Air Force

August 9, 2013

TRICARE moves forward with prime service area reductions

FALLS CHURCH, Va. – Defense Department officials 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, the†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†without 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, DOD officials elected to delay the Prime service area reductions until Oct. 1.

Editor’s note: Information courtesy of†a†TRICARE Management Activity news release.




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


 
 

 

News Briefs April 18, 2014

Commissary The Edwards Commissary will be open 9:30 a.m.-6 p.m., April 20. CCAF graduation The Community College of the Air Force Graduation Ceremony is 2:30-4:30 p.m., May 7 at Club Muroc. The graduation ceremony will honor the October 2013 and the April 2014 CCAF classes and will also recognize enlisted Airmen who have completed their...
 
 

Spring season = Spring clean up at Edwards

Winter is finally over and Spring has arrived! Despite the cold mornings or the blustery winds we have battled, the weather is definitely turning warmer. Just like the things we do every year at home, clearing winter debris blown into our yards or removing dead plants and weeds, at Edwards AFB we have an annual...
 
 

April 14 – Pulse on AF force management

WASHINGTON – New eligibility criteria, application deadlines and status updates are all featured in this force management update, an ongoing effort to bring Airmen the latest, most accurate information concerning the complex and dynamic force management programs. Additional TERA, VSP windows The Air Force will open two new fiscal year 2014 temporary early retirement authority...
 

 

NASA signs agreement with German, Canadian partners to test alternative fuels

NASA has signed separate agreements with the German Aerospace Center and the National Research Council of Canada to conduct a series of joint flight tests to study the atmospheric effects of emissions from jet engines burning alternative fuels. The Alternative Fuel Effects on Contrails and Cruise Emissions (ACCESS II) flights are set to begin May...
 
 
Air Force photograph by Bobbi Zapka

X-47B wins Collier Trophy

Northrop Grumman photograph by Alan Radecki The two X-47B test aircraft pause between flight test events at Edwards AFB, Calif. The two vehicles were built by Northrop Grumman in Palmdale, Calif., and performed all of their ini...
 
 

Hazardous waste roundup slated for April 26

Edwards AFB Environmental Management is hosting a Household Hazardous and Universal Waste Roundup on Saturday, April 26. The roundup is at the Base Housing Office, 402 West Forbes Ave., Bldg. 6696, from 9 a.m. to 2 p.m. Base housing and dormitory residents can drive up and drop off household hazardous and universal waste for free....
 




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>