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JAN 2011

NOV 2011

Important Numbers

Bangor Clinic360-315-4391

Family Medicine360-475-4379

NHB General Info360-475-4000

Health Promotion360-475-4541

Internal Medicine

360-475-4206

Marketing Dept360-475-4408

Pediatric Clinic360-475-4216

TRICARE RegionalAppointment Center

1-800-404-4506

TriWest1-888-874-9378

To be added to theemail distribution list

of this monthlynewsletter, please

call Kendra Scroggsat 360-475-4408

ARE YOU READY FOR THE FLU SEASON?

The influenza season is upon us, and its important for you and your family to take thenecessary precautions. The most important steps to take to prevent the spread of flu virare to receive annual vaccinations, wash your hands with soap and water, and cover yomouth and nose when coughing and sneezing. You and your family should also be prepwith an emergency plan and an emergency supply kit in case of a flu pandemic or epideIn the event of an epidemic, stay informed and follow the instructions of health andemergency authorities to practice safe infection control measures.

ENROLLMENT OPEN AT NAVAL HOSPITAL BREMERTONDue to increased capacity, NHB has re-opened enrollment in all primary care clinics. Fomembers PCS'ing into the area, enrollment to the hospital will be mandatory. Letters inback Active Duty Family Members who have been enrolled into the civilian network in thyear have gone out, as well as letters inviting back retirees previously enrolled to NHB a

Active Duty or Active Duty Family Members. NHB's transition to Medical Home Ports hamade this possible. Letters of invite are dependent upon available capacity in Medical Hports.

FROM THE NAVAL HOSPITAL BREMERTON EMERGENCY PREPAREDNESS OFFICWith Fall here and predictions of a "weak La Nina" winter, we can expect lots of rain, cotemperatures and snow. "Fall" into the habit now of checking your emergency preparedkits in your house and office, and prepare your vehicle for icy, cold winter driving. Checback up food supplies for any expiration dates; look at your back up supply of fuel for chsaws, generators, and your vehicles; get your generator and chain saws tuned up now tavoid the rush. When the news media warns of an impending bad storm is not the timerush out and buy batteries or fuel. For more information and preparedness tips, see the

Ready.gov, FEMA, Washington State or Kitsap County Department of EmergencyManagement websites.

GREAT AMERICAN SMOKE OUT NOVEMBER 17TH, 2011The American Cancer Society is marking this years GreatAmerican Smoke Out on November 17th by encouragingsmokers to use the date to make a plan to quit, or to plan inadvance and quit smoking that day. By doing so, smokers willbe taking an important step towards a healthier life one thatcan lead to reducing cancer risk. Tobacco use remains thesingle largest preventable cause of disease and prematuredeath in the US, yet more than 46 million Americans stillsmoke. However, more than half of these smokers haveattempted to quit for at least one day in the past year. Quittingis hard, but you can increase your chances of success withhelp. The Naval Hospital Bremerton Health Promotion officeor the Substance Abuse Rehabilitation Program can tell youabout the steps you can take to quit smoking and provide theresources and support that can increase your chances of quitting successfully. To learn the available tools, call the Health Promotion Office at 360-475-4541.

NAVAL HOSPITALBREMERTON

Caring, fo

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CHANGES TO TRICARE MAIL ORDER PHARMACY CO-PAYSEffective now, co-payments for the TRICARE Mail Order pharmacy changed. This is the first change to prescriptionco-pays since 2002. Military treatment facilities and the Home Delivery option are the most cost-effective choices tobtain prescription drugs and provide the best value to the Department of Defense. Information is available on theweb at www.tricare.mil/pharmacycosts. See below chart for comparison costs.

TRICARE INFORMATIONAL BRIEFINGSTo increase awareness about the TRICARE program, Naval Hospital Bremerton is hosting TRICARE Overviewbriefings. These briefings are open to anyone interested in learning more about the TRICARE program. The nextbriefing will be held in Naval Hospital Bremertons Healthcare Support Building (Building 14) at 11:00 on the followidate: December 7th. No reservation is required. For information, please call Kendra Scroggs at (360) 475-4408.

F AMILY NIGHTS, PRE-DEPLOYMENT/INFO FAIRS? WE HAVE BRIEFERS AVAILABLENaval Hospital Bremerton has staff willing to speak to your command or family group -- about Health Promotionactivities, the TRICARE program, or any other health related topic you wish to discuss. Please contact KendraScroggs at 475-4408 if you are interested in having a hospital or TriWest rep speak to you.

MOVES AND RELOCATIONS AT NAVAL HOSPITAL BREMERTONn order to increase efficiency and position services in the most accessible and logical site, some clinics and

administrative spaces for Naval Hospital Bremerton will be relocating to new areas. As updates become available,urther information will be disseminated.

Effective now The Pediatric Clinic is located on the 3rd Floor of the Family Care Center (situated between the

Dermatology Clinic and Family Medicine offices). The Coumadin Clinic has moved to the Internal Medicine Clinic, Room 6040A, on the 6th floor. There is

change to phone numbers or hours of operation at this time. The Substance Abuse & Rehabilitation Program (SARP) has been relocated to the 7th floor of the

hospital. New phone number is 360-475-5350. Respiratory Therapy has moved to the 6th Floor, Room 6002. No change in phone numbers. Customer Relations Office will move to 1st Floor, Room 1106/1106A, effective November 7th.

On the horizon

The TRICARE Service Center (date to be determined)

http://www.tricare.mil/pharmacycostshttp://www.tricare.mil/pharmacycostshttp://www.tricare.mil/pharmacycosts

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TRICARE DENTAL PROGRAM CHANGESTRICARE Management Activity has awarded theTRICARE Dental Program (TDP) contract toMetropolitan Life Insurance Company. Dental carecoverage under the new contract begins May 1st, 2012,following a 12-month transition period from the currentcontractor, United Concordia Companies, Inc. New and

enhanced benefits include an increase in the annualmaximum, an increase in the lifetime orthodonticmaximum, accidental dental injury coverage, anadditional cleaning for women during pregnancy, andmore. Under the new contract, enrollees will enjoylower premiums in the first year. Info is available atwww.tricare.mil/mybenefit/home/Dental/DentalProgram. During the 12-month transition enrollees can still accessTDP customer service at 1.800.866.8499. If enrolleeswould like to check if their current dentist is part ofMetLife's network they can visit www.metlife.com/dental.

If the dentist is not a member, he or she can apply to become part of the network by visitingwww.metdental.com. MetLife will distribute program information, provider network details and out-of-pocket savings details beginning in February 2012. PLEASE NOTE that the change to MetLife is forthe TDP program only. The Active Duty Dental Program will still be administered by United Concordia.As ofOctober 2011 the www.metlife.com/tricare site is live and can be used to obtain updatedTRICARE Dental Plan (TDP) information regarding the transition to MetLife. Please note; this URL isnot accessible using iPhones, Android, Blackberry or other mobile devices- but they are workinginternally to make adjustments.

TRICARE YOUNG ADULT (TYA) PRIME:TRICARE Prime options (TRICARE Prime, TRICARE Prime Remote, USFHP, TRICARE OverseasProgram Prime, and TRICARE Overseas Program Prime Remote) are now available under the TYA

program. TRICARE Prime options are available for purchase starting December 1, 2011, withcoverage beginning January 1, 2012. Family Members who want to purchase a TRICARE Primeoption under the TYA program must meet certain criteria:

Under age 26; Unmarried; Not eligible for their own employer-sponsored health care coverage; and Their sponsor must be eligible for a TRICARE Prime option.

To purchase a TRICARE Prime option, family members must submit a completed application with theirinitial 3 month premium to the appropriate regional contractor. The 20th of the month rule still applies(if family members submit an application before December 20, 2011, coverage will begin January 1,2012. Family members who submit an application after December 20, 2011, will have their coverage

start February 1, 2012). The monthly premium for TRICARE Prime options is $201. The initial 3 monthpremium amount is $603. TYA Standard monthly premiums are dropping to $176 on January 1, 2012.Current TYA Standard beneficiaries may switch to a TRICARE Prime option by submitting a newapplication to their regional contractor. The premium is automatically adjusted. Family Members whosesponsor has TRICARE For Life are able to purchase a TYA Prime option, if available in their area.Family members whose sponsor is TRICARE Retired Reserve or TRICARE Reserve Select cannotpurchase TY Prime.

http://www.tricare.mil/mybenefit/home/Dental/DentalProgramhttp://www.metlife.com/dentalhttp://www.metdental.com/http://www.metlife.com/tricarehttp://www.tricare.mil/mybenefit/home/Dental/DentalProgramhttp://www.metlife.com/dentalhttp://www.metdental.com/http://www.metlife.com/tricare

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CHILDREN IN HOSPITAL/CLINIC AREASThe safety of all patients (including children of adult patients or siblings of children being seen) is ourprimary concern. For this reason, and to avoid unnecessarily exposing healthy children to sickpatients, we ask that only children being seen for an appointment be brought to the hospital. Childrenshould not accompany parents for their adult visits as it is often inappropriate for children to bepresent in the room during adult physical exams. Additionally, for the comfort and safety of otherpatients and of your children, it is recommended that only children with appointments be brought tothe clinics. Other childcare arrangements should be made for siblings without appointments. Whenchildren are in the hospital/clinic they must be supervised at all times and leaving them unattended inthe waiting rooms is not allowed. Childcare arrangements (sitter, CDC drop off, etc) should be made,if needed, and if parents arrive with children who are not appointed and it seems unsafe for them tobe seen, they may be rescheduled. Thank you for your cooperation.

TRICARE PHARMACY VACCINE LIST EXPANDEDEffective now, beneficiaries can receive vaccinationsat participating TRICARE network retail pharmaciesfor free! Not every pharmacy is able to administer

every vaccine. State laws affect which vaccines canbe administered at a pharmacy. Please contact yourpharmacy ahead of time to find out if they administervaccines, which ones they administer, and if theyhave the needed vaccine on hand. You can go towww.express-scripts.com/members/portalAlerts/vaccines/to see a list of pharmacies that participate in thisprogram or can call Express Scripts at 1-877-363-1303for further information. Before you go, find out whattype of documentation the pharmacy will need to provevaccine administration (i.e. schools, employment). Since pharmacies dont have access to medicalrecords, maintain proof or getting medical records updated is the beneficiarys responsibility.

Remember, immunization/vaccines administered in a doctors office are still covered under theTRICARE medical benefit at no cost.

SECURE MESSAGING AND COMMUNICATING WITH YOUR MEDICAL HOME PORT TEAMYou can communicate directly with your Medical Home Port Team with the Naval Hospital BremertonOnline Medical Home Port service. You can use this service 24/7 from any computer with an Internetconnection and Web browser to:

Contact your providers office Ask questions and request advice about non-urgent healthconcerns at your convenience no more phone tag or unnecessary office visits Refill medication Easily refill medication prescriptions, request prescriptions be sent toyour preferred pharmacy, and specify pick up or mail-order delivery.

Schedule appointments Request appointments even when the office is closed. Canceland reschedule appointments as needed, and receive online appointment reminders. Receive lab, x-ray and other test results Avoid phone tag and get results more quickly,with an explanation from your Medical Home Port Team attached. Request referrals Submit requests even when your providers office is closed. Access medically-reviewed information Learn more about a full range of healthcare topics,and access links to provider-recommended information and sites.

Visit www.med.navy.mil/sites/nhbrem (click on Medical Home Port button to register)

http://www.express-scripts.com/members/portalAlerts/vaccines/http://www.med.navy.mil/sites/nhbremhttp://www.express-scripts.com/members/portalAlerts/vaccines/http://www.med.navy.mil/sites/nhbrem