Patient Resources

Resources for patients such as forms, FAQs, policies, publications, reports, and videos. 

All Patient Resources


Form 6/6/2019 Active Duty Dental Claim Form (531KB .PDF)

United Concordia's network dentists will file a claim on your behalf. If you are approved to utilize a non-network dentist, you may be required to submit your own claim form. United Concordia's network dentists will file a claim on your behalf.


Publication 4/1/2019 Costs and Fees Sheet 2019 (635KB .PDF)

A four-page sheet that lists most 2019 costs and fees associated with TRICARE program options, including TRICARE Prime, TRICARE Select, premium-based health care options (TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program), the TRICARE Pharmacy Program, and the TRICARE Dental Program.



Policy 9/26/2019 MHS Policies

MHS Policies website
  • Policy Type: DHA

FAQs Military Hospital and Clinic Transition to DHA

This section attempts to answer questions about how the transition of Military Hospitals and Clinics to the Defense Health Agency will affect persons at those facilities, patients, and beneficiaries.


Policy 6/6/2019 Personal Protective Equipment Policy Guidance (4MB .PDF)

This memorandum provides policy guidance to Department ofDefense (DoD) healthcare personnel (HCP) concerning how to more efficiently organize and stockpile personal protective equipment (PPE), and select protective clothing and equipment in response to infectious disease environments for direct patient care, contact with blood or body fluids, prolonged close interaction (less than three feet), and contact with deceased individuals.
  • Policy Type: DoD



FAQs Women's Health

Find answers to some of your most frequently asked questions about addressing women's health concerns while at Belvoir Hospital.

Last Updated 9/25/2019