Army

May 10, 2013

TRICARE eases prime authorization rules for West Region beneficiaries

TRICARE Management Activity

FALLS CHURCH, Va. – TRICARE West Region Prime enrollees referred for specialty care from April 1 up to May 18 do not need authorization before seeking care. The authorization requirement has been temporarily waived due to delays by UnitedHealthcare Military & Veterans in processing referrals.

TRICARE Management Activity, or TMA, leadership acted to waive the authorization requirement for TRICARE covered services, reducing the impact of delays on Prime enrollees while UnitedHealthcare takes action to reduce backlogs since it began delivering health care support to the West Region on April 1.

During the waiver period, West Region Prime enrollees seeking specialty care should request two items from their primary care manager, or PCM: a paper copy of their referral (or ask that it be sent via fax to the specialist); and a copy of a waiver letter from UnitedHealthcare authorizing the care. The letter can also be downloaded from the provider section of www.uhcmilitarywest.com.

As always, beneficiaries who feel they are in need of emergency care should call 911 or go to the nearest hospital emergency room. TRICARE Prime enrollees must contact their PCM within 24 hours or the next business day after receiving emergency care.

The waiver does not apply to beneficiaries using TRICARE Standard, TRICARE For Life or Prime enrollees with the U.S. Family Health Plan, which is available in some areas of Washington state.

Since the start of the new West Region health care support contract on April 1, UnitedHealthcare’s website and call center have experienced heavy usage and now, referral and authorization delays.

TMA officials are working closely with UnitedHealthcare to address issues, reduce backlogs and ensure beneficiaries get the quality health care and service they deserve. TMA leadership is closely monitoring UnitedHealthcare efforts to improve their customer service.

West Region beneficiaries can get more information and sign up for updates at www.tricare.mil/westtransition.

Sign up for TRICARE e-mail updates at www.tricare.mil/subscriptions.
Connect with TRICARE on Facebook and Twitter at www.facebook.com/tricare and www.twitter.com/tricare.

The TRICARE Management Activity administers the worldwide health care plan for 9.6 million eligible beneficiaries of the uniformed services, retirees and their families.




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


 
 

 
Cyber-Security-Scout-Article-06OCT2014

October is National Cyber Security Awareness Month

U.S. Army graphic by Lawrence Boyd “You Are the First Line of Defense.” That is the message those who are responsible for the defense of the Army’s networks wants to get out to the rest of the Army during National Cyber S...
 
 

Depression awareness showcased during month of October

Stand To! In observance of October as National Depression Awareness Month, the U.S. Army will join several organizations across America to inform the public about the signs and symptoms of depression. The public will learn the importance of seeking treatment and will be provided information about the availability of free online anonymous behavioral health screenings....
 
 

Robin Williams — could someone have helped?

I haven’t been able to talk about it until now, but I was really angry that Robin Williams committed suicide. I have been a fan of Williams since the Mork and Mindy days and always admired how much he had going for him. I knew he had problems, but somehow never considered that suicide could...
 

 
DoD

DOD recognizes commitment to prevent sexual assault

WASHINGTON — The Defense Department Wednesday honored exceptional groups and individuals from each military component who contributed an innovative idea or approach to positively impact sexual assault prevention and response programs. The Sexual Assault Prevention Innovation Award recognizes Service members and DOD Civilians whose work in support of service members has been particularly notew...
 
 

Trick-or-treat hours set for Fort Huachuca Oct. 31

Fort Huachuca Halloween trick-or-treating will take place Oct. 31 from 6 – 8 p.m. for children under 14. Children 9 and under must be accompanied by an adult. Standard access requirements for the installation remain in effect. This includes the requirement that everyone 16 and over entering the installation provide a valid picture identification and...
 
 

VA processes more than 1.3 million veterans’ claims in FY14

WASHINGTON — More than 1.3 million veterans received decisions on their Department of Veterans Affairs (VA) disability compensation and pension claims in fiscal year 2014 — the highest number in VA’s history, surpassing last year’s record-breaking production by more than 150,000 claims. This second year of record-breaking production comes as VA continues to transform the...
 




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