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ACCESS TO CARE
Your Guide to Host Nation Health Care
Emergency Medical Care
A medical emergency is one in which life, limb or eyesight may be in immediate danger.
Time may be a critical factor during a medical emergency. Getting familiar with local emergency care options and civilian ambulance services before an emergency is strongly recommended.
The Livorno health clinic DOES NOT provide emergency care. For medical emergencies, go to the hospital nearest you or dial 633-7575 on post, 118 off post, or call the MP station at 050.54.7575 from off post. Visits to the ER no longer require authorization from TRICARE although it is recommended that you call the clinic’s TSC as soon as possible.
If you are unsure about what to do call the toll-free Nurse Advice Line at 00.800.877.660, 24 hours a day.
Pisa/Livorno area Emergency Phone Numbers 24/7
While traveling, active duty and active duty family members can call International SOS toll-free for help finding an ER or collect at 0800.181.8505.
If you cannot obtain assistance locally, call the U.S. Army Europe Crisis Action Center 24 hours a day. Call DSN 377-4906 or civilian 0049.6221.67.7099 from anywhere in Europe.
Civilian Ambulance Service
The U.S. Army DOES NOT provide ambulance service. There are two ways to call an ambulance. If you call the MP desk, an interpreter will call the ambulance for you. If you call the Italian National Medical number 118, you may not reach someone who speaks English and must be prepared to communicate with a Host Nation ambulance service. Some have English-speaking medical personnel. Some do not. It is your responsibility to know which one to call in an emergency.
Ambulances should be called for bona fide emergencies only. If you think you have an emergency that requires an ambulance, do not hesitate to call one. However, an ambulance should not be called for routine transportation.
Do not assume the ambulance service is familiar with your garrison. If you call an ambulance from on-post, be sure to alert the Military Police for assistance. Whatever your location, have someone meet and direct the ambulance.
Know which hospitals offer emergency care before you need to use one. The Host Nation hospital section in this guide lists services, including emergency care, offered at each facility. If you are not near one of those hospitals, go to the nearest one with an emergency room.
The Primary ER for the Pisa/Livorno Area is Cisanello hospital in Pisa. The alternative is the Livorno Hospital
In the hospital’s emergency area, you may be asked to complete TRICARE forms and have a copy made of your ID card. That is standard procedure. If you have any concerns about what you may be asked to sign, talk to your TRICARE Service Center or patient liaison. After duty hours call the MP desk. Many times interpretations can be and will be conducted on the phone. In situations that warrant the presence of the interpreter, one will join you at the hospital as available. Be certain to provide a mobile telephone number to the MP Desk along with a clear explanation of the situation. Bring a minimum of € 30 for incidental costs. Parking costs approximately € 5. Only cash is accepted.