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

2. 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

3. 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

4. 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

5. 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

6. 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?

8. Contact Information
Kristi Brennan
Cell