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	<title>The REAL Costa Rica Blog &#187; Health</title>
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	<link>http://blog.therealcostarica.com</link>
	<description>The Blog for Travelers, Retirees, Expats and anyone who needs to know the REAL Costa Rica.</description>
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		<title>US Veterans in Costa Rica</title>
		<link>http://blog.therealcostarica.com/2010/08/21/us-veterans-in-costa-rica/</link>
		<comments>http://blog.therealcostarica.com/2010/08/21/us-veterans-in-costa-rica/#comments</comments>
		<pubDate>Sat, 21 Aug 2010 16:48:25 +0000</pubDate>
		<dc:creator>Tim</dc:creator>
				<category><![CDATA[Costa Rica]]></category>
		<category><![CDATA[Disabled Vets]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Living in Costa Rica]]></category>
		<category><![CDATA[Moving to Costa Rica]]></category>
		<category><![CDATA[Veterans in Costa Rica]]></category>
		<category><![CDATA[Disabled vets in Costa Rica]]></category>
		<category><![CDATA[How to obtain military service records]]></category>
		<category><![CDATA[VA services Costa Rica]]></category>

		<guid isPermaLink="false">http://blog.therealcostarica.com/?p=1182</guid>
		<description><![CDATA[I receive a fair number of inquiries from US veterans who are considering a move to Costa Rica. We also have a fair number of US vets living down here now. I do not have a handle as to exactly how many, but is has to be a few thousand or so with many more [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-1183" title="va3" src="http://blog.therealcostarica.com/wp-content/uploads/2010/08/va3.jpg" alt="Costa Rica US veterans medical services available" width="216" height="216" />I receive a fair number of inquiries from US veterans who are considering a move to Costa Rica. We also have a fair number of US vets living down here now. I do not have a handle as to exactly how many, but is has to be a few thousand or so with many more coming every year.  I know this as I have met many on my private tours.</p>
<p>One vet who has lived here for a while is reader <strong>Rick </strong><strong>Deahl</strong> who asked me if I would like to publish some information regarding medical and hospital services available to United States veterans living here in Costa Rica.</p>
<p>I jumped all over that, and this post is the result.  If this topic is of interest to you, read on!  <span id="more-1182"></span>I am not a vet, so if I screw up some terms, cut me some slack. If you wish to add information, correct me, please use the comments area at the bottom of this post.  I have to admit that I was a bit surprised as to the breadth of the data and services available to vets. At the end of this post, look for a list of all web sites I could find that might be of value to vets living or coming to live in Costa Rica. Also, several links in this post require Adobe Reader be installed on your computer. Adobe Reader can be downloaded <a href="http://get.adobe.com/reader/" target="_blank">here</a>.</p>
<p>Extensive medical benefits are available to vets living here.  By this I mean excellent medical care, access to specialists, hospitalization, prescriptions (either free or at a discount), and varying support services.</p>
<p>While it seems that some other hospitals do have some staff familiar with <a href="http://www.va.gov/" target="_blank">VA</a> affairs, it appears that one hospital in particular is the best contact point and provider of all the services mentioned above.</p>
<p><a href="http://www.hospitallacatolica.com/hhlc/eng/index.php" target="_blank"><span style="color: #000000;">Hospital Hotel La Católica</span></a> (+506-2246-3000) also sometimes known as Clinica <span style="font-size: 13.3333px;">Católica is located in the San Jose suburb of Guadalupe. </span>The hospital was known as Clínica Católica for twenty six years and was founded by Franciscan nuns.  Years later, the formal name was changed to Hospital Clínica Católica de la Purísima Concepcion Association or just <a href="http://www.hospitallacatolica.com/hhlc/eng/index.php" target="_blank">Hospital Hotel La Católica</a>.</p>
<p>Hospital Hotel La Católica actually has an American Legion office on the premises. The director Jim Young is the man in charge and he can be reached at +506-2246-3509.  He certainly would be a good place to start for gathering more detailed information than I can give in this post. His email is: jey08442[at]aol.com.</p>
<div><span style="font-size: 13.3333px;">In order to receive benefits while living in Costa Rica, a veteran must first join the <a href="http://www.govbenefits.gov/govbenefits_en.portal?_nfpb=true&amp;locateFederalFlow_1_actionOverride=/LocateFederalFlow/report&amp;_windowLabel=locateFederalFlow_1&amp;locateFederalFlow_1bid=567&amp;locateFederalFlow_1_code=11&amp;_pageLabel=gbcc_page_locate_federal" target="_blank">Foreign Medical Program</a> to receive medical benefits.  Although pre-registration for eligible veterans is not necessary, veterans who are permanently relocating to a country under the FMP Office&#8217;s jurisdiction are encouraged to notify the FMP Office upon establishing a permanent foreign mailing address. The FMP registration form can be found <a href="http://www.va.gov/vaforms/medical/pdf/vha-10-7959f-1-fill_110308.pdf" target="_blank">here</a>. Details on the FMP program can be downloaded (.PDF) <a href="http://www4.va.gov/hac/factsheets/fmp/FactSheet01-05.pdf" target="_blank">here</a>.</span></div>
<div><span style="font-size: 13.3333px;"><br />
</span></div>
<div><span style="font-size: 13.3333px;">If you are traveling or reside in one of these countries, users may call  the following numbers to contact the FMP Office in Denver, Colorado.</span></div>
<div>
<p><span style="font-size: 13.3333px;"> </span></p>
<table style="font-family: Verdana, Geneva, sans-serif; line-height: 16px; font-size: 10px;" border="0" cellpadding="0">
<thead>
<tr>
<th>Country</th>
<th>Number</th>
</tr>
</thead>
<tbody>
<tr>
<td>USA / Canada</td>
<td>(877) 345-8179</td>
</tr>
<tr>
<td>Germany</td>
<td>0800-1800-011</td>
</tr>
<tr>
<td>Australia</td>
<td>1 800 354 965</td>
</tr>
<tr>
<td>Italy</td>
<td>800 782-655</td>
</tr>
<tr>
<td>UK</td>
<td>0800-032-7425</td>
</tr>
<tr>
<td>Mexico</td>
<td>001-877-345-8179</td>
</tr>
<tr>
<td>Japan</td>
<td>00531-13-0871</td>
</tr>
<tr>
<td>Costa Rica</td>
<td>0800-013-0759</td>
</tr>
<tr>
<td>Spain</td>
<td>900-981-776</td>
</tr>
</tbody>
</table>
</div>
<div><span style="font-size: 13.3333px;"><span style="font-family: arial; line-height: normal; font-size: small; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px;">Email:   hac.fmp@med.va.gov</span></span></div>
<div><span style="font-size: 13.3333px;"><span style="font-family: arial; line-height: normal; font-size: small; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px;"><br />
</span></span></div>
<div>The Foreign Medical Program (FMP) is a Department of Veterans (VA) health care benefits program for U.S. veterans with VA rated service-connected conditions that are residing or traveling abroad. Under FMP, VA assumes payment responsibility for certain necessary health care services associated with the treatment of those service-connected conditions.<strong>General Program Requirements</strong></div>
<div>
<p><span style="font-size: 13.3333px;"><span style="font-family: arial; line-height: normal; font-size: small; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px;"> </span></span></p>
<p>The Foreign Medical Program (FMP) is <strong><em>not </em></strong>part of the Medical Benefits Package. You <em>don’t have to be enrolled </em>in the VA health care system to participate.</p>
<p>VA may authorize foreign medical services for veterans only for a VA rated service-connected condition or for a condition that is associated with and aggravated by a VA rated service-connected condition.</p>
<p>This means that disability percentages have no bearing on determining eligibility for FMP medical services.</p>
<p>Additionally, VA may authorize necessary foreign medical services for any condition for a veteran participating in the VA Vocational Rehabilitation Program.</p>
<p>The next thing you will need is all service paperwork. information on how you or a VA dependent can be found <a title="Military Records" href="http://www.archives.gov/st-louis/military-personnel/standard-form-180.html#sf" target="_blank">here</a>. More information and who can request service records can be found <a href="http://www.archives.gov/veterans/evetrecs/" target="_blank">here</a>.</p>
<p>Basically, if you are eligible to receive copies of US military service records, you can must use Form 180 (SF-180). You can <a href="http://www.archives.gov/research/order/standard-form-180.pdf" target="_blank">use this link</a> to download Form 180.</p>
<p>You will need access to a printer and the Adobe Acrobat Reader software (see link above). The form is a total of 3 pages.</p>
<p>The SF-180 is formatted for letter size paper (8.5&#8243; x 11&#8243;).  If your printer can not accommodate this, select &#8220;shrink to fit&#8221; when the Adobe Acrobat Reader &#8220;Print&#8221; dialog box appears.</p>
<p>This is also a fillable version of the SF-180. This means that it will allow you to type the needed information directly into the form using your keyboard.  You will then need to print, sign and mail the form.</p>
<p>To return the form to FMP, check out the tables on page 2 of SF 180 for the correct location of the desired record (based on branch of service, dates of separation, and type of record) and send the completed form there. The form may also be faxed.</p>
<p>To send by mail:</p>
<p>National Personnel Records Center</p>
<p>Military Personnel Records</p>
<p>9700 Page Avenue</p>
<p>St. Louis, MO 63132-5100</p>
<p>or by Fax</p>
<p>Our fax number for requesting military records is 314-801-9195.</p>
<p>The Center will respond in writing by U.S. Mail.</p>
<p>Response time?  Depending on the records requested, expect no less than ten days and in some cases, up to four months.</p>
<p><strong>Summary</strong></p>
<p>US vets who wish to live or retire in Costa Rica can receive excellent benefits with not a lot of hassle. Once registered, you can be assured of receiving fine medical care.</p>
<p>I hope you US vets find this post of value. I for one, appreciate your service to your country.</p>
<p><strong>Other links and contacts of interest</strong></p>
<p><span style="font-family: Georgia, 'Times New Roman', 'Bitstream Charter', Times, serif; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; line-height: 22px; font-size: 13.3333px;"><strong>Rick </strong><strong>Deahl </strong>who is responsible for suggesting that I  write this post:<strong> </strong></span><span style="font-family: arial, sans-serif; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; color: #500050; font-size: 10.8333px;"><a style="color: #0000cc;" href="mailto:rsdeal1@yahoo.com" target="_blank">rsdeal1 [AT} yahoo.com</a></span></p>
<p><span style="font-family: arial, sans-serif; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; color: #500050; font-size: 10.8333px;"><span style="color: #000000; font-family: arial; font-size: small; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px;"><a href="http://vetscare.co.cr/" target="_blank">Veterans Care International</a> a great source of info here in Costa Rica.</span></span></p>
<p><a href="http://www.amlegion16cr.org/" target="_blank">American Legion Post 16 Costa Rica</a></p>
<p><a title="DEERS" href="http://tricare.mil/mybenefit/" target="_blank">Defense Enrollment Eligibility Reporting System</a> (DEERS)</p>
<p><span style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px;"><a href="http://www.govbenefits.gov/govbenefits_en.portal" target="_blank">GovBenefits.gov</a> is the official benefits website of the U.S. government, with information on over 1,000 benefit and assistance programs.</span></p>
<p><span style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px;"><a href="http://www.nvf.org/pages/foreign-medical-program" target="_blank">National Veterans Foundation</a>. More info on FMP, plus their home page provides much more info on vet matters.</span></p>
<p><span style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px;"><a href="http://www4.va.gov/hac/forbeneficiaries/fmp/fmp.asp" target="_blank">VA Info</a> for beneficiaries.</span></p>
<p><span style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px;"><a title="Military Record Requests" href="http://www.archives.gov/st-louis/military-personnel/standard-form-180.html#sf" target="_blank">Military Record Requests</a></span></p>
<p><span style="-webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px;"><br />
</span></p>
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</span></p>
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		<title>Swine Flu Arrives in Costa Rica</title>
		<link>http://blog.therealcostarica.com/2009/04/29/swine-flu-arrives-in-costa-rica/</link>
		<comments>http://blog.therealcostarica.com/2009/04/29/swine-flu-arrives-in-costa-rica/#comments</comments>
		<pubDate>Wed, 29 Apr 2009 22:47:07 +0000</pubDate>
		<dc:creator>Tim</dc:creator>
				<category><![CDATA[Costa Rica]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Life in Costa Rica]]></category>
		<category><![CDATA[Living in Costa Rica]]></category>
		<category><![CDATA[Swine Flu]]></category>
		<category><![CDATA[Tourism]]></category>
		<category><![CDATA[Travel]]></category>
		<category><![CDATA[Travel to Costa Rica]]></category>
		<category><![CDATA[Swine flu Costa Rica]]></category>

		<guid isPermaLink="false">http://blog.therealcostarica.com/?p=691</guid>
		<description><![CDATA[Costa Rica has confirmed two cases of Swine Flu. The infected parties are a 21 year old woman and a 29 year old man, both returned recently from trips to Mexico.  Costa Rica receives daily flights from Mexico. The woman traveled with 92 others on her flight home.  Both persons were treated at Calderon Guardia [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-full wp-image-693" title="mask" src="http://blog.therealcostarica.com/wp-content/uploads/2009/04/mask.jpg" alt="mask" width="207" height="251" />Costa Rica has confirmed two cases of Swine Flu. The infected parties are a 21 year old woman and a 29 year old man, both returned recently from trips to Mexico.  Costa Rica receives daily flights from Mexico. The woman traveled with 92 others on her flight home.  Both persons were treated at Calderon Guardia Hospital.</p>
<p>Incredibly, the infected woman decided to ignore health officials and broke quarantine so she could attend classes at her university.</p>
<p>Thirty-five others are under watch.</p>
<p>A third person, a youngster, has flu symptoms (not yet confirmed as Swine Flu) possible infected by her father who recently returned to Costa Rica from Mexico. If confirmed, that would be the first case of swine flu caught within the borders.</p>
<p>The Ministry of Health this morning asked the passengers of two other flights, TACA LR 631 and Mexicana  387, to call 911 emergency so they may be tested.</p>
<p>Employees at the San Jose airport are wearing surgical masks, and many incoming passengers are having their temperatures taken upon arrival.</p>
<p>I am not going to go into this swine flu deal because unless my readers are living on another planet, you have been deluged with probably more information that you want to know.</p>
<p>I am more concerned though as my wife works at Calderon Guardia Hospital.</p>
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		<title>A Nasty Little Parasite &#8211; Parents Take Care!</title>
		<link>http://blog.therealcostarica.com/2009/02/01/a-nasty-little-parasite-parents-take-care/</link>
		<comments>http://blog.therealcostarica.com/2009/02/01/a-nasty-little-parasite-parents-take-care/#comments</comments>
		<pubDate>Sun, 01 Feb 2009 19:43:51 +0000</pubDate>
		<dc:creator>Tim</dc:creator>
				<category><![CDATA[Bugs and Critters]]></category>
		<category><![CDATA[Costa Rica]]></category>
		<category><![CDATA[Food and Eating]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Health & Education]]></category>
		<category><![CDATA[Kids in Costa Rica]]></category>
		<category><![CDATA[Life in Costa Rica]]></category>
		<category><![CDATA[Living in Costa Rica]]></category>
		<category><![CDATA[Moving to Costa Rica]]></category>
		<category><![CDATA[Tourism]]></category>
		<category><![CDATA[Angiostrongylus costaricensis]]></category>
		<category><![CDATA[rats in Costa Rica]]></category>

		<guid isPermaLink="false">http://blog.therealcostarica.com/?p=552</guid>
		<description><![CDATA[I did a fair amount of work a couple of years ago when researching the various illnesses and  health issues common to Costa Rica.  I thought I had a pretty good handle on it&#8230; then some nice lady sent me an email about Chagas Disease&#8230; so I checked that out and added it.  Well I [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignleft size-thumbnail wp-image-554" title="slug" src="http://blog.therealcostarica.com/wp-content/uploads/2009/02/slug-150x150.jpg" alt="slug" width="150" height="150" />I did a fair amount of work a couple of years ago when researching the various <a title="Disease and Illness in Costa Rica" href="http://www.therealcostarica.com/health_education_costa_rica/disease_costa_rica.html" target="_blank">illnesses and  health issues common to Costa Rica</a>.  I thought I had a pretty good handle on it&#8230; then some nice lady sent me an email about Chagas Disease&#8230; so I checked <em>that </em>out and added it.  Well I guess Chagas was not the end because today, I will introduce you to <em>Angiostrongylus costaricensis</em>, a nasty little parasite that has made sick and sadly killed some very young children. Of the 42 cases treated since 2003, 16 were girls and 26 were boys under the age of 14 years. At serious risk are the youngest&#8230; under nine years old.</p>
<p><span id="more-552"></span></p>
<p>While justifiably scary to most parents, the numbers themselves are small  Still, it bears spending some time learning about this parasite.</p>
<p>Basically, the whole process starts with rats. Rats become infected and pass larvae in their feces. Slugs and snails come in contact with the feces and they then become infected. The disease is passed to humans while eating undercooked snails or possibly on vegetables that either have small snails on them or perhaps have not been thoroughly washed. I say perhaps, because the <a href="http://www.dpd.cdc.gov/DPDx/HTML/Angiostrongyliasis.htm" target="_blank">Center for Disease Control</a> (CDC) states &#8220;There is some question whether or not larvae can exit the infected mollusks in slime&#8221;.  Some here think that just contact with the slime of a slug can infect a person, maybe by just crawling around on a lettuce leaf, but clearly there is no proof of this. More likely would be ingesting a tiny snail in your salad.  Either way, wash those veggies!</p>
<p>I know little about escargot, but I know a ton of folks who dote on it. I tried it once and liked it, but then if you put enough garlic on a shoe, I&#8217;d probably like it equally. I also think special snails are used in preparing escargot.  Probably went to prep school or something&#8230; but just the same, I think thorough cooking is called for.</p>
<p>Kids, however, can find slugs and snails to be fascinating. They pick them up and think they might make fine pets.  A few weeks ago, however, a little boy (15 months) died after eating a slug. He passed after spending  two week in Childrens Hospital.. The larvae do just terrible things to a child&#8217;s intestines.</p>
<p>Interestingly, all of the kids involved lived either in San Jose or Alajuela. I say interestingly as, in general, Cost Rica&#8217;s normally nasty critters and bugs live on the coasts or the rain forests where the tropical heat provides a better environment.</p>
<p>This all starts with the rats, of course, so in addition to the cautions above, make sure there is no thriving rat population near you.</p>
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