BR Outproc PCS C 2000

TRICAREYour Military Health Plan: 

TRICARE Your Military Health Plan Outprocessing Seminar Permanent Change of Station (PCS) BR401501BET0504C

TRICARE CONUS Regions: 

TRICARE CONUS Regions BR401501BET0504C

TRICARE Overseas Regions (OCONUS): 

TRICARE Overseas Regions (OCONUS) BR401501BET0504C

Updating DEERS Information: 

Visit an ID card issuing facility; locate one near you at www.dmdc.osd.mil/rsl Call 1-800-538-9552 Mail changes to: Defense Manpower Data Center Support Office Attn: COA 400 Gigling Road Seaside, CA 93955-6771 Make address changes online at: www.tricare.osd.mil/DEERSAddress Updating DEERS Information BR401501BET0504C

Outprocessing—Permanent Change of Station using TRICARE Prime: 

Outprocessing—Permanent Change of Station using TRICARE Prime Moving to a new TRICARE region with TRICARE Prime: Need to transfer your enrollment to the new regional contractor after arrival at new duty station Do not disenroll prior to moving Must select a new primary care manager (PCM) to avoid expensive point-of-service (POS) charges Should be done upon arrival BR401501BET0504C

Updating TRICARE Prime Enrollment: 

Updating TRICARE Prime Enrollment Update your TRICARE Prime Enrollment after your PCS Contact your regional contractor or visit a TRICARE Service Center to re-enroll (if you have moved to a new region) Change your PCM Fill out a TRICARE Prime Enrollment and Change Request Form BR401501BET0504C

Enrollment Portability: 

Transfer TRICARE Prime enrollment from one TRICARE Region to another Active duty enrollees have unlimited transfers without a break in coverage Simply transfer to a new region and select a new PCM (avoid POS fees) If you do not transfer your enrollment, you will remain enrolled in the region you moved from Enrollment Portability BR401501BET0504C

Enrollment Timeline: 

Enrollment Timeline It is recommended that you transfer your Prime enrollment within 30 days of moving (or sooner) You will be at-risk for higher medical bills if you access care before transferring enrollment Point-of-service charges $300 individual and $600 family deductible 50% cost-share on remaining allowable charges Applies to civilian care received by a TRICARE Prime member BR401501BET0504C

Enroute to Your New Station (CONUS): 

Enroute to Your New Station (CONUS) You and your family members remain under the protection of your current regional contractor. Depending on what CONUS region you are currently enrolled in, it would be: North Region: Health Net Federal Services, Inc. South Region: Humana Military Healthcare Services, Inc. West Region: TriWest Healthcare Alliance BR401501BET0504C

Outprocessing—Permanent Change of Station using TRICARE Prime Remote : 

Outprocessing—Permanent Change of Station using TRICARE Prime Remote When relocating from a TRICARE Prime Remote (TPR) service area to a new location, your coverage may change If relocating to a TRICARE Prime Service area, you must enroll in TRICARE Prime If you relocate into a non-TPR ZIP code area, your family members may choose to use TRICARE Prime, TRICARE Extra, or TRICARE Standard BR401501BET0504C

Outprocessing—Permanent Change of Station using TRICARE Extra: 

Moving to a new TRICARE region using TRICARE Extra No enrollment required Seek care from any TRICARE network provider To find a network provider in your new location, contact your regional contractor or visit the provider directory online at www.tricare.osd.mil/ProviderDirectory Your coverage does not change when you move Outprocessing—Permanent Change of Station using TRICARE Extra BR401501BET0504C

TRICARE Extra—Costs: 

TRICARE Extra—Costs Annual deductible Active duty E-4 and below: $50 individual/ $100 for family Active duty E-5 and above: $150 individual/ $300 for family Cost-shares after deductible has been met 15% of negotiated rate Providers cannot charge more than the negotiated rate for services rendered BR401501BET0504C

Outprocessing—Permanent Change of Station using TRICARE Standard: 

Moving to a new TRICARE region using TRICARE Standard No enrollment required Seek care from any TRICARE-authorized provider To find a network provider in your new location, contact your regional contractor or visit the provider directory online at www.tricare.osd.mil/ProviderDirectory Your coverage does not change when you move Outprocessing—Permanent Change of Station using TRICARE Standard BR401501BET0504C

TRICARE Standard Costs: 

Annual deductible Active duty E-4 and below: $50 individual/$100 for family Active duty E-5 and above: $150 individual/$300 for family Cost-shares after deductible has been met Active duty family members: 20% of allowed charges TRICARE Standard Costs BR401501BET0504C

TRICARE Extra vs. Standard: 

Standard Any TRICARE- authorized provider Active duty family member: 20% of allowable charge May have to file claims Nonparticipating providers may charge up to 15% above allowable charge for services Extra Any TRICARE network provider Active duty family member: 15% of negotiated rate Providers will file claims for you Not responsible for additional charges for covered benefits TRICARE Extra vs. Standard BR401501BET0504C

Catastrophic Cap: 

Catastrophic Cap Catastrophic cap is $1,000 per fiscal year TRICARE Prime TRICARE Extra TRICARE Standard The annual catastrophic cap does not apply to your out-of-pocket expenses under the POS option BR401501BET0504C

TRICARE Pharmacy Program: 

Four pharmacy options are available to you and your family when you move to a new location MTF Pharmacy TRICARE Mail Order Pharmacy TRICARE Retail Network Pharmacy Non-network Retail Pharmacy Make sure to obtain necessary medications before traveling TRICARE Pharmacy Program BR401501BET0504C

MTF Pharmacies: 

Prescriptions may be filled at an MTF pharmacy at no charge If medication is in stock, it will be filled but best to call ahead Up to 30-day supply for controlled substances Up to 90-day supply for all other medications MTF pharmacies will accept written prescriptions from any TRICARE-authorized provider MTF Pharmacies BR401501BET0504C

TRICARE Mail Order Pharmacy (TMOP): 

TRICARE Mail Order Pharmacy (TMOP) Convenient home delivery (FPO or APO for overseas locations) Low Cost Generic medication—$3 for up to a 90-day supply Brand name medication—$9 for up to a 90-day supply Non-formulary medication—$22 for up to a 90-day supply Note: Up to a 30-day supply for controlled substances Free Shipping & Handling For more information: Visit www.express-scripts.com/TRICARE 1-866-DoD-TMOP (1-866-363-8667) BR401501BET0504C

TRICARE Retail Pharmacy Network: 

May have prescriptions filled at a pharmacy in the TRICARE network Portable across all regions—no claims to file Generic medication—$3 for up to a 30-day supply Brand name medication—$9 for up to a 30-day supply Non-formulary medication—$22 for up to a 30-day supply Administered by Express Scripts, Inc. Visit www.tricare.osd.mil/pharmacy to locate a retail network pharmacy near you 1-866-DoD-TRRx (1-866-363-8779) TRICARE Retail Pharmacy Network BR401501BET0504C

Non-Network Pharmacies: 

Most costly option TRICARE Standard deductibles and cost-shares apply TRICARE Prime POS option applies for TRICARE Prime beneficiaries May have to pay for prescription and file claim with Express Scripts for reimbursement Non-Network Pharmacies BR401501BET0504C

Emergency Care: 

Medical, maternity, or psychiatric conditions that would lead a prudent layperson to believe that a serious medical condition existed or the absence of medical attention would result in a threat to his or her life, limb, sight, and requires immediate medical treatment For out-of-area emergency care, call 911 or go to the nearest emergency room (civilian or military) Covers inpatient or outpatient emergency services needed to evaluate or stabilize an emergency If a beneficiary is admitted as a result of emergency care, the beneficiary should notify their PCM or regional contractor as soon as is practical Emergency Care BR401501BET0504C

Urgent Care: 

Medically necessary treatment that is required for illness or injury A TRICARE Prime beneficiary requiring urgent care must contact his or her PCM or regional contractor A TRICARE Prime beneficiary who seeks urgent care services without coordinating with his or her PCM will be utilizing the TRICARE POS option Urgent Care BR401501BET0504C

Nonemergency Health CareWhile Traveling: 

All routine medical care should be taken care of before you depart, or delayed until you arrive at your new assignment Remember, for out-of-area urgent/acute care, you must obtain an authorization before seeking care Nonemergency Health Care While Traveling BR401501BET0504C

Important Contact Information: 

DEERS 1-800-538-9552 TRICARE Information Service www.tricare.osd.mil 1-888-363-CARE (1-888-363-2273) TRICARE Mail Order Pharmacy (Express Scripts) 1-866-DoD-TMOP (1-866-363-8667) TRICARE Retail Pharmacy (Express Scripts) 1-866-DoD-TRRx (1-866-363-8779) Important Contact Information BR401501BET0504C

TRICARE National Resources: 

TRICARE National Resources TRICARE Web Site: www.tricare.osd.mil TRICARE Online: www.tricareonline.com TRICARE Information Service Toll-free access to customer service representatives 1-888-DoD-CARE (1-888-363-2273) Monday–Friday (except federal holidays) 8 a.m. to 8 p.m. Eastern Time 24-hour access to an interactive voice response system All former TRICARE Information Center toll-free numbers ring to the TRICARE Information Service BR401501BET0504C

TRICARE Regional Resources: 

TRICARE Regional Resources Health Net Federal Services, Inc. www.healthnetfederalservices.com 1-877-TRICARE (1-877-874-2273) TriWest Healthcare Alliance www.triwest.com 1-888-TRIWEST (1-888-874-9378) Humana Military Healthcare Services, Inc. www.humana-military.com 1-800-444-5445 BR401501BET0504C

Thank You!: 

TRICARE offers a comprehensive health benefit for our beneficiaries From preventive health services, to better coordination with our civilian system and lower out-of-pocket costs for families, we have designed and fully implemented a strong, more uniform benefit Wherever we maintain medical capability and capacity, whether through military or civilian services, our goal is a world-class health benefit that serves the needs of our members Thank You! BR401501BET0504C

TRICARE Product Feedback : 

TRICARE has set up a Web site allowing you to evaluate its marketing materials. Please visit the site listed and provide us with your feedback. Please provide feedback to the presentation slides at: www.tricare.osd.mil/evaluations/presentations TRICARE Product Feedback BR401501BET0504C