Doctor sits with patient to discuss health at a desk. (sabthai (123RF))
RESOURCES
International SOS provides urgent or emergency medical support 24/7.
+44 20-8762-8133 or toll free in Italy: 800-928-305
Regional Customer Service provides a 24/7 phone number for beneficiary questions.
+44 20-8762-8384 or toll-free in Italy: 800-915-994
Covered services: www.tricare.mil/CoveredServices
Local DEERS Office: +39 095-86-5651
U.S. TRICARE Regions: East: 1-800-444-5445 / West: 1-844-866-9378
Medicare: 1-800-633-4227
Social Security Administration: 1-800-772-1213
U.S. Naval Hospital Sigonella Billing Office: +39 095-56-4788
U.S. Naval Hospital Sigonella TRICARE Enrollment Office: +39 095-56-4880
U.S. Naval Hospital Sigonella Appointment Center: +39 095-56-2273
Active duty and their command sponsored dependents must transfer their TRICARE enrollment overseas. In order to enroll your dependents in TRICARE Overseas, they must be in Italy. If they are arriving at a later date, please do not make changes to their enrollment until they arrive in the country.
You have 90 days from arrival to complete the transfer of your enrollment.
Your coverage begins when your completed enrollment application is received. A great opportunity to complete this process is during the base indoctrination. If you are unable to attend base indoctrination, you may stop by our office.
Reservists and National Guard members on active orders longer than 30 consecutive days must also transfer enrollment.
To see other options for enrollment, please visit sigonella.tricare.mil/Getting-Care/Appointments-Referrals.
Needed for Enrollment
Completed form DD2876 (provided by TRICARE BSR during AO). Only one form per family is needed.
A copy of orders (to be kept for filing purposes).
Enrollment Changes
You can make changes once a year during the open enrollment season (typically the season is from mid-November through mid-December) and up to 90 days after a qualifying life event (QLA) such as moving, getting married, giving birth or adopting a child, and other important life altering situations. To learn more, visit www.tricare.mil/openseason.
NAS 2, Bldg. 476
Phone: +39 095-86-5651 | DSN: 624-5651
You can update your address in DEERS online at www.tricare.mil/DEERS.
Remember to verify and update DEERS annually or when you have a change in:
Military career status (i.e. rank or retirement)
Activation (Guard/Reserve)
Change of address
Marriage or divorce
Birth or adoption
New full-time student aged 21 – 23
Death of dependent family member
In Italy, the Tricare Overseas Program (TOP) provides insurance for active duty, retirees and their dependents. Below is a list of program choices.
Tricare Prime Overseas
Active-duty service members will enroll in TRICARE Prime. It is highly recommended for command sponsored active-duty dependents. There are no enrollment fees nor copays.
TRICARE Prime beneficiaries will receive most of their care from their primary care manager (PCM) at a military clinic. Specialty care can be obtained with a referral from the PCM or an authorization from International SOS.
Except for emergencies involving the immediate threat of loss of life, limb or eyesight, all off-base care you receive must be authorized by International SOS first. In most cases, you will work with your TRICARE Service Center to obtain authorization.
Tricare Select Overseas
We strongly encourage active-duty dependents to enroll in TRICARE Prime. TRICARE Select Overseas patients may only be seen on Space-A basis.
This option is available to active-duty family members or retired service members and dependents living overseas. It allows beneficiaries to schedule appointments with any overseas provider. Referrals are generally not required except for certain services. You will pay an annual deductible and a percentage of covered services.
Tricare for Life
This is a wrap-around coverage for retirees 65 years old and older. Enrollment in Medicare Part A and B is required to continue TRICARE coverage past age 65. Medicare provides coverage in the U.S. and U.S. territories. When living overseas, TRICARE is the only payer and TRICARE co-pays and deductibles apply. Reach out with questions at +39 095-56-4880 or DSN: 624-488
Tricare Young Adult
Available to dependent children after regular dependent TRICARE coverage ends at age 21, or 23 for those enrolled in college. TRICARE Young Adult offers continued coverage until the beneficiary is 26 years old. Enrollment is required and monthly premium fees apply.
MHS Genesis
This patient portal is a web service available to all TRICARE beneficiaries which allows them to access their family’s health information.
www.patientportal.mhsgenesis.health.mil
Make appointments.
See lab and test results.
Access immunization and other records.
Message your medical care team.
Monitor your health information.
MYCARE OVERSEAS™ BENEFICIARY APP
The MyCare Overseas™ Beneficiary App is a useful tool for TRICARE users while stationed or traveling overseas.
www.tricare-overseas.com/beneficiary-app
Search for TOP network providers.
Access your referral, authorization, and secure claims portal to track appointments and set reminders.
Use TOP “Near Patient Team” to communicate with nurses about the local system and your treatment when referred off-installation.
Find emergency numbers and current medical risk rating when traveling.
Check your health plan, covered services and access the claims portal.
Translation assistance.
Referral Management Center (RMC)
USNH Sigonella, 2nd Floor (TRICARE office)
Phone: +39 095-56-4756 | DSN: 624-4756
Hours: Monday – Friday, 7:30 a.m. to 4 p.m.
Closed Wednesdays 1 to 4 p.m. for training
International SOS and the RMC work together to support TRICARE Prime beneficiaries (U.S. active duty and active-duty family members) and to obtain authorization of their referral for care in the Italian medical system. The RMC ensures the MTF’s capability and capacity are optimally utilized. The RMC works closely with MTF providers, International SOS, and the TRICARE area office for Eurasia-Africa (TAO-EA) to review eligibility and benefits for patients, track all referrals, book patients into their network appointments and assist with claims issues.
The RMC also assists TRICARE beneficiaries (including non-Prime) and patients who are allowed access to care at the MTF (e.g. NATO and DoD civilians). The RMC has several patient liaison representatives who coordinate appointments, in-patient network transfers and admissions, and provide translation services in-person and for the translation of medical records. The RMC also provides transportation for the patient to and from the outpatient network appointments. For patients under 18 years of age, one guardian is authorized to travel with the patient to their appointment.
Case Management (CM)
USNH Sigonella, 2nd Floor (TRICARE Office)
Phone: +39 095-56-4756 | DSN: 624-4756
Hours: Monday – Friday, 7:30 a.m. to 4 p.m.
CM is recognized as an essential component to optimize services that can enhance clinical and resource efficiency and improve quality of care. CM interventions result in integration, patient care coordination and continuity of care, thereby enhancing the quality of care. At USNH Sigonella, the CM coordinates complex cases that require a multidisciplinary approach. The CM also works with the patient liaison representatives to bridge the gap between care provided in the Italian network and at the MTF. CM services may be initiated either through self-referral or through your PCM.
TRICARE Enrollment Office
USNH Sigonella, 2nd Floor (TRICARE Office)
Hours: Monday - Friday, 7:30 a.m. to 4 p.m.
Phone: +39 095-56-4087 | DSN: 624-4087
Be sure to visit your local TRICARE Beneficiary Service Representative (BSR) during in-processing to verify your eligibility and enrollment status. Don’t forget to take your ID card and check your DEERS registration and address.
You can update your address in DEERS online at www.tricare.mil/DEERS.
Your BSR will assist active duty and family members with enrollment into TRICARE Prime and assists retirees and DOD civilians with enrollment in other TRICARE options here in Europe. They will also assign a PCM for Prime patients and assist with your health benefits questions as well as help you with PCM changes, enrollment of newborns, explanation of benefits and eligibility, and any other TRICARE related enquiry.
TRICARE Claims Representatives (TSC)
The TSC has two Beneficiary Counsellors and Assistance Coordinators (BCAC) that help TRICARE beneficiaries process claims for reimbursement of upfront medical cost such as network appointments at Italian providers and medications purchased at local Italian pharmacies (farmacia).
There is one Debt Collection Assistance Officer (DCAO) that assists beneficiaries with clearing unpaid claims that the member was previously not aware of. Your DCAO may assist you with unpaid healthcare bills that appear on your credit report.
Uniform Business Office (UBO)
USNH Sigonella 3rd Floor
Hours: Monday – Friday, 7:30 a.m. to 4 p.m.
Phone: +39 095-56-4788 | DSN: 624-4788
Email: usn.sigonella.usnmrtc-sigonell.list.ubo-collection@health.mil
USNH Sigonella UBO provides Medical Treatment Facility (MTF) medical billing services for the Europe Region. Our mission is to optimize allowable health care cost recovery within compliance guidelines in support of the operational and readiness mission of the Military Health System (MHS). The UBO supports the TRICARE-managed care programs by providing tools and policies to enhance and improve the effectiveness of the financial and collection operations. Additionally, the UBO supports managing and expediting collections from patients and third-party insurers, supports consistent and uniform reporting of expense, manpower and workload data and enhancing third party reimbursements.
Sigonella UBO will submit medical claims to your non-TRICARE health insurance provider if you provided your health insurance information. UBO collects this information through the receipt of a DD 2569 Form, “THIRD PARTY COLLECTION PROGRAM/MEDICAL SERVICES ACCOUNT/ OTHER HEALTH INSURANCE” (whs.mil) and/or front and back copies of health insurance cards.
Below is a partial list of insurance companies for civilians working at military bases oversees. Visit plan websites to evaluate which is best for you and your family.
Federal employees can visit www.opm.gov/healthcare-insurance/healthcare to search for providers.
Foreign Service Benefit Plan (FSBP/AFSPA)—Uses the Aetna Choice POS II (Open Access) network and considers all covered providers outside the U.S. and Guam, including military treatment facilities. www.afspa.org/fsbp
Blue Cross Blue Shield Federal Employee Program (FEPBlue/GMMI)—For overseas benefits, covered services are paid at the preferred level. Physician care performed outside the U.S. is paid at the preferred level using their Overseas Fee Schedule or a provider-negotiated amount. www.fepblue.org/overseas-coverage
Government Employees Health Association (GEHA)—Providers outside the U.S. are paid at the GEHA preferred provider rate for medically necessary covered services. www.geha.com
Compass Rose Health Plan—If you need medical care outside the U.S., you may see any health care provider or visit any hospital. www.compassrosebenefits.com
Cigna Global Insurance—Offers a global network for U.S. citizens overseas, to include government employees, retirees, expats and students. www.cignaglobal.com
Foreign Medical Program (FMP)— U.S. Department of Veterans Affairs (VA). This health care benefit is for U.S. veterans with a VA-rated service-connected condition living overseas or traveling abroad. The FMP covers medical care costs overseas that are associated with the eligible conditions. Registration is required. Visit www.va.gov/health-care/foreign-medical-program/ or call +1 800-013-0759 for details and registration.
