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.


 
 

 

Holiday Hours

Special holiday hours will be in force for 412th Force Support Squadron facilities. The hours are: Thanksgiving Day – Nov. 27 All 412th FSS facilities will be CLOSED except the following: * Aero Club: Flying sunrise to sunset, office closed * Joshua Tree Dining Facility: Brunch 6 a.m.-1 p.m., Dinner 4:30-7 p.m., and Midnight Meal...
 
 

New allotment rule protects troops from lending scams

Defense Secretary Chuck Hagel has directed a policy change in new paycheck allotments to prevent unscrupulous commercial lenders from taking advantage of troops and their families, Pentagon officials said Nov. 21. According to a Defense Department news release, effective Jan. 1, 2015, the change in DOD’s financial management regulation will prohibit service members from allotting...
 
 

Exchange gift cards personalize holiday care packages

According to a recent National Retail Federation survey, gift cards will be the most requested gift this year with 62 percent preferring a gift card over any other item. For Soldiers, Sailors, Airmen and Marines, their gift card of choice is the one that can be redeemed at military exchanges from Okinawa to Oklahoma. The...
 

 

AF closes FY14 force management programs

Airmen who met the service’s reduction in force board were notified of the board’s results Nov. 19, bringing the fiscal year 2014 force management programs to an end. The RIF board selected 354 captains and majors across the Air Force for non-retention, half of the number the service previously projected it would separate. Line of...
 
 

Protecting your identity online

With the internet ever evolving, it has become a great source of communication and a convenient tool. While there are many advantages in using the internet, like online shopping or making charitable donations, there are also countless numbers of unknown, lurking threats. One of luxuries of the internet, and a great service for busy parents,...
 
 

Eagle Eyes promotes community’s involvement in security

Security forces defend the base, but everyone can help ensure Edwards Air Force Base is safe and sound through the Air Force Office of Special Investigations Eagle Eyes program. Law enforcement officers rely on the eyes and ears of the entire community. If Airmen or citizens notice anything out of the norm or suspicious, either...
 




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>