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TRICARE Waives Referrals in West Region
05/08/2013 - The Tricare Management Activity has released details on how uniformed service beneficiaries in the West Region can access specialty health care without first receiving approval by Tricare West Region contract manager UnitedHealth Military & Veterans.
Tricare Prime customers who are referred to a specialist by their primary care provider should ask their doctor for a paper copy of their referral - or have it faxed to the specialist - and have them complete a copy of a waiver letter from UnitedHealthcare, available at www.uhcmilitarywest.com.
The waivers will be available through at least May 18, according to a letter sent from Assistant Secretary of Defense for Health Affairs Dr. Jonathan Woodson to the military services on May 2.
Tricare officials said the unprecedented move was necessary to ease a referral backlog that has mounted since UnitedHealthcare assumed responsibility for the West Region contract on April 1.
Woodson described "inordinate delays" resulting form the contractor's "failure to meet the contract requirements for referral and authorization management."
In addition to the delays in referral care, UnitedHealth's call center and website are experiencing tie-ups with customer service, with some callers being placed on hold for more than an hour.
A UnitedHealthcare Military & Veterans spokesman said last week that since the company took over management of the contract, its call centers have received 531,000 calls with an average wait time of about five minutes.
TMA officials said they are working with UnitedHealthcare to address the problems, and Woodson said the waiver period could be extended if the backlog is not adequately reduced by May 18.
The waiver does not apply to beneficiaries using Tricare Standard, Tricare For Life or Prime enrollees in the U.S. Family Health Plan, available to some beneficiaries in Washington state.
BASIC AND APPLIED SCIENCES PROFESSIONAL ADVISORY GROUP
04/29/2013 - The Basic and Applied Sciences Professional Advisory Group (BASPAG) provides advice to the Surgeon General, through the Health Services Professional Advisory Committee (HS PAC), and the Health Services Chief Professional Officer on professional and personnel issues related to Public Health Service officers working in basic and applied science disciplines.
Selections will be made by the BASPAG Voting Members and will be based on the nominees’ commitment to public health, to advancing the goals of fellow officers in the basic and applied science disciplines, and other specified criteria (e.g., prior involvement with BASPAG, discipline, gender, and minority representation).
Click the link below for full details.
TRICARE Dental Benefits
12/14/2012 - Good News!! PHS active duty family members are eligible for TRICARE dental benefits through Metlife.
For more information, please go to: www.metlife.com/tricare
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