Air Force

January 18, 2013

Officials announce TRICARE Prime service area changes

Amaani Lyle
American Forces Press Service

WASHINGTON (AFNS) — Active-duty service members and their families will be unaffected when long-delayed reductions to areas where the TRICARE Prime option is offered take place Oct. 1, TRICARE officials said Jan. 9.

But as TRICARE seeks to synchronize service area shifts once staggered by contract delays, some military retirees and their dependents will be moved to TRICARE Standard coverage, S. Dian Lawhon, beneficiary education and support division director, said during a conference call with reporters. Those affected reside more than 40 miles from a military treatment facility or base closure site, she said.

The new contracts limit Prime networks to regions within a 40-mile radius of military treatment facilities and in areas affected by the 2005 base closure and realignment process, she explained. But provisions will allow Prime beneficiaries who see providers outside the 40-mile service area to remain in Prime if they reside within 100 miles of an available primary care manager and sign an access waiver, she added.

“If TRICARE retirees and young adults live less than 100 miles away from a remaining Prime service area, they can re-enroll in Prime by waiving their drive standards and there will be room made for them,” Lawhon said, adding that the networks are required to connect providers to those who elect to waive their drive standards.

Contractors such as United HealthCare Military & Veterans, Health Net Federal Services and Humana Military will continue to assist beneficiaries in obtaining providers in their regions, she added.

“Health care is best if it’s local,” Lawhon said. “We’ve established the drive standards (to enable) people to access their primary and specialty care within a reasonable period of time.”

Austin Camacho, TRICARE’s benefit information and outreach branch chief, said the out-of-pocket, fee-for-service cost of TRICARE Standard would cost a bit more, depending on the frequency of health care use and visits. No cost applies for preventive care such as mammograms, vaccines, cancer screening, prostate examinations and routine check-ups, he added.

Officials estimate the changes will lower overall TRICARE costs by $45 million to $56 million a year, depending on the number of beneficiaries who choose to remain in Prime, Camacho said.

Lawhon and Camacho said beneficiaries should speak to their health care providers and families to assess the best course of action.

“We’re hoping people will take a careful look at their health care needs,” Lawhon said. “We have seen that people using the Standard benefit are very pleased with it, and their customer satisfaction is the highest of all.”




All of this week's top headlines to your email every Friday.


 
 

 
(U.S. Air Force photo/Senior Airman Brett Clashman)

“Solicit help; don’t hide”

Over the years, the term “Wingman” has evolved in the Air Force. The traditional military definition of a Wingman refers to the pattern in which fighter jets fly. There is always a lead aircraft and another which flies off ...
 
 

Adaptability a ‘must’ in today’s Air Force

LUKE AIR FORCE BASE, Ariz. – Three years ago, I entered the Air Force as a general dentist. After completing four challenging years of dental school, I was eager to serve in the Air Force and use my newly developed skills to provide quality care to Airmen. What I quickly came to realize was the misconception that...
 
 

Local Briefs July 18, 2014

355th FW to hold active shooter training exercise July 29, 7 p.m. The 355th Fighter Wing will be conducting an active shooter training exercise starting at approximately 7 p.m. local, Tuesday, July 29. Multiple facilities and locations on base will be affected, but the overall impact to normal operations will be minimal for those who...
 

 
PilotForADay_pict3

Pilot for a Day: Trevor Pahl

. D-M firefighters help Trevor Pahl spray a fire truck. D-M has been supporting the Pilot for a Day program, which was designed to focus on children who have serious or chronic health conditions, for more than 10 years. Airman ...
 
 

Existing tools help users reduce PII breaches

JOINT BASE SAN ANTONIO-LACKLAND, Texas (AFNS) – Members of 24th Air Force are refurbishing an old email tool to help Air Force users reduce breaches of personally identifiable information, or PII. The Digital Signature Enforcement Tool, or DSET, which currently prompts users to provide a digital signature when an email contains an active hyperlink or attachment,...
 
 
Loft_pict

The Loft: a way to connect, serve, grow

Are you looking for a way to connect, serve, and grow? Come visit the DMAFB Airman’s Ministry Center, more commonly known as “The Loft!”  The Loft is a center for DM single airmen located on the second floor of building ...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>


Directory powered by Business Directory Plugin