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T8RICARE          April 22, 2016                       mental                                                www.aerotechnews.com/marcharb
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                  improves
health care, treatment
by TRICARE Staff

   FALLS CHURCH, Va. (AFNS) -- People in                   In addition, the 150-day limit on residential
distress may hesitate to reach out for help due to     treatment care for beneficiaries under 21 years old
perceived stigma associated with seeking mental        has been removed. Although medical determina-
health treatment. This perception and the belief       tion is still required, there is no day limit.
that care may be hard to get, may prevent some
people who need care from getting it. TRICARE              If you or someone you know requires mental
has worked hard to eliminate potential barriers to     health care, get help. If you believe emergency care
mental health care by removing day limits for cer-     is required, you can get emergency psychiatric care
tain mental health services.                           without pre-authorization. However, you must get
                                                       authorization within 72 hours of admission and the
   When a mental health condition requires more        72 hours starts the day after admission.
intensive treatment than outpatient care, partial or
full-time hospitalization may be required. The in-         Medical or surgical care does not and has not
patient psychiatric hospitalization benefit was lim-    historically had day limits on care. Now, thanks to
ited to 30 days per benefit year for adults and 45      the federal mental health parity law, which requires
days for children or adolescents. You could request    that mental health benefits be equal to medical or
a waiver for additional treatment days if needed.      surgical healthcare benefits, the same is also true
                                                       for mental health care. For more information about
   However, inpatient mental health hospital servic-   mental health coverage, visit http://www.tricare.
es, regardless of length or quantity, may be covered   mil/CoveredServices/Mental/Treatments.aspx.
as long as the care is considered medically or psy-
chologically necessary and appropriate. Likewise,
the psychiatric partial hospitalization benefit previ-
ously had a 60 day per benefit year limitation that
could be extended with a waiver. This 60-day limi-
tation has been removed to ensure that beneficiaries
receive care for as long as needed.

                  “CAR PAYMENTS SO LOW

                   I COULD AFFORD A TRUCK.”

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