sábado, 25 de noviembre de 2017

Improvements in preventive care coverage with TRICARE Select | Health.mil

Improvements in preventive care coverage with TRICARE Select | Health.mil

Health.mil

Improvements in preventive care coverage with TRICARE Select


TRICARE urges you to take command of your health care to enhance your TRICARE experience.



On Jan. 1, 2018, TRICARE SelectStarting on January 1, 2018, TRICARE Select replaces TRICARE Standard and ExtraA fee-for-service option in the United States that allows you to get care from any TRICARE-authorized provider.TRICARE Standard and Extra. TRICARE Select is a self-managed, preferred provider network plan.TRICARE Select will replace TRICARE Standard and TRICARE Extra. As a result, beneficiaries will notice improved coverage for preventive services with TRICARE Select. Preventive care helps you take command of your health and manage potential issues before you experience symptoms. This type of health care allows you to address health problems before they become life threatening. Examples of TRICARE-covered preventive services include cancer screenings and vaccines, in addition to well-woman and well-child exams.
If you currently use TRICARE Standard and TRICARE Extra, you don’t pay anything for certain preventive services. But for all other preventive services, beneficiaries pay between 15–25 percent of the cost after their yearly deductible is met, depending on the plan and beneficiary category.
“With TRICARE Select, beneficiaries won’t pay anything out-of-pocket for covered preventive services if they are provided by a network provider,” said Valerie Palmer, a health care policy analyst for TRICARE. “However, if they use a non-network provider, fewer preventive services are paid by TRICARE. This is why it is important to see a network provider for your preventive care.”
The additional, no-cost preventive services beneficiaries can receive under TRICARE PrimeA managed care option available in Prime Service Areas in the United States; you have an assigned primary care manager who provides most of your care.TRICARE Prime that TRICARE Select will cover beginning in 2018 include:
  • One Health Promotion and Disease Prevention (HP&DP) exam: This is covered annually for beneficiaries age 6 and older. In 2018, this exam will no longer require the inclusion of a covered cancer screening or immunization if you see a network provider.
  • Lung cancer screening (low-dose computed tomography): This is covered annually for persons ages 55-80 with a 30 pack-per-year history of smoking who are currently smoking or have quit within the past 15 years. Screening should be discontinued once the individual has not smoked for 15 years or develops a health problem significantly limiting life expectancy or ability or willingness to undergo curative lung surgery.
  • Abdominal Aortic Aneurysm (AAA): This is a one-time screening using ultrasonography for men ages 65-75 who have ever smoked.
A new preventive service added this year for both TRICARE Prime and TRICARE Select is aimed at adults with a Body Mass Index (BMI) of 30 kg/m2 or higher and children or adolescents with a BMI value greater than the 95th percentile. Intensive, multi-component behavioral interventions to promote sustained weight loss (12 to 26 sessions per year) are covered when rendered by a TRICARE-authorized provider. Types of behavioral management interventions include diet and physical activity guidance, strategies to promote and maintain lifestyle changes and more. This addition is a covered benefit regardless of whether the beneficiary uses a network or non-network provider, though costs are typically lower with a network provider.
Are you ready for the changes to coming TRICARE on Jan. 1, 2018? Learn more about upcoming changes and sign up for email alerts


TRICARE Changes Checklist

Fact Sheet
11/17/2017
Use this checklist as a guide to help Take command and prepare now for the changes coming in 2018.
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Enroll now for 2018 TRICARE coverage

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11/14/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.
If you want to switch to a different TRICARE health plan, or enroll in a plan for the first time, take action before Nov. 20, 2017
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Print PSA: Enrollment Freeze

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11/7/2017
Public service announcement you can print locally to help spread the word about the enrollment freeze in December.
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Print PSA: TRICARE is Changing. Are you Ready?

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11/7/2017
Public service announcement you can print locally to help spread the word about the upcoming changes to TRICARE.
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Enrollment Freeze Calendar

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11/7/2017
This calendar provides key dates surrounding the upcoming enrollment freeze in December.
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Electronic PSA: Enrollment Freeze

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11/7/2017
An electronic public service announcement about the pending enrollment freeze that you can customize locally to help spread the word.
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Print PSA: Expanded Coverage for Mental Health and Substance Use Disorders

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11/7/2017
Public service announcement you can print locally to help spread the word about the expanded coverage for mental health and substance use disorders.
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The Future of TRICARE

Presentation
11/3/2017
This PowerPoint presentation provides an overview of upcoming TRICARE changes that affect your medical benefits.
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All of the Updates - TRICARE Changes

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11/3/2017
Doctor and patient talking in an exam room.
All of the updates to the new health care system
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Winning against breast cancer with the help of TRICARE

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11/3/2017
Air Force Col. Theresa Medina, 319th Medical Group commander, and her daughter Sophia, pose for a photo at a harvest festival Oct. 7, 2017 at Grand Forks, N.D. Medina was diagnosed with stage one breast cancer on Nov. 3, 2011, but with the help of TRICARE and the support of family and friends she is now cancer free. (Courtesy photo)
Fifteen minutes after finding out she landed a position as a squadron commander at Davis Monthan Air Force Base, Arizona, she found out she was diagnosed with cancer
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Changes to TRICARE disenrollment coming in 2018

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10/30/2017
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As part of the changes coming to TRICARE on Jan. 1, 2018, there will be new rules affecting disenrollment.
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Online patient portal saves time, improves access to medical information

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10/30/2017
The TRICARE Online Patient Portal connects registered users with online health care information and services at military hospitals and clinics.
Patients who can more easily access their own health information using TRICARE Online are more inclined to use the health benefit
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Print PSA: Enrollment Required in 2018

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10/26/2017
This public service announcement describes the requirement for beneficiaries to be enrolled in a TRICARE plan to be covered for care in civilian health care facilities.
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10/26/2017
This public service announcement describes how the TRICARE North and TRICARE South regions will combine to become the TRICARE East region in 2018.
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Print PSA: Changes to Costs and Billing

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10/26/2017
This public service announcement describes changes coming to health care costs and the billing cycles for TRICARE in 2018.
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