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.


 
 

 

Maintenance versus repair … of our Airmen

LITTLE ROCK AIR FORCE BASE, Ark. (AFNS) — This commentary is not about aircraft, vehicles, or even any mechanical components. It’s about our Airmen and how we manage their care and development throughout their careers. The maintenance versus repair concept is borrowed from the maintenance community and speaks to how maintenance managers plan, coordinate and...
 
 
DT_pict1

354th Bulldogs improve in-flight sight

A-10C Thunderbolt II pilots of the 354th Fighter Squadron Bulldogs began flying with a new helmet mounted integrated targeting system. The Scorpion Helmet Mounted Cueing System provides pilots with the ability to rapidly cue se...
 
 
(U.S. Air Force photo/Senior Airman Lynsie Nichols)

Your estimated wait time is…

Did you call the Enterprise Service Desk yesterday, but you’re still on hold today? The Communications Squadron will be uploading the Virtual Enterprise Service Desk application to computers base wide. 1st Lt. Brooke Leigh, ...
 

 

Face of Defense: Shooting victim seeks to inspire others

JOINT BASE SAN ANTONIO-FORT SAM HOUSTON – An Army officer who was severely wounded in a shooting at Fort Hood, Texas, last year is using his near-death experience to give others a new lease on life. “I believe I was given a second chance,” said 1st Lt. John Arroyo, who is recovering at Brooke Army...
 
 
AFAS_pict

AFAS steps up with education programs

Education can be a key to succeeding in life, especially for military members looking to make the Air Force a career. The costs associated with getting an education are on the rise, but the Air Force Aid Society can help take s...
 
 
Fuel_pict

Exchange offers full-service refueling to drivers with disabilities

DALLAS – The Army & Air Force Exchange Service, with the support of U.S. Rep. Tammy Duckworth of Illinois, is adding a new system to gas stations on military installations worldwide to make it easier for drivers with dis...
 




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