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TRICARE Changes Require Re-contracting in 2017

…ilies—into two administrative regions. Historically, there have been three TRICARE regions. Under this new structure, TRICARE East will be managed by Humana Military and TRICARE West will be managed by HealthNet Federal Services. Benefits received by TRICARE participants will not change, but urgent care providers do need to be aware of changes to billing and reimbursement under the new administrative structure. In order to continue to see …

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Tricare to Allow Military Families Urgent Care Access Without a Referral

…s enrolled in Tricare Prime Remote and all other beneficiaries enrolled in Tricare Prime, Tricare Prime Remote or Tricare Young Adult, including retirees, will be allowed two non-authorized visits per year. Tricare Overseas Program users seeking care in the U.S. will be permitted unlimited urgent care visits without authorization, the policy state.” The only way you don't qualify for the pilot is if you're an active duty service me…

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FAQs about Tricare Prime Urgent Care Pilot Program for U.S. Military

…> How does an urgent care center know if the patient is covered by Tricare Prime? U.S. Military healthcare cards do not specify Tricare Prime coverage, so urgent care center staff must verify eligibility for the patient through the military’s website or by calling the Department of Veterans Affairs. Are there any restrictions in the program? Tricare Prime beneficiaries can visit urgent ca…

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Military health care pilot program to cover access to urgent care

…g to the Military Times. Those seeking care would need to call the Tricare nurse advice line for guidance on “the most appropriate level” of care—such as, whether they should go to an emergency department, an urgent care clinic, or wait for regular doctor’s hours. Current Tricare coverage requires patients to see their primary care manager for all urgent care. Beneficiaries must also get a referral for any urgent care visits, even …

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Urgent Care Alert: Oct. 17 Deadline Approaching for ACA Nondiscrimination Posting

…including Medicare, Medicaid, and Tricare reimbursement) are required to post nondiscrimination notices in public by October 17. The new federal law is part of the Affordable Care Act and aims to reduce health disparities for some populations that have been most vulnerable to discrimination. The U.S. Department of Health and Human Services (HHS) Office of Civil Rights says physicians mu…