Healthcare Entitlement for Those Who Served Kristi Brennan, MS, BSN CDR USN Ret

What’s the Difference? TRICARE Veteran (VA Benefits) Entitlement program – 9.6 mil Active Duty / ADFM Retired with 20 years of service or medically retired/Retired FM TRICARE Prime Must enroll, HMO with PCM Enrollment fee, no deductible TRICARE Select Must enroll, PPO, no enrollment fee, deductible TRICARE for Life Medicare Wraparound Secondary or Supplement Entitlement - 20 million 45% enrolled in VA Healthcare Gulf war and beyond largest pop. Service connection to be eligible for care in the VA healthcare system Different levels of eligibility determined by percentage of service connection Must enroll in the VA system Assigned a PCM

VA Medical Benefits Service connected or Means testing without service connection Must enroll in VA Co Payments depending on % service connected Large facilities – VA Hospitals Maryland VA, Baltimore Perry Point, MD VA Washington, DC VA Martinsburg, WVA VA Wilmington, DE VA Community Based Outpatient Clinics (CBOC’s) Cambridge, Fort Meade, Glen Burnie, Loch Raven, Pocomoke City, Charlotte Hall, Forth Belvoir, Greenbelt, Southeast Washington, So. Prince George’s County, Cumberland, Hagerstown, Stephens City

VA Direct Care at VA facility Care in the Community Primary, specialty varies from VA to VA Care in the Community PCCC, Choice, Community Care Network VA is the decision maker for the referral partner in the community Authorizations for care come from the VA Community Care Coordinators at each facility Every VA acts as a single payor and controls own budget Different process for authorizing home health care VA to VA

Helpful Hints for TRICARE Transition of Care Have you or spouse ever served in the Military? If yes, did you or spouse retire from the Military or current serving? If yes, are you enrolled in a TRICARE program? PRIME, Select, or over 65 TFL (may have been admitted under Medicare benefit)? Human Military USFHP Johns Hopkins Who is your PCM and where are they located? Did TRICARE authorize your care here at this facility? Home Health Care requires authorization and may require additional referral from TRICARE PCM

Helpful Hints for Veterans Transition of Care Have you ever served in the Military? Do you know if you have VA benefits? If yes, are you service connected? VA in process of issuing all veterans enrollment cards Are you enrolled at a VA and if so which VA and who is your PCM and their contact information? Do you have a case manager at the VA? Did the VA send you here and authorize care or did you come here on your Medicare benefit and the VA does not know you are here?

Contact Information Kristi Brennan Cell 443-462-0618 kristi.brennan@bioscrip.com