Health & Safety

April 26, 2013

Most TRICARE beneficiaries unaffected by Prime Service Area reductions

FALLS CHURCH, Va. – TRICARE Prime will remain a health care option for 97 percent of approximately 5 million beneficiaries eligible for Prime. The 3 percent difference, comprising about 171,000 beneficiaries, will automatically revert to the TRICARE Standard health care option on Oct. 1, 2013. Those beneficiaries, who mostly reside more than 40 miles from a military clinic or hospital recently received a letter explaining their options and will receive a reminder letter in June or July.

“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 none of our active duty members and their families.”

TRICARE is committed to keeping beneficiaries informed about these changes. As a follow-up to the initial notification, a second letter will be mailed in early summer to make sure all affected beneficiaries have the time and information to make important decisions about their future health care options.

The TRICARE website, www.tricare.mil/PSA, has the most current details and gives beneficiaries the option to sign for e-mail updates. A ZIP code tool is available on the site to help beneficiaries determine if they live in an affected PSA.

As always, TRICARE beneficiaries are still covered by TRICARE Standard. For those living within 100 miles of a remaining PSA, re-enrolling in Prime may be an option depending on availability. To do this, beneficiaries must waive their drive-time standards and, possibly, 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,” said Dr. Woodson. “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.”

In TRICARE Prime those enrolled 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 there are cost shares and an annual deductible.

The Department of Defense first planned to reduce the number of PSAs in 2007 when it requested bids for the third generation of regional health care support contracts. The PSAs being eliminated are not close to existing military treatment facilities or Base Realignment and Closure sites. Prolonged protests resulted in a staggered transition and it was decided to keep all PSAs in place until all three contracts were in place. On April 1, 2013, the West region completed its transition.

By eliminating select PSAs, TRICARE and DoD can better control costs while continuing to deliver a high quality health care benefit to all 9.6 million TRICARE beneficiaries.




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


 
 

 
Natalie Lakosil

Annual Installation Awards Banquet honors top personnel

Natalie Lakosil From left, Maj. Gen. Robert Ashley, commanding general, U.S. Army Intelligence Center of Excellence and Fort Huachuca stands with Fort Huachuca’s 2014 winners: Non-commissioned Officer of the Year, Sgt. Brya...
 
 

2015 Army Emergency Relief Annual Campaign

Since its founding during World War ll, Army Emergency Relief (AER) has provided $1.7 billion in interest-free loans and grants to 3.6 million Soldiers in the active component, the Army National Guard, the Army Reserve and among the ranks of the retired. AER financial assistance provides timely care and support to Wounded Warriors, Surviving Spouses...
 
 
Stephanie Caffall

Uncasing ceremony formally welcomes 40th ESB Soldiers home

Stephanie Caffall 40th Expeditionary Signal Battalion Command Sgt. Maj. John Reinburg, left, and Battalion Commander Lt. Col. David Thomas begin the uncasing of the battalion colors. The colors signify the homecoming of the 40t...
 

 
Courtesy of André Douglas

Civilian Expeditionary Workforce offers unique development opportunity to IMCOM employee

Courtesy of André Douglas The Bagram Air Base installation management team — made up of active duty Service members, civilian employees and contractors — pauses for a commemorative photo. SAN ANTONIO — Joining the Civili...
 
 

FH schools to celebrate National Bike to School Day March 06

Students from Colonel Johnston, General Myer and Colonel Smith Middle Schools will be riding or walking to school on March 6 along with parents, teachers and community leaders. The event will begin from 7 to 8:30 a.m. with youth, parents and community leaders riding or walking from parking lot locations listed below or from home....
 
 

CWFC designed to improve employee morale

There’s an organization on post designed to enhance the quality of life for Fort Huachuca federal Civilian employees during and outside of duty hours. The Civilian Welfare Fund Council, or CWFC, Fort Huachuca, is a Category IV Non-appropriated Fund Instrumentality with proceeds from concessionaire commissions. Its purpose is to manage the Civilian Welfare Funds, or...
 




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