Blog Archives

Tricare for Life pharmacy pilot begins March 15

If you are a beneficiary of Tricare for Life, you should have received a letter notifying you of a new pharmacy pilot program. The new program requires users to get certain medications through home delivery or at a military pharmacy. Officials said the congressionally mandated pilot program, which begins March 15, applies to refills of maintenance medications that are taken regularly for chronic conditions. Under the pilot program, Tricare will stop paying for these medications when filled from a retail pharmacy. The program...

Shutdown Ends…And 171,000 Veterans Get Tossed Off of Tricare Prime

Lost among all the huffing and hullaballoo over the federal shutdown, the debt ceiling, the WWII Monument and the baseball playoffs, some 171,000 veterans and their families have been unceremoniously kicked off of Tricare Prime, effective October 1. Earlier this year, the Department of Defense sent out a letter to affected families that any families living more than 40 miles from active or former military installations would be cut off from Tricare Prime. These families are being forced onto the more expensive Tricare Standard,...

Protect Yourself from Obamacare Fraud

Any big new government initiative brings confusion with it, and the Patient Protection and Affordable Care Act – known colloquially as “Obamacare” – is no exception. The flood of information about mandates, exchanges, fines, taxes, penalties, lawsuits and rulings has boosted the noise-to-signal ratio about the ACA, and left millions – especially seniors – scratching their heads. Naturally, a small army of fraudsters, shysters and criminals have stepped in to exploit the confusion. This article from CNBC outlines...

Dental Care for the National Guard and Reserves

As a National Guard or Reserve member, how you receive dental care will change depending on whether you are on active duty or not. Here's a summary of how your dental care works.   When Not Activated When you are not on active duty, you and your family members are eligible for the premium-based TRICARE Dental Program. The TRICARE Dental Program requires a 12-month minimum enrollment period, so you must have 12 months remaining on your service commitment to enroll. You can enroll at anytime and you will pay monthly...

‘Kaitlyn’s Law’ to Authorize TRICARE Reimbursement of Horse and Other Physical Therapies Introduced in Congress

A law requiring TRICARE to fund or reimbursed certain therapies for individuals with disabilities and the severely wounded or injured was introduced this week in the House of Representatives. The Rehabilitative Therapy Parity for Military Beneficiaries Act, dubbed “Kaitlyn’s Law” by supporters, seeks to amend Title 10 with the following language: (g) Rehabilitative therapy provided pursuant to subsection (a)(17) may include additional therapeutic exercises or therapeutic activities if such exercises or activities are included...

Only 39 Percent of Mental Health Providers Taking TRICARE Prime Patients

More than six in ten private mental health care providers won’t take TRICARE patients, according to a newly-released study from the United States Government Accountability Office. While the access problems for TRICARE members was most acute for mental health care, the survey found that more than one non-enrolled TRICARE beneficiary in three had trouble finding a care provider in TRICARE Prime service areas, which have civilian provider networks. Additionally, TRICARE Prime members rated their satisfaction level with their...

College Students and TRICARE

While in college your child may be eligible for TRICARE until their 23rd birthday or until they graduate, whichever comes first. For eligibility to extend beyond the age of 21, he or she must be enrolled in a full course of study at an approved institution of higher learning and be dependent on the sponsor for more than half of their financial support. If qualified, your child's "student status" must be entered in the Defense Enrollment Eligibility Reporting System (DEERS) to remain eligible past age 21. Check with DEERS...

Two TRICARE Programs Will No Longer Take Your Check

Here’s some post-holiday blues. Your check is no longer welcome at two TRICARE programs. If you are enrolled in TRICARE Reserve Select (TRS) or TRICARE Retired Reserve (TRR) and you have been mailing in your premiums, you must switch to an electronic form of payment as of January 1st, 2013. From New Years Day forward, TRICARE will no longer take your check. You can only pay your premiums via automatically recurring payments by credit card or debit card, or via electronic funds transfer. TRICARE recommends that you check...

ABA Therapy for Autism Ruling Against TRICARE

On July 26h, 2012, a United States Federal Judge ordered TRICARE to begin paying for Applied Behavior Therapy (ABA) for dependents with autism. Active duty service members are able to receive services through TRICARE’s Extended Health Care Option (ECHO) program, which defined ABA therapy as a medical intervention. Retirees are unable to receive ECHO benefits. Under TRICARE Basic, ABA therapy was defined as an educational intervention, not a medical intervention, making it ineligible for TRICARE coverage. ABA therapy, developed...

New TRICARE Dental Program Contract in 2012

The TRICARE Management Activity (TMA) team awarded the dental plan contract to a different provider for 2012. The TMA's job is to review competitive bids and select the provider which will be the best value to the Government. Metropolitan Life Insurance Company will start providing TRICARE services worldwide in February 2012. The TMA and Metropolitan Life are working together to smoothly transition the 1.9 million enrollees. Metropolitan Life has an extensive network of dentists, so most enrollees will not have to change providers....

2012 U.S. Military Retired Handbook

The United States Military Retired Handbook is designed to help all U.S. Military personnel who have retired - or who are planning to retire. This unique guide covers everything from the nuts and bolts of computing your Retirement Pay to the detailed explanations of retired military Healthcare, TRICARE, Social Security, VA, SBP, taxes, insurance, travel, survivor benefits and much more! Click Here to download this handbook.

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