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Category Archives: TRICARE

New Dental and Vision Coverage Now Available to Defense Department Beneficiaries

By Katie Lange
Department of Defense

A lot of TRICARE recipients who aren’t actively serving may want to enroll in vision and dental coverage through the Federal Employee Dental and Vision Insurance Program, known as FEDVIP. Currently, more than 3.3 million federal employees already use it. It’s never been available to Defense Department beneficiaries before, but now it is!

Dental eligibility
If you’re an active-duty service member, an active-duty family member or you’re in the Guard or Reserve, your TRICARE dental plans will stay the same.

But if you’re enrolled in the TRICARE Retiree Dental Program, things are going to change. TRDP is going away at the end of 2018, so if you want to continue coverage, you must enroll in a FEDVIP dental plan. There is no rollover, so make sure you enroll during open season!

The good news. There are 10 dental carriers from which to choose.

“What we realized is that people have different types of dental needs,” said Vice Adm. Raquel Bono, director of the Defense Health Agency. “Younger beneficiaries probably need to make sure that they have the kind of care that’s preventative. In teen years, there are probably different demands, and certainly, as we get more distinguished and more mature, there are some additional needs.”

MAYPORT, Fla. (Nov. 10, 2016) Denis Laird, a doctor of dental surgery at Naval Branch Health Clinic (NBHC) Mayport, conducts an amalgam restoration on a patient. (U.S. Navy photo by Jacob Sippel/Released)
MAYPORT, Fla. (Nov. 10, 2016) Denis Laird, a doctor of dental surgery at Naval Branch Health Clinic (NBHC) Mayport, conducts an amalgam restoration on a patient. (U.S. Navy photo by Jacob Sippel/Released)

 

MARTIN, Tenn. (July 11, 2013) Capt. Mike Radoiu, an optometrist from Expeditionary Medical Facility Bethesda, uses a binocular indirect ophthalmoscopy tool to examines a patient's eyes. (U.S. Navy photo by Bruce Cummins/Released)
MARTIN, Tenn. (July 11, 2013) Capt. Mike Radoiu, an optometrist from Expeditionary Medical Facility Bethesda, uses a binocular indirect ophthalmoscopy tool to examines a patient’s eyes. (U.S. Navy photo by Bruce Cummins/Released)

Vision eligibility
If you’re enrolled in a TRICARE health plan and you’re not an active-duty service member, you’re also eligible to enroll in one of four FEDVIP vision plans. Sorry, TRICARE Young Adult enrollees – like active-duty service members, you’re not eligible for this.

FEDVIP enrollment
Like the rest of your benefits, your open season for enrollment in FEDVIP is Nov. 12 to Dec. 10. Coverage will begin on Jan. 1, 2019. Much like TRICARE Prime and Select plans, the only time you can get coverage under FEDVIP outside of open enrollment is if you experience a qualifying life event.

Still trying to figure this out? Visit Tricare.Benefeds.com for more information and to sign up for email notifications that will update you on eligibility, rates and more. You can check out their frequently asked questions section. The 2019 plans and rates are now available so you can compare and decide which plan best meets the needs of you and your family.

Read more

Editor’s note: This blog was originally published Oct. 22, 2018, on DoD Live.

http://navylive.dodlive.mil/2018/11/25/new-dental-and-vision-coverage-now-available-to-defense-department-beneficiaries/ U.S. Navy

What’s New With Your TRICARE Coverage in 2019

By Katie Lange
Department of Defense

We’ve been telling you about the health care plans you have to choose from during this TRICARE open season and how you go about enrolling (if you missed these blogs, check the links at the bottom of this one).

There are also some parts of TRICARE that have expanded this year, and we thought you should know about them.

TRICARE Open Season

TRICARE is establishing an open enrollment season. Watch this video to learn more about what this means for your TRICARE benefit.

Posted by TRICARE on Tuesday, September 18, 2018

 

Mental and behavioral health care is expanding.

“We’re making sure that we’re covering the kind of care that our patients need for substance use disorders, and making sure they have the right kind of therapy – inpatient or outpatient,” said Vice Adm. Raquel Bono, director of the Defense Health Agency.

TRICARE is also starting to cover dual diagnoses.

“What that means is if you have a substance use disorder diagnosis, as well as a behavioral health disorder, then we’re able now to cover that,” Bono said. “Those are conditions that we want to make sure that our patients get the most modern and relevant treatment possible.”

Flu shots are more widely available.

Preventative care is also important, including when it comes to flu season. Flu shots are now covered under TRICARE from any participating pharmacy or TRICARE provider.

There are a few changes to TRICARE Pharmacy.

The Defense Health Agency knows that getting needed medications at the lowest possible cost is extremely important.

“In order to offset the cost of medications that we get from the pharmacies, which tend to be a little bit more expensive, we’ve raised the copay,” Bono explained. “But we’re also trying to make it as easy as possible for our patients to get their medications from either a military treatment facility or from the mail-order pharmacy.”

Click on the image to enlarge it.

 

Prescription copays increased on Feb. 1, but don’t worry – they only went up by a few dollars. Find out what your plan costs here.

MHS GENESIS Patient Portal

The Military Health System is also rolling out a new electronic record management system called MHS GENESIS. Its patient portal is a secure website where you can access all of your health information, manage appointments and communicate securely with your care team.

“It’s extremely easy to navigate,” Bono said. “I think people will really like how they can interface with their doctors.”

The system is one that other large health care organizations use.

“It’s something widely used in the industry, and it has an excellent track record,” Bono said. “It’s a nice interactive site for them to get in and see what the doctors have ordered, or even the notes from previous appointments.”

She said it’s great for providers, too.

“All of the doctors and nurses and techs and pharmacists – they’ll be using the system,” Bono said. “We’ll also be able to import the information of your episodes of care for whenever you see a civilian provider.”

The website is being rolled out across the country with the deployment of MHS GENESIS. A few hospitals in the Pacific Northwest are the first few to get it so far. Officials are hoping they’ll be able to use the system for other things in the future, such as referrals.

“We’re actually field testing a referral management system with our new MHS GENESIS,” Bono said. “We would like to make that more streamlined so the patient isn’t the one going back and forth.”

Read more

Editor’s note: This blog was originally published Oct. 15, 2018, on DoD Live.

http://navylive.dodlive.mil/2018/11/23/whats-new-with-your-tricare-coverage-in-2019/ U.S. Navy

TRICARE Open Season: Picking a Plan for 2019

By Katie Lange
Department of Defense

As with private-sector health care, there’s now a yearly open enrollment “season” for TRICARE Prime and TRICARE Select planholders. TRICARE open season runs from Nov. 12 to Dec. 10. The changes you make will take effect Jan. 1, 2019.

TRICARE Open Season

TRICARE is establishing an open enrollment season. Watch this video to learn more about what this means for your TRICARE benefit.

Posted by TRICARE on Tuesday, September 18, 2018

 

During open season, beneficiaries can:

  • Enroll in a plan. Beneficiaries eligible for TRICARE Prime or TRICARE Select can enroll in either plan for 2019 coverage.
  • Change plans. Beneficiaries already enrolled in TRICARE Prime or TRICARE Select can switch plans for 2019 coverage. In other words, if you are in TRICARE Prime and want to switch to TRICARE Select, open season is the time to make this change. Beneficiaries may also change their type of enrollment from individual to family coverage.
  • Do nothing. Beneficiaries will keep the same coverage through 2019 or as long as they remain eligible.

For more on TRICARE open season, visit www.tricare.mil/openseason.

Outside of TRICARE open season, you can only make enrollment changes when you or your family experience a Qualifying Life Event. QLEs are certain life events like getting married, having a baby or retiring from active duty. When a QLE happens to you or family, you have 90 days from the QLE to make any enrollment changes. Your coverage is effective on the day of that life event.

How do I enroll during open season?

Enrollment is the same process as previous enrollment actions. The easiest way to do so is online at the Beneficiary Web Enrollment website (stateside only). But you can also call your regional contractor or snail mail them your enrollment form.

I’m a new active-duty service member. How does this work for me?

If you joined the military this year, you were automatically enrolled in TRICARE Prime. If you live in remote areas of the U.S., you’ve been enrolled in TRICARE Prime Remote.

When it comes to your eligible family members:

  • If they live stateside, they’ll automatically be enrolled in TRICARE Prime if they live in a Prime Service Area. If they live outside of a PSA, they’ll be enrolled in TRICARE Select. Family members have up to 90 days to change their plans if they want to.
  • If your family is in the TRICARE Overseas Program, they’ll be enrolled in TRICARE Select. They also have 90 days to change their plans, if they’re command-sponsored.

If you have one of the other premium-based plans:

TRICARE open season doesn’t apply to you. Tricare Retired ReserveReserve SelectYoung Adult and the Continued Health Care Benefit Program offer continuous open enrollment all year long. Tricare For Life doesn’t require enrollment.

Enrollment Costs

Enrollment fees are based on whether you choose TRICARE Prime or TRICARE Select, and whether you fall into Group A or Group B. Group A refers to active-duty members and their families who have been in before Jan. 1, 2018. Group B includes those who joined the military (and their families) after Jan. 1, 2018.

When it comes to TRICARE Select, there are also slightly different copays for Group A and B.

“Instead of paying cost-shares, we’re now going to [fixed] copays,” said Vice Adm. Raquel Bono, director of the Defense Health Agency. However, those copays only apply to network providers. Non-network providers in TRICARE Select will still have cost-shares.

With TRICARE Select Group A, the fixed copay will be based on the type of care you need and where you live. “For the Group B people, those copays actually came directly from Congress,” Bono said.

Currently, active-duty military, their family members, and retirees and their families in TRICARE Select Group A do not have to pay enrollment fees, but that’s expected to change in a few years.

You can read more about the costs of your specific plan here. You can also use the cost comparison tool to get a side-by-side view of the plans you’re considering.

We’re sure you have more questions. The best way to get answers is to click on the links above or visit TRICARE.mil. We’ll also be putting out more blogs to help you through the change, so keep checking back for those!

Editor’s note: This blog was originally published Oct. 9, 2018, on DoD Live.

http://navylive.dodlive.mil/2018/11/20/tricare-open-season-picking-a-plan-for-2019/ U.S. Navy

What to Know Before TRICARE Open Season This Fall

By Katie Lange
Department of Defense

There have been a lot of changes to TRICARE in the past several months. Soon, you’ll have the chance to make enrollment choices for 2019 during TRICARE open season, which runs from Nov. 12 to Dec. 10. But first, you need to know what’s available to you, right?

There are two TRICARE plans that require enrollment: TRICARE Prime and TRICARE Select.

TRICARE open season will apply to any enrollment changes you want to make for these two plans. If you like your current TRICARE Prime or TRICARE Select coverage and will still be eligible, there’s nothing you need to do during open season.

How Do Prime and Select Differ?

TRICARE Prime is similar to a managed care or health maintenance organization option, commonly called an HMO. You get most of your care from a primary care manager, who manages and coordinates your care.

With TRICARE Select, you manage your own health care and may get care from any TRICARE-authorized provider you choose without a referral.

The two TRICARE plans have different costs, enrollment fees and referral rules and choices for beneficiary categories. Costs are also determined by your initial enlistment or appointment date in the uniformed services. But we’ll touch on those in upcoming blogs.

TRICARE Open Season

TRICARE is establishing an open enrollment season. Watch this video to learn more about what this means for your TRICARE benefit.

Posted by TRICARE on Tuesday, September 18, 2018

 

What if I’m no longer eligible for TRICARE Prime or Select?

If that’s the case, there are premium-based TRICARE plans that you may be eligible to purchase:

These plans are available to certain National Guard and Reserve members; certain family members, including young adults who age out of their parents’ TRICARE coverage; and certain individuals who lose TRICARE eligibility.

The Traditional Assistance Management Program provides 180 days of premium, free transitional health care benefits after regular TRICARE benefits end.

TRICARE For Life may be another option. It’s Medicare-wraparound coverage available to TRICARE beneficiaries who are entitled to Medicare Part A and have Medicare Part B, regardless of age or where you live.

Click on the image to enlarge it.

 

Editor’s note: This blog was originally published Oct. 1, 2018, on DoD Live.

http://navylive.dodlive.mil/2018/11/02/what-to-know-before-tricare-open-season-this-fall/ U.S. Navy

What to Know Before TRICARE Open Season This Fall

By Katie Lange
Department of Defense

There have been a lot of changes to TRICARE in the past several months. Soon, you’ll have the chance to make enrollment choices for 2019 during TRICARE open season, which runs from Nov. 12 to Dec. 10. But first, you need to know what’s available to you, right?

There are two TRICARE plans that require enrollment: TRICARE Prime and TRICARE Select.

TRICARE open season will apply to any enrollment changes you want to make for these two plans. If you like your current TRICARE Prime or TRICARE Select coverage and will still be eligible, there’s nothing you need to do during open season.

How Do Prime and Select Differ?

TRICARE Prime is similar to a managed care or health maintenance organization option, commonly called an HMO. You get most of your care from a primary care manager, who manages and coordinates your care.

With TRICARE Select, you manage your own health care and may get care from any TRICARE-authorized provider you choose without a referral.

The two TRICARE plans have different costs, enrollment fees and referral rules and choices for beneficiary categories. Costs are also determined by your initial enlistment or appointment date in the uniformed services. But we’ll touch on those in upcoming blogs.

TRICARE Open Season

TRICARE is establishing an open enrollment season. Watch this video to learn more about what this means for your TRICARE benefit.

Posted by TRICARE on Tuesday, September 18, 2018

 

What if I’m no longer eligible for TRICARE Prime or Select?

If that’s the case, there are premium-based TRICARE plans that you may be eligible to purchase:

These plans are available to certain National Guard and Reserve members; certain family members, including young adults who age out of their parents’ TRICARE coverage; and certain individuals who lose TRICARE eligibility.

The Traditional Assistance Management Program provides 180 days of premium, free transitional health care benefits after regular TRICARE benefits end.

TRICARE For Life may be another option. It’s Medicare-wraparound coverage available to TRICARE beneficiaries who are entitled to Medicare Part A and have Medicare Part B, regardless of age or where you live.

Click on the image to enlarge it.

 

Editor’s note: This blog was originally published Oct. 1, 2018, on DoD Live.

http://navylive.dodlive.mil/2018/11/02/what-to-know-before-tricare-open-season-this-fall/ U.S. Navy