Managed Care Support Contractors ( Before March 31, 2013)_____________________.

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Presentation transcript:

Managed Care Support Contractors ( Before March 31, 2013)_____________________

TRICARE West Region Transition (Time Line)________________________________ February 15 th – New UHC M&V toll-free customer service number and Web site operational with limited functionality WEST [ ] February 20 th – TriWest Healthcare Alliance stopped accepting enrollment applications for coverage beginning on or after April 1, 2013 February 21 st – UHC M&V began accepting enrollment applications for coverage beginning on or after April 1, 2013

Early March (1-15 th ) – Beneficiaries began receiving Welcome Packets from UHC M&V March 6 th – Primary Care Manager Directory available online – March 10 th – Deadline to establish automatic payments with UHC M&V for enrollment fees or monthly premiums (to ensure no break in coverage) April 1 st – Health care delivery under new T-3 contract begins TRICARE West Region Transition (Time Line – continued)_____________________

Managed Care Support Contractors ( On April 1, 2013)__________________________

What is not Changing__________ TRICARE benefits and programs TRICARE For Life [TFL] contractor – Wisconsin Physician Services [WPS] – – TRICARE Service Centers [TSC] locations – Military Treatment Facility [MTF] TSC Location MTF Appointment Lines Prescription Refill Number

What is Changing________________ TRICARE West Region Toll Free Number – United Healthcare Military and Veterans [UHC M&V] – WEST [ ] TRICARE West Region Web Site – United Healthcare Military and Veterans [UHC M&V] – Non Military Treatment Facility [MTF] TRICARE Service Centers [TSC] are closed April 1, 2013 – Springfield, MO; Des Moines, IA; Minneapolis-St. Paul, MN TRICARE Clams Processor – Palmetto Government Benefits Administrators [PGBA]

Prime Service Area Reductions Takes place October 1, 2013 in all US regions Affects approximately 171,000 beneficiaries in Prime Early warning letters and brochure delivered to contractors – Mailings to take place over the next two months Beneficiary information, FAQs and sign up for updates by beneficiary category at Key messages: Active duty/family continue in Prime benefit; PSAs intended to support the delivery of health care around military treatment facilities; retirees/family may be able to re-enroll in Prime; Standard option is highly rated and convenient!

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