Your Health Benefit''' - PowerPoint PPT Presentation

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Your Health Benefit'''

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It's what we call our health care delivery system ... Department of Defense's newest and most technologically advanced Medical Center ... – PowerPoint PPT presentation

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Title: Your Health Benefit'''


1
Your Health Benefit...
  • Lets Keep It Simple!

2
TRICARE Health Service Regions
REGION 1 1-888-999-5195
REGION 11 (1-800-404-0110)
REGION 7 8 (1-888-874-9378)
REGION 5 1-800-941-4501
REGION 10 (1-800-242-6788)
REGION 2 1-800-931-9501
REGION 9 (1-800-242-6788)
REGION 3/4 (1-800-444-5445)
REGION 6 (1-800-406-2832)
Region 12 (1-800-242-6788)
Not Shown TRICARE Europe 1-888-777-8343 TRICARE
Pacific 1-888-777-8343 TRICARE Latin America
1-888-777-8343
Puerto Rico Virgin Islands
(In development)
3
(No Transcript)
4
Overview
  • TRICAREbasic concepts
  • TRICARE Health Service Regions
  • What if I need Care Away From Home?
  • How do I make an appointment?
  • Health Care in Tidewater
  • Naval Medical Center Portsmouth
  • Is TRICARE Prime right for me?
  • Secret to success making the right choice!

5
TRICAREbasic concepts
  • Its what we call our health care delivery
    system
  • 3 separate options for non-active duty
    beneficiaries
  • Priority Access
  • Continuity of Care
  • LOWER Cost

Prime
Extra Standard
HIGHER COST
6
TRICAREbasic concepts
  • Whats the PCM?
  • Primary Care Manager.
  • The first medical person that you go to for care.
  • Evaluates and treats.
  • TRICARE is TRICARE is TRICARE
  • No matter where you go within the military,
    youll always have TRICARE. (out-of-area care)
  • Portability enables your to take the benefit
    with you.

7
What If I Need Care Away from
Home?
  • EMERGENCY Go to the nearest appropriate medical
    facility
  • Notify your PCM as soon as possible to ensure
    payment of claim
  • NON-EMERGENCY Care Covered only when you
    receive prior authorization

Contact PCM for Authorization
8
How do I make an Appointment?
  • Start by calling 1-800-931-9501.
  • Select Option 1 for either a Primary or
    Specialty appointment.
  • If youre unable to secure an Urgent Care
    appointment through the TSC, you always have the
    option to speak with your Primary Care Manager
    IF YOURE ENROLLED IN PRIME!! If youre not sure
    of the number, ask when you call the 1-800
    number.

9
Naval Medical Center Portsmouth VA
  • Charette Health Care Center
  • State-of-the-art medical center opened in April
    1999
  • Department of Defenses newest and most
    technologically advanced Medical Center
  • Comprehensive Primary Care
  • Wide array of Specialty Care
  • FREE Child Waiting Center during your
    appointment. For reservation call 757-953-6873

10
Health Care in Tidewater Southside
BMC Sewells
1
2
NMCP
TPC Boone
3
2
TPC Oceana
4
3
TPC Chesapeake
5
1
4
TPC Va Beach
6
7
BMC Dam neck
5
6
7

TPC Northwest
8
8
11
Health Care in TidewaterPeninsula
1
Ft Monroe
5
Langley
2
3
4
Prime Eagle
3
2
Ft Eustis
4
1
BMC Yorktown
5
12
Is TRICARE Prime right for me?
Active Duty ARE Prime...
Choice...
Costs less...
Priority Access...
Portable...
13
Secret to Success Making the right choice!
  • Assess your health care situation
  • Do you live close to a Military Treatment
    Facility?
  • Do you desire convenient quality care for your
    family members?
  • Do you wish to have priority access to military
    health care facilities?
  • Is savings important in your health care
    equation?

14
Secret to Success Making the right choice!
  • Ask questions
  • Visit a TRICARE Service Center and talk with
    Beneficiary Service Representatives.
  • Talk with a Health Benefits Advisor at your local
    military hospital or clinic.

Think about your Health Care and select your
plan before it becomes an issue in your
life!!!!
15
Oh by the way...
An ounce of prevention is worth a pound of cure!!
1-800-931-9501
16
Helpful Websites
  • www.tricare.osd.mil (Health Affairs)
  • www-nmcp.med.navy.mil/ (NMCP)
  • www.tma.med.navy.mil/ (TMAR2)
  • www.my.tricare.com
  • www.tricare.osd.mil/ClaimForms/
  • www.humana-military.com
  • www.tricare.osd.mil/nmopp.htm

17
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