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.


 
 

 
David Kamm, NSRDEC

Natick studies link between body armor fit, performance

David Kamm, NSRDEC Rachel Terveer measures a Soldier’s forward reach extension as part of a study at the Natick Soldier Research, Development and Engineering Center that seeks to understand the link between body armor fit and...
 
 
SFL-TAP_logo_Color

Transition Assistance Program is for spouses, too

Spouses of transitioning and retiring service members are eligible for all Transition Assistance Program services. This means everything available to the transitioning service member is also available to his or her spouse. This...
 
 
Department of Defense photos

Military Intelligence – Moment in MI history

Intelligence plays role in Operation URGENT FURY On Oct. 19, 1983, Grenada’s pro-Communist Prime Minister Maurice Bishop and several other leaders were murdered by a faction led by Deputy Prime Minister Bernard Coard. The sub...
 

 
Airman 1st Class Krystal Ardrey

Air Force: Airmen train for ‘new wild, wild west’ in cyber domain

Airman 1st Class Krystal Ardrey Staff Sgt. Alek Albrecht participates in a Network War Bridge Course at the 39th Information Operations Squadron Sept. 19, at Hurlburt Field, Fla. Albrecht is practicing to hack into a simulated ...
 
 
U.S. Army photo

Aviation Restructure Initiative allows UAS workhorses to remain aloft

U.S. Army photo Pvt. Kenneth Lewis and Pvt. Austin Morrison assemble a Shadow unmanned aircraft system during training at 2-13th Aviation Regiment, 1st Aviation Brigade, based at Fort Huachuca, in July. FORT RUCKER, Ala. — In...
 
 

Watch TRADOC leaders discuss U.S. Army’s future

Those unable to attend the Association of United States Army (AUSA) National’s 2014 Annual Meeting and Exposition can still watch TRADOC leaders live at livestream, www.army.mil/professional, as they discuss the future of the U.S. Army during panels throughout the week. Held every October in Washington, D.C., the AUSA Annual Meeting is the largest landpower exposition...
 




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