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Today’s Agenda
                                                                                    • Planning for Your Move
                                                                                    • Getting Care While Traveling

                            TRICARE                   ®
                                                                                    • Settling in at Your New Location

                    Your Military Health Plan                                       • For Information and Assistance

                   Permanent Change of Station


                     Beneficiary Service Representative




                               Updated October 2011
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                                                                                     What Is TRICARE?
What Is TRICARE?
TRICARE Stateside Regions (United States and Washington, DC)
                                                                                    TRICARE Overseas Program
                                                                                     The TRICARE Overseas Program is managed through three
TRICARE is available worldwide and managed regionally
                                                                                     geographic areas




                                                               Health Net
                                                               Federal
                                                               Services, LLC

       TriWest
       Healthcare                                         Humana
       Alliance                                           Military
                                                                                      Latin America and Canada                Eurasia-Africa                Pacific
                                                          Healthcare
                                                                                         Central and South America,           Europe, Africa, and     Asia, Guam, Australia,
                                                          Services, Inc.               the Caribbean Basin, Canada,            the Middle East      New Zealand, and Western
                                                                                   Puerto Rico, and the U.S. Virgin Islands                          Pacific remote countries




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  Planning for Your Move                                                             Planning for Your Move
  Staying Covered When Moving                                                       Ongoing Medical Care
  • Do not disenroll from TRICARE Prime. Your current coverage                       Before moving, sponsors and dependents should:
    will continue until your enrollment transfer is completed after
    you arrive at your new location.                                                 • Request copies of medical and dental records

  • Verify your information in the Defense Enrollment Eligibility                    • Fill/refill prescriptions before traveling
    Reporting System (DEERS).
                                                                                     • Plan ahead for routine medical care
  • Inform your current regional contractor about
    your upcoming move.                                                              • Keep a list of providers’ phone numbers
  • Learn about TRICARE options in your                                              • Coordinate services for family members with special needs
    new location.




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                                                                                                                                                                                        1
Getting Care While Traveling                                                                   Settling in at Your New Location
How to Get Care During Your Move                                                               In-Processing—Updating DEERS
                                                                                               • Remember to update DEERS whenever there is a change in the
     Type of Care           TRICARE Prime                     TRICARE Standard                   family (e.g. marriage, birth, adoption, divorce, death) or when you
      Emergency                    Call 911 or go to the nearest emergency room                  move. New family members must be registered in DEERS.
      (immediate)                                                                              • Make sure your military orders reflect your correct information and
                                                                                                 unit of assignment.
         Urgent           Contact your primary       See any TRICARE-authorized provider
    (within 24 hours)     care manager (PCM)                                                   • Update your contact information in DEERS.
                                                                                               • You can update DEERS:
     Prescriptions      • Military treatment facility pharmacy: www.tricare.mil/mtf
                                                                                                    – Online: www.dmdc.osd.mil/appj/
                        • TRICARE retail network pharmacy:
                          www.express-scripts.com/TRICARE or 1-877-363-1303                         – By phone: 1-800-538-9552
                                                                                                    – By fax: 1-831-655-8317
                                                                                                    – By visiting a uniformed services identification (ID)
                                                                                                      card-issuing facility: www.dmdc.osd.mil/rsl
                                                                                               • More information: www.tricare.mil/deers

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Settling in at Your New Location                                                               Settling in at Your New Location
In-Processing—TRICARE Prime Enrollment                                                         TRICARE Prime and TRICARE Prime Remote
• Updating DEERS does not transfer your TRICARE Prime enrollment                               • TRICARE Prime:
• You may call your regional contractor to transfer Prime enrollment                                – Available near a military treatment facility (MTF) and other
                                                                                                      areas with established TRICARE networks, or in areas
                                         OR
                                                                                                      where the US Family Health Plan (USFHP) is offered
• Complete the TRICARE Prime Enrollment Application and PCM
  Change Form (DD Form 2876)                                                                   • TRICARE Prime Remote (TPR) and TRICARE Prime Remote for
                                                                                                 Active Duty Family Members (TPRADFM):
• Other ways to access DD Form 2876:
                                                                                                    – Available to ADSMs who live and work in remote locations
       – Through the Beneficiary Web Enrollment (BWE) Web site:                                       and eligible family members residing with them
         www.dmdc.osd.mil/appj/bwe/
                                                                                                    – Find out if you live in a remote area at
       – Online: www.tricare.mil/mybenefit/Forms.do                                                   www.tricare.mil/tpr/default_zip.cfm
       – At your local TRICARE Service Center


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Settling in at Your New Location                                                               Other Important Information
TRICARE Dental Program (TDP)                                                                   TRICARE Pharmacy Program
                                                                                                                                   Formulary
When moving:                                                                                    Pharmacy Option                                               Non-Formulary
                                                                                                                            Generic      Brand Name
•     Update your account with United Concordia, or enroll in the program.                      MTF Pharmacy                  $0               $0                   N/A
                                                                                                (up to a 90-day supply)
•     Expect up to 30 days for enrollment to take effect.                                       TRICARE Pharmacy              $0               $9                   $25
                                                                                                Home Delivery
•     Enrollees must remain enrolled for a minimum of 12 months.                                (up to a 90-day supply)

                                                                                                Retail Network                $5             $12                    $25
•     Available worldwide!                                                                      Pharmacy
                                                                                                (up to a 30-day supply)
•     Best advice - before receiving care, enrollee should confirm enrollment with
                                                                                                Non-Network               TRICARE Prime: 50%            TRICARE Prime: 50%
      UCCI
                                                                                                Pharmacy                  copayment applies after       copayment applies after POS
                                                                                                (up to a 30-day supply)   point-of-service (POS)        deductible is met
•Find a new participating dentist at www.TRICAREdentalprogram.com                                                         deductible is met
or by calling 1-800-866-8499.                                                                                                                           Other Programs: $25 or 20%
                                                                                                                          Other Programs: $12 or 20%    of total cost (whichever is
                                                                                                                          of total cost (whichever is   greater) after the annual
                                                                                                                          greater) after the annual     deductible is met
                                                                                                                          deductible is met

                                                                                          11
                                                                                               Express Scripts, Inc. Web site: www.express-scripts.com/TRICARE                            12
                                                                                      11       Express Scripts, Inc. phone number: 1-877-363-1303                                     12




                                                                                                                                                                                               2
For Information and Assistance
 Stateside Regional Contractors             Overseas Regional Contractor
                                                                                                            Questions?
TRICARE North Region                        International SOS Assistance, Inc.
Health Net Federal Services, LLC            Eurasia-Africa:
1-877-TRICARE (1-877-874-2273)
www.hnfs.com
                                            +44-20-8762-8384 (overseas)                                   TRICARE Service Center
                                            1-877-678-1207 (stateside)
TRICARE South Region                        Latin America and Canada:
Humana Military Healthcare Services, Inc.   +1-215-942-8393 (overseas)
                                            1-877-451-8659 (stateside)
                                                                                                          U. S. Naval Hospital:
1-800-444-5445
www.humana-military.com                     Pacific:

TRICARE West Region
                                            Singapore: +65-6339-2676 (overseas)
                                            1-877-678-1208 (stateside)
                                                                                                             643-7539/7639
TriWest Healthcare Alliance                 Sydney: +61-2-9273-2710 (overseas)
1-888-TRIWEST (1-888-874-9378)
www.triwest.com
                                            1-877-678-1209 (stateside)
                                            www.tricare-overseas.com                                       18th Medical Group:
 General Contact Information
 TRICARE Web site: www.tricare.mil
                                             Connect with TRICARE Online!
                                                                                                               630-4310




                                                                                        PP4302BET08112W
 Contacts: www.tricare.mil/contacts
 Military Medical Support Office:
 www.tricare.mil/tma/mmso
                                                   www.tricare.mil/mediacenter
                                                                                                             www.tricare.mil
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Getting Started at Your New Location

  • 1. Today’s Agenda • Planning for Your Move • Getting Care While Traveling TRICARE ® • Settling in at Your New Location Your Military Health Plan • For Information and Assistance Permanent Change of Station Beneficiary Service Representative Updated October 2011 1 2 2 What Is TRICARE? What Is TRICARE? TRICARE Stateside Regions (United States and Washington, DC) TRICARE Overseas Program The TRICARE Overseas Program is managed through three TRICARE is available worldwide and managed regionally geographic areas Health Net Federal Services, LLC TriWest Healthcare Humana Alliance Military Latin America and Canada Eurasia-Africa Pacific Healthcare Central and South America, Europe, Africa, and Asia, Guam, Australia, Services, Inc. the Caribbean Basin, Canada, the Middle East New Zealand, and Western Puerto Rico, and the U.S. Virgin Islands Pacific remote countries 3 4 3 4 Planning for Your Move Planning for Your Move Staying Covered When Moving Ongoing Medical Care • Do not disenroll from TRICARE Prime. Your current coverage Before moving, sponsors and dependents should: will continue until your enrollment transfer is completed after you arrive at your new location. • Request copies of medical and dental records • Verify your information in the Defense Enrollment Eligibility • Fill/refill prescriptions before traveling Reporting System (DEERS). • Plan ahead for routine medical care • Inform your current regional contractor about your upcoming move. • Keep a list of providers’ phone numbers • Learn about TRICARE options in your • Coordinate services for family members with special needs new location. 5 6 5 6 1
  • 2. Getting Care While Traveling Settling in at Your New Location How to Get Care During Your Move In-Processing—Updating DEERS • Remember to update DEERS whenever there is a change in the Type of Care TRICARE Prime TRICARE Standard family (e.g. marriage, birth, adoption, divorce, death) or when you Emergency Call 911 or go to the nearest emergency room move. New family members must be registered in DEERS. (immediate) • Make sure your military orders reflect your correct information and unit of assignment. Urgent Contact your primary See any TRICARE-authorized provider (within 24 hours) care manager (PCM) • Update your contact information in DEERS. • You can update DEERS: Prescriptions • Military treatment facility pharmacy: www.tricare.mil/mtf – Online: www.dmdc.osd.mil/appj/ • TRICARE retail network pharmacy: www.express-scripts.com/TRICARE or 1-877-363-1303 – By phone: 1-800-538-9552 – By fax: 1-831-655-8317 – By visiting a uniformed services identification (ID) card-issuing facility: www.dmdc.osd.mil/rsl • More information: www.tricare.mil/deers 7 8 7 8 Settling in at Your New Location Settling in at Your New Location In-Processing—TRICARE Prime Enrollment TRICARE Prime and TRICARE Prime Remote • Updating DEERS does not transfer your TRICARE Prime enrollment • TRICARE Prime: • You may call your regional contractor to transfer Prime enrollment – Available near a military treatment facility (MTF) and other areas with established TRICARE networks, or in areas OR where the US Family Health Plan (USFHP) is offered • Complete the TRICARE Prime Enrollment Application and PCM Change Form (DD Form 2876) • TRICARE Prime Remote (TPR) and TRICARE Prime Remote for Active Duty Family Members (TPRADFM): • Other ways to access DD Form 2876: – Available to ADSMs who live and work in remote locations – Through the Beneficiary Web Enrollment (BWE) Web site: and eligible family members residing with them www.dmdc.osd.mil/appj/bwe/ – Find out if you live in a remote area at – Online: www.tricare.mil/mybenefit/Forms.do www.tricare.mil/tpr/default_zip.cfm – At your local TRICARE Service Center 9 10 9 10 Settling in at Your New Location Other Important Information TRICARE Dental Program (TDP) TRICARE Pharmacy Program Formulary When moving: Pharmacy Option Non-Formulary Generic Brand Name • Update your account with United Concordia, or enroll in the program. MTF Pharmacy $0 $0 N/A (up to a 90-day supply) • Expect up to 30 days for enrollment to take effect. TRICARE Pharmacy $0 $9 $25 Home Delivery • Enrollees must remain enrolled for a minimum of 12 months. (up to a 90-day supply) Retail Network $5 $12 $25 • Available worldwide! Pharmacy (up to a 30-day supply) • Best advice - before receiving care, enrollee should confirm enrollment with Non-Network TRICARE Prime: 50% TRICARE Prime: 50% UCCI Pharmacy copayment applies after copayment applies after POS (up to a 30-day supply) point-of-service (POS) deductible is met •Find a new participating dentist at www.TRICAREdentalprogram.com deductible is met or by calling 1-800-866-8499. Other Programs: $25 or 20% Other Programs: $12 or 20% of total cost (whichever is of total cost (whichever is greater) after the annual greater) after the annual deductible is met deductible is met 11 Express Scripts, Inc. Web site: www.express-scripts.com/TRICARE 12 11 Express Scripts, Inc. phone number: 1-877-363-1303 12 2
  • 3. For Information and Assistance Stateside Regional Contractors Overseas Regional Contractor Questions? TRICARE North Region International SOS Assistance, Inc. Health Net Federal Services, LLC Eurasia-Africa: 1-877-TRICARE (1-877-874-2273) www.hnfs.com +44-20-8762-8384 (overseas) TRICARE Service Center 1-877-678-1207 (stateside) TRICARE South Region Latin America and Canada: Humana Military Healthcare Services, Inc. +1-215-942-8393 (overseas) 1-877-451-8659 (stateside) U. S. Naval Hospital: 1-800-444-5445 www.humana-military.com Pacific: TRICARE West Region Singapore: +65-6339-2676 (overseas) 1-877-678-1208 (stateside) 643-7539/7639 TriWest Healthcare Alliance Sydney: +61-2-9273-2710 (overseas) 1-888-TRIWEST (1-888-874-9378) www.triwest.com 1-877-678-1209 (stateside) www.tricare-overseas.com 18th Medical Group: General Contact Information TRICARE Web site: www.tricare.mil Connect with TRICARE Online! 630-4310 PP4302BET08112W Contacts: www.tricare.mil/contacts Military Medical Support Office: www.tricare.mil/tma/mmso www.tricare.mil/mediacenter www.tricare.mil 13 14 13 14 3