Health & Safety

August 9, 2013

TRICARE moves forward with prime service area reductions

FALLS CHURCH, Va. – Department of Defense, or DoD, 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.

 




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


 
 

 
haynes3_62415_lakosil

Family, faith, focus Resiliency helps Soldier heal from extensive combat wounds

Maj. Jeremy Haynes, Warrior Transition Brigade, Walter Reed National Military Medical Center, Maryland, and wife Chelsea speak with Capt. Kate Degategno, Alpha Company, 304th Military Intelligence Battalion, in Alvarado Hall, F...
 
 
U.S. Army Photo by Lisa Tourtelot

RWBAHC welcomes new top doc to command

U.S. Army Photo by Lisa Tourtelot Lt. Col. Edgar Arroyo, the new commander of Raymond W. Bliss Army Health Center, accepts the command colors from Maj. Gen. Thomas Tempel, the commanding general of Western Regional Medical Comm...
 
 
Photo by Capt. Bee Vengthisane

Signal Soldiers celebrate regimental birthday at Fort Hood

FORT HOOD, Texas– Signaleers from Fort Hood and other installations around the country, celebrated the 155th Signal Regimental Corps birthday June 22-25 here. Signal week is a time when Soldiers in the Signal Corps reflec...
 

 

Sparks fly when fireworks are lit — know safety rules

During tomorrow’s July 4th celebration, sparks will fly as people light fireworks. It’s wildfire season, and misuse of fireworks can start a fire which could have devastating effects on the community. When using approved fireworks, be cognizant of the surroundings. The National Fire Protection Association reported that in 2011, fires started by fireworks caused an...
 
 
U.S. Army photo

Military Intelligence – Moment in MI history

More aerial intelligence systems used during Vietnam War During the Vietnam War, the Army possessed three distinct aerial intelligence capabilities. The U-6 Beaver fixed-wing airborne radio-direction finding (ARDF) platform was...
 
 
305thCeremony_6.26

305th Military Intelligence Battalion Change of Command Ceremony

Incoming Commander, Lt. Col. Jorge A. Arredondo, takes command of the 305th Military Intelligence Battalion during the passing of the colors at the change of command ceremony Friday.   Fort Huachuca’s 305th Military Inte...
 




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=""> <s> <strike> <strong>