Every military member and their family are covered under the Tricare system. Up until 2018, the Tricare system was broken into three regions, including Tricare South. This is no longer the case, read on to learn more about Tricare.
Tricare is a health care program for almost 9.45 million beneficiaries that offers different options based on your eligibility status. In 2018 Tricare changed to having two CONUS regions; Tricare East and Tricare West. Anywhere outside of the U.S. is considered overseas.
Opitions availabile vary based on geographic regions and the enrollee’s current status with the military. Tricare offers two core options: Tricare Prime and Tricare Select.
Verus Health Partners is here to support you and your family when you are trying to determine the best coverage for you and your family. As veterans ourselves, we have a very in-depth understanding of the differences in plans and how it may effect you and your loved ones.
All active-duty members enroll in Tricare Prime; they pay nothing out of pocket. Active-duty families can enroll in Tricare Prime without an enrollment fee. Prime beneficiaries are assigned a primary care manager (provider) (PCM) at their local military treatment facility or, if one is not available, they can select a PCM within the Tricare Prime network. Specialty care is provided on referral, either to specialists at a military facility or a civilian provider, by the PCM.
Tricare Select is similar to a traditional fee-for-service health plan. Patients can see any authorized provider they choose, but pay a deductible and co-pays for visits. Patients pay lower out-of-pocket costs when they receive care from a provider within the Tricare network.
Members eligible for/enrolled in Tricare can change their selection during Open Season.
TRICARE Open Season is the annual period when you can enroll in or change your health plan for the next year. The 2020 TRICARE Open Season begins November 9 and ends December 14, 2020. During TRICARE Open Season, you can:
What’s new this year?
“Starting on Jan. 1, 2021, TRICARE Select Group A retired beneficiaries must pay monthly enrollment fees in order to maintain their TRICARE health coverage. This is a change, and the first time this beneficiary group will pay enrollment fees.
“In 2021, some TRICARE beneficiaries will pay enrollment fees for the first time, a change mandated by Congress,” said Dr. Danita Hunter, director of the TRICARE Health Plan at the Defense Health Agency. “We’re communicating this well before the change is implemented so beneficiaries can be informed about the change, as well as their TRICARE plan and cost options.”
Here are the key points you need to know….. (Read More)
Note: Eligible Individuals can also select/change Dental and Vision Plans. This is usually during Tricare Open Season.
At Verus Health Partners, we educate our clients. Our goal is to ensure you have the proper coverage for your situation. Contact us today to learn more about Tricare, VA prescription refills, or how we can help you save money on health care costs when you leave the military (or Tricare benefits) and need information on your health care benefits. You can follow us on Facebook for other helpful information.