance.
Brussels Army Health Clinic
The Brussels community has a U.S. military health clinic, Brussels Army Health Clinic that offers basic outpatient service including primary routine and acute care, physical exams, and immunizations. There is also a pharmacy, routine lab and x-ray services. There are two providers at the clinic. Currently one is a civilian family practice physician and the other is a military family nurse practitioner. Patient care required beyond the capability of the Health Clinic is referred to Landstuhl Army Hospital in Germany or locally, Gasthuisberg in Leuven.
For the Brussels Shape Health clinic, active duty Soldiers have first priority for medical services and family members are the second priority. They are entitled to medical services, contingent upon the availability of facilities and the capabilities of the medical staff. Retired service members, their family members and family members of deceased retirees are provided services when facilities and staffing permit. It is your responsibility to call the patient advisor for more information.
The hospital at SHAPE (Supreme Headquarters Allied Powers Europe) was closed in the spring of 1993, so families who have chronic conditions that require services beyond the capabilities of the Brussels Army Health Clinic will need to use local doctors and facilities. Some services are still available at the SHAPE outpatient clinics. These services include additional lab services, eye exams, etc. OB patients are seen by local Belgian doctors.
For Exceptional Family Member questions, please contact Army Community Services (ACS). EFMP assists families who have special needs family members, both medical and educational. EFMP can assist with enrollment, information and referral services and support to those concerned.
Family members on prescription drugs should bring a 3-month supply with them to allow time for the pharmacy to stock the brand, if it is not currently carried.
Preventive Medicine is located at the Healthcare Facility at SHAPE. This unit provides a broad range of environmental health services, communicable disease surveillance and traveler's clinic. They serve as health consultants to all child care centers in the Benelux (there is no full time Child Development Center in Brussels). Individual and group counseling regarding health promotion is available.
The U.S. Embassy's "Medical Care in Brussels" booklet contains information about medical and dental care and includes a listing of local hospitals, physicians, dentists, and an emergency advisory section. The Brussels Army Health and Dental Clinic Patient Handbook is available at the clinic.
The US Army Dental Clinic Brussels primarily serves the Active Duty military community assigned to Brussels. Due to limited staffing care is provided according to priorities. The first priority goes to Active Duty Service members. The second priority is dependents of Active Duty. Third priority of care is Retirees and their family members. State Department and non-DoD employees and their family members are authorized treatment of true dental emergencies (severe pain, swelling, facial trauma, bleeding). There is a substantial charge for this service. Appointments for Other Than Active Duty (OTAD) are strictly on a Space Available Basis.
The Brussels Dental Clinic is staffed by one dentist and one hygienist. This limits care to routine procedures such as fillings, cleanings, and extractions. Specialty care such as root canals, crowns/bridges, dentures, or partials, is available on a space available basis and is not available for retirees. It is highly recommended family members remain enrolled in the TRICARE Family Member Dental Program. Patients may be referred to the Belgian economy or to Specialty clinics in Germany based on their dental needs. Exams and cleanings are scheduled once a year unless the dentist specifies otherwise.
Sick Call/ Exams
Sick call hours are reserved for patients with true dental emergencies (severe pain, swelling, facial trauma, bleeding). It is not a substitute for the lack of space availability. Sick call and exam hours are 8-9 am, Monday through Friday. Active duty military members have priority for sick call and exams.
Those with true dental emergencies during after-duty hours should contact Leuven hospital for treatment. Family members must be enrolled in the TRICARE Family Member Dental Plan to receive reimbursement.
TRICARE Family Member Dental Plan
The TRICARE Family Member Dental Plan can be used overseas by family members. Military personnel who have family members such as college students who remain in the States may stay enrolled in the TRICARE plan. TRICARE Dental Plan benefits and information are available at the Brussels Dental Clinic or go to the website. A list of Belgian providers is available on the website.
Local Community Information
The "Gasthuisberg" hospital in Leuven, which is used by many American families, is in a Flemish commune. Most of the staff and administration speak English. Belgian health care is considered among the best in the world and therefore, American families should not be concerned about using local medical facilities. The hospital is fully equipped to handle most emergencies and routine medical conditions. The Belgian Military Hospital, handles the hospital care of military personnel. Scheduled appointments can also be made with the U.S. military hospital at Landstuhl, Germany.
Maps to Universitaire Ziekenhuizen, Gasthuisber (Leuven) are available at the Brussels Army Health Clinic. Families are urged to get the map and do a practice run to the hospital. In an emergency, it may be difficult to stay calm and try to read a map. You may then choose to call an ambulance. The police are also alerted to an emergency when you call an ambulance. If you cannot be understood, your address can be traced if you leave the phone off the hook.
Call your relocation manager »
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