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<classification authority="sudocs">GA 1.13:HEHS-95-156</classification>
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 <subject>Beneficiaries</subject>
 <subject>Military downsizing</subject>
 <subject>Military hospitals</subject>
 <subject>Military dependents</subject>
 <subject>Armed forces abroad</subject>
 <subject>Health care services</subject>
 <subject>Dental services</subject>
 <subject>Military forces</subject>
 <subject>Military cost control</subject>
 <identifier>Civilian Health and Medical Program of the Uniformed</identifier>
 <identifier>Services</identifier>
 <identifier>Europe</identifier>
 <identifier>Germany</identifier>
 <identifier>Italy</identifier>
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<titleInfo>
 <title>Defense Health Care: Problems with Medical Care Overseas Are Being Addressed</title>
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<abstract>Pursuant to a congressional request, GAO reviewed beneficiary access to
military health care in Europe, focusing on the: (1) availability of
health care in military facilities; (2) obstacles in providing military
health care; (3) experiences of beneficiaries that have used host nation
providers instead of military health care providers; and (4) Department
of Defense&apos;s (DOD) handling of service delivery problems and beneficiary
concerns.&lt;p/&gt;GAO found that: (1) since the downsizing of U.S. military personnel in
Europe, beneficiaries have found it difficult to obtain health services
at overseas military facilities; (2) although beneficiaries have access
to primary health care services, their access to specialty and dental
care services is limited; (3) the reduced military health care system
has resulted in DOD relying on the German and Italian medical systems to
provide health services to beneficiaries; and (4) beneficiaries must
contend with language barriers, cultural differences, unfamiliar
doctors, and the general lack of information about how to obtain host
nation health care; In addition, GAO found that DOD: (1) is developing
an interservice health care plan for all beneficiaries in Europe; (2)
has hired liason personnel to help beneficiaries obtain health care from
German and Italian health care providers; and (3) plans to contract for
services to monitor the care that beneficiaries receive from host nation
providers, an education program that explains beneficiary health care
options in Europe, and the translation of host nation medical records.</abstract>
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<note>Letter Report</note>
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<subject>
 <topic>Beneficiaries</topic>
 <topic>Military downsizing</topic>
 <topic>Military hospitals</topic>
 <topic>Military dependents</topic>
 <topic>Armed forces abroad</topic>
 <topic>Health care services</topic>
 <topic>Dental services</topic>
 <topic>Military forces</topic>
 <topic>Military cost control</topic>
 <topic>Civilian Health and Medical Program of the Uniformed</topic>
 <topic>Services</topic>
 <topic>Europe</topic>
 <topic>Germany</topic>
 <topic>Italy</topic>
 <topic>CHAMPUS</topic>
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