Health & Safety

August 23, 2013

Ask the Doc

doctor
 

Q. I’m an active duty service member; may I use other health insurance?

A. The Department of Defense is solely responsible for the cost of care provided to active duty service members. If you have other health insurance, the DOD is still the primary payer (double coverage provisions don’t apply).
As an active duty service member, you must get all your medical care including behavioral health care and dental care per TRICARE policy and service regulations. If you get non-emergency care without prior authorization, your care may not be paid for by the government. Depending on the service regulations, it may lead to judicial and administrative actions, which may affect your continued fitness for duty or disability determinations.
Below are some things you may want to think about when deciding to use other health insurance.
• Your uniformed service may deny benefits you would normally be entitled to if you get unauthorized care that:
• Leads to a long hospitalization;
• Makes you unfit for duty; or
• Results in death.
• You may have to pay for any follow-up care that you need because of services you received when using your other health insurance.
• Since the DOD is the primary payer, you should check to see if your other health insurance will accept the responsibility as the primary payer if you get care that’s not covered by the DOD. If your other health insurance won’t accept responsibility, you may be responsible for the cost of the services you received.
• Certain procedures (e.g. bariatric surgery) may be grounds for separation.

Send your questions to askthedoc@nellis.af.mil.




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


 
 

 
U.S. Air Force illustration by Senior Airman Jason Coulliard

Don’t drink, drive: AADD saves lives

U.S. Air Force illustration by Senior Airman Jason Coulliard AADD operates from 11 p.m. to 4 a.m. on Friday and Saturday nights. All calls are anonymous and there is no charge to use the service. Although AADD seems like a conv...
 
 

Ask the Doc

  Q: How do I file a medical appeal?   A: To file a medical appeal, follow the instructions on your explanation of benefits or determination letter for your denied claim. Send your appeal to your regional contractor. See below for the address. Claims Appeals: North Region Health Net Federal Services, LLC. TRICARE Claim Appeals...
 
 
U.S. Air Force photo by Airman 1st Class Thomas Spangler

Preventative healthcare: Key to overall wellness

U.S. Air Force photo by Airman 1st Class Thomas Spangler Mellissa Urban, 99th Medical Group contracted licensed practical nurse, gives a vaccination to Tech. Sgt. Allan Habel, U.S. Air Force Thunderbirds quality assurance inspe...
 

 
doctor

Ask the Doc

Q. Have health questions? Call the TRICARE Nurse Advice Line. A.Sometimes it’s hard to know when to seek medical help for urgent health problems. Having access to a trusted medical professional at a moment’s notice is inva...
 
 
U.S. Air Force photo by Senior Airman Timothy Young

Running toward better health, wellness

U.S. Air Force photo by Senior Airman Timothy Young Senior Airman Ahlavatuah Garrett-Johnson, 99th Security Forces Squadron installation entry controller journeyman, finishes her Air Force fitness assessment at Nellis Air Force...
 
 
120507102850-h5n1-vaccine-story-top

Avoid sickness: Immunizations offer disease protection

NELLIS AIR FORCE BASE, Nev. — The month of August is designated as National Immunization Awareness Month to raise awareness for preventable disease and sickness. Immunizations protect Airmen and their families’ wellness and...
 




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