OIC: LT NORTH LCPO: HMC CARBONELL NAVAL MEDICAL ADMINISTRATIVE UNIT

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Presentation transcript:

OIC: LT NORTH LCPO: HMC CARBONELL NAVAL MEDICAL ADMINISTRATIVE UNIT Medical Presentation International Students OIC: LT NORTH LCPO: HMC CARBONELL NAVAL MEDICAL ADMINISTRATIVE UNIT

Introduction Jalpa Zambrano Function: Please Contact Me : Health Benefits Advisor Naval Medical Administrative Unit Location: NPS, Herman Hall, 1st Floor, Room # 127 Phone: 831-656-2416 Email: jjzambra@nps.edu, jalpa.j.zambrano.civ@mail.mil Function: Advise International Students and their family of their medical benefits Provide list of medical resources available to them Process medical referrals, help filing medical claims and help you receive reimbursements for medical bills Please Contact Me : If you have questions regarding your medical benefits If you receive a referral from the military treatment facility to a civilian doctor You went to an emergency room or urgent care center You receive a bill from civilian provider, lab or pharmacy

Types of Medical Care Emergency Care: Imminent threat to life, limb or eyesight i.e. chest pains, coughing or vomiting blood, suicidal or homicidal thoughts Use nearest emergency room (Walk in based services). Urgent Care: Need medical attention on the same day basis (but is not consider a true emergency) and your primary care physician do not any appointments available i.e. fever, vomiting, Ear Pain Use Urgent Care Facility (walk in based services) Routine Care: Any non- emergency or non-urgent medical care i.e. annual checkup, well women visit Make an appointment with Primary Care Physician

Presidio of Monterey Army Health Clinic Care for active duty Services for dependents: Pharmacy (if in stock) Medical Care (based on space availability) Presidio of Monterey Pediatric Clinic is available based on your insurance guideline and clinic availability

Presidio of Monterey Army Health Clinic Clinic hours 0700-1600. Third Thursday of the month 0700-1030 423 Cabrillo St, Bldg. 422, Presidio of Monterey For appointment call 866-957-2256 Appointments are offered based on the urgency of your medical need Please bring your ID card and your FIN# during your appointment.

Presidio of Monterey Pediatric Clinic Clinic hours Mon- Fri 0800-1630, Close for lunch 1230-1330 Third Thursday of the Month 0800-1030 880 Cass Street Suite # 209, Monterey For an appointment call 866-957-2256

After Hours Non Emergency Advise ? After Hours Non Emergency Advise After hours non-emergency care (For Enrolled Patients Only) Nurse Advise line—800-874-2273, select option1; available 24/7.

Civilian Medical Services  Recommended civilian hospitals in the Monterey Area: Community Hospital of the Monterey Peninsula (CHOMP), 23625 Holman Highway, Monterey, 831-624-5311 Natividad Medical Center, 1441 Constitution Blvd, Salinas, 831-755-4111/ 831-755-6268  Salinas Valley Memorial, 450 East Romie Lane, Salinas, 831-372-7844/ 831-757-4333

Civilian Medical Services Recommended urgent care facilities available in Monterey: Doctors on Duty - Walk In Based Services - 501 Lighthouse Ave, Monterey, 831-649-0770 Hours of operation Mon-Fri 0800-2000 / Sat & Sun 0800-1800 - 1513 Fremont St, Seaside, 831-899-1910 Hours of operations Mon-Fri 0800-1800, Sat 0800-1500 Average office visit $242-$382 depending on service Monterey Bay Urgent Care - Walk In Based Services - 245 Washington St. Monterey, 831-372-2273 Hours of Operation Mon-Fri 0730-1800, Sat/Sun 0900-1700 Average office visit $150 and up

TRICARE TRICARE DIRECT: MTF care and MTF referred civilian care TRICARE STANDARD : Civilian care authorized. Annual deductible and co insurance will apply and will not cover inpatient and delivery cost for dependents It is recommended that you choose TRICARE in network provider for civilian care To find TRICARE in network provider go to www.tricare.mil

Pregnancy Insurance Requirements Foreign military/ foreign civilians and their family members are qualified for pregnancy insurance coverage within 60 days of arrival to the United States or during the open enrollment period usually November 15 – February 15. Pregnancy insurance must include coverage of pre and post natal care, as well as delivery, of at least $250,000 (this is in addition to the $400,000 minimum coverage for basic medical insurance). If medical costs are paid by your country, country will be notified of impending pregnancy through official channels. Unless ITO specifically states foreign government or FMS case will pay all costs related to that pregnancy and delivery, spouses who are pregnant prior to departure for Monterey must present proof of complete pregnancy coverage prior to being authorized as an accompanying dependent on the ITO. 

Medical Facilities Off Limits for Routine Care Foreign military or their dependents are not allowed to seek care for pregnancy or routine visit at the Travis Airforce base unless referred by the Presidio of Monterey Army Health Clinic. Foreign Military or their dependents are not allowed to get the care at the Seaside Public Health Center.

Emergency Call –911 or For emergency care (threat to life, limb, eyesight), members should go to the closest available Emergency Room, which for the Monterey Peninsula is the Community Hospital of the Monterey Peninsula (CHOMP) 831-624-5311 Recommend you take the time to locate it before you need it!

QUESTIONS