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.


 
 

 
headstones-with-flags-300-dpi

This Memorial Day, honor those who gave all

Courtesy photo   Memorial Day. A long weekend, barbeques, parades, door busting sales at the mall, and the un-official start of summer . . . With all the excitement of warmer weather and fun in the sun that come with Memor...
 
 
(U.S. Air Force photo by Airman 1st Class Chris Drzazgowski)

Memorial Day weekend safety tips

Memorial Day weekend is coming up, for most service members that means getting on the road and traveling for the first long weekend of the summer. During this holiday weekend more people will be traveling, which makes it import...
 
 
(U.S. Air Force photo by Airman 1st Class Chris Drzazgowski)

D-M law enforcement recognizes National Police Week

Law enforcement agencies at Davis-Monthan celebrated National Police Week here during the week of May 11-15. National Police Week focuses on remembering law enforcement officials who have lost their lives in the line of duty. T...
 

 

Final Total Force Training Environmental Assessment released

The final Environmental Assessment for Total Force Training, released here today by Air Combat Command, concludes a “Finding of No Significant Impact.” The Air Force will implement the proposed action alternative which places a cap on Total Force Training (formerly Operation Snowbird) flights at Davis-Monthan Air Force Base at 2,326 annual flights.  Officials state that...
 
 

Commissaries continue rolling out in-store Wi-Fi

FORT LEE, Va. – Sixteen more stores will offer Wi-Fi access for commissary patrons between June and September, according to the Defense Commissary Agency’s follow-up schedule. Through the Commissary Patron Internet Mobile System, DeCA is gradually opening customer Wi-Fi access at all stateside commissaries to include Alaska, Hawaii and Puerto Rico. The latest schedule covers the...
 
 

The difference between Memorial and Veterans Day

FORT GEORGE G. MEADE, Md. (AFNS) — There are lots of reminders out there that Memorial Day is about more than a day off or barbecue. It’s also about more than thanking everyone who served or waving flags. The truth is, many people confuse this day with Veterans Day. This day is about one thing...
 




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