Health & Safety

August 15, 2013

TRICARE moves forward with Prime service area reductions

FALLS CHURCH, Va. – The Defense Department will reduce the number of TRICARE Prime service areas in the United States beginning Oct. 1, affecting about 171,000 retirees and their family members.

Those beneficiaries, who mostly reside more than 40 miles from a military clinic or hospital, received a letter earlier this year explaining their options. They will receive a second letter later this month.

TRICARE Management Activity officials said changing the location of Prime service areas has been planned since 2007 as part of the move to the third-generation of managed care support contracts and will allow them to continue their commitment to making high-quality health care available while supporting DOD efforts to control the rising cost of health care for 9.6 million beneficiaries.

Health care under TRICARE Prime costs about $600 more annually per enrollee, but on average, each member of a family of three using TRICARE Standard will pay only about $20 more per month than if they were using Prime.

“The first thing TRICARE beneficiaries should know about the reduction in the number of Prime service areas is that it doesn’t mean they’re losing their TRICARE benefit,” said Dr. Jonathan Woodson, assistant secretary of defense for health affairs. “Next, it’s important to remember this change does not affect most of the more than 5 million people using TRICARE Prime, and [it affects] none of our active duty members and their families.”

All affected beneficiaries will receive a letter this month following up on their initial notification to ensure they have the time and information to make important decisions about their future health care options, officials said.

Current details on Prime service areas and the option for beneficiaries to sign for email updates are available at http://www.tricare.mil/PSA. A ZIP code tool is available on the site to help beneficiaries determine if they live in an affected area.

As always, officials noted, TRICARE beneficiaries still are covered by TRICARE Standard. For those living within 100 miles of a remaining Prime service area, re-enrolling in Prime may be an option, depending on availability. To do this, beneficiaries must waive their drive-time standards, and they may have to travel long distances for primary and specialty care.

“I urge all impacted beneficiaries to carefully consider their health care options – they should talk them over with family members and their current health care provider,” Woodson said. “Many beneficiaries may be able to continue with their current provider using the Standard benefit. Being close to your health care team usually offers the best and safest access to care.”

Those enrolled in TRICARE Prime are assigned a primary care provider who manages their health care. Retirees pay an annual enrollment fee and have low out-of-pocket costs under this plan. TRICARE Standard is an open-choice option with no monthly premiums and no need for referrals, but it has cost shares and an annual deductible.

The Prime service areas being eliminated are not close to existing military treatment facilities or base realignment and closure sites, officials said. Prolonged protests resulted in a staggered transition, they added, and all Prime service areas were retained until all three new regional contracts were in place. The West region completed the transition April 1.

To provide affected beneficiaries with enough time to plan, Defense Department officials elected to delay the Prime service area reductions until Oct. 1.




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