Page 13 - Nellis Creech NTTR Bullseye 4-15-16

BULLSEYE Health and Wellness 13April 15, 2016

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By 99th Medical Group Prime Remote and stationed overseas changed for follow up care, specialty
care or inpatient care.
but traveling stateside
When you are not sure of the type
New urgent care pilot program Active Duty Service Members of care you need, or you require care
(ADSMs) enrolled in TRICARE Prime outside of standard business hours,
for Prime Beneficiaries are not eligible for this program as call the Nurse Advice Line (NAL). If
the NAL recommends an urgent care
To increase access to care, the their care is managed by their Service. visit, and a referral is submitted, that
visit will not count against the two
Department of Defense is launching This pilot also excludes Uniformed pre-authorized visits allowed under
the Urgent Care Pilot. However, if you
an Urgent Care Pilot Program for Services Family Health Plan (US- call the NAL and get a referral to a
military hospital or clinic and you go
TRICARE Prime beneficiaries. This FHP) enrollees. TRICARE Overseas elsewhere for care, that visit will count
against your two preauthorized visits.
program allows Prime enrollees two Program (TOP) enrollees can receive
If you need more information,
visits to a network or TRICARE au- an unlimited number of urgent care please visit the Urgent Care Pilot
Program web page on the TRICARE
thorized provider without a referral visits, but only when they are traveling website.

or prior authorization. stateside and seeking care. Send your questions to

The Urgent Care Pilot Program, askthedoc@us.af.mil

scheduled to begin spring 2016, is for: There are no Point of Service (POS)

t "DUJWF %VUZ 'BNJMZ .FNCFST deductibles or cost shares for these two

(ADFMs) enrolled in TRICARE Prime urgent care visits, but network copay-

or TRICARE Prime Remote ments still apply.

t 3FUJSFFT BOE UIFJS GBNJMZ NFN- Once you receive urgent care, you

bers who are enrolled in Prime within must notify your PCM about that

the 50 United States or the District of care within 24 hours or the first busi-

Columbia ness day after the urgent care visit.

t "%4.T FOSPMMFE JO 53*$"3& Authorization requirements have not

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