TRICARE Region SouthCoast Guard Healthcare Demonstration

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Readiness

• Increase access to care for ADSMs/ADFMs• Decrease Emergency Room Cost/Utilization• Increase Patient Satisfaction

PURPOSE

Coast Guard Only UCC Demo

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4 unmanaged visits (no prior referral authorization required) to any TRICARE Accepting, or Network Participating Urgent Care Center (UCC) or Primary Care Provider for acute/non-emergent care when your assigned Primary Care Manager (PCM) is unavailable.

WHAT

Coast Guard UCC DemoWHY

• $721.25 was an average Emergency Room (ERs) cost for Coast Guard beneficiaries in 2008.

• Visits to an UCC visit may cost $72.00, only 10% of a ER visit.

• Convenience: eliminates the hassle factor. You often wait for hours to be seen in an ER. Now, you can get health care for urgent conditions without lengthy wait times, when your assigned PCM is unavailable.

• This is a precious benefit for you and every member of family. Please take advantage of it.

• The majority of ER visits were for urgent care conditions ( fever, sore throat, earache, common colds, etc…) This demonstration program should significantly reduce the costs of healthcare for the Coast Guard and the U.S. government. 3

Coast Guard UCC Demo

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A visit is any primary healthcare visit, (not specialty care visit) associated with a single episode of care (minor or acute illness or injury). Severe injury or illness should proceed to the nearest ER.

EXAMPLE: Mrs. Smith sprains her ankle in a soccer game on a Saturday afternoon. She goes to the nearest TRICARE accepting or network participating UCC for care = First unmanaged visit

The provider tells her to return Sunday morning for a follow-up visit = Second unmanaged visit

A VISIT IS…?

Coast Guard UCC Demo

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Who is eligible for this program, Coast Guard active duty and active duty family members enrolled in PRIME within TRICARE South Region only!

WHO

Coast Guard UCC Demo

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Extended until 4 MAY 2015.

WHEN

Coast Guard UCC Demo

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Any TRICARE accepting or network-participating UCC. Network providers are searchable on Humana’s website:

http://www.humana-military.com/

WHERE

Beneficiary Portal

Coast Guard UCC Demo

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WHERE

First, click on Type of Service

Next follow the 1, 2, 3 steps to find an Urgent Care Center

Coast Guard UCC Demo

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• For all EMERGENCIES- go directly to ER and/or Call 911

• The CG requires that ADSMs need to schedule a follow-up appointment with their PCM within 24 hours of an Urgent Care Center visit or first business day following their visit.

• ADFMs should schedule a follow-up appointment with their PCM if their injury or illness does not improve.

IMPORTANT TIPS

Contact Information

Network Urgent Care Centers may be found by visiting Humana Military’s website; http://www.humana-military.com and additional information on the project is available at the following website link: http://www.humana-military.com/urgentcaredemo/ and information can be found on the TRICARE Regional Office South’s website at the following link: http://www.tricare.mil/trosouth/

Coast Guard health Safety Work Life points of contacts for this project is LCDR Leah Preston at (703) 681- 8716 or leah.preston@tma.osd.mil and LT William Chew, CG Liaison Officer to TRICARE Region South (210) 292-3277 or William.Chew@tros.tma.osd.mil and LT Cory McCollow at (510) 326-4032 or Cory.J.McCollow@uscg.mil

Following your visits to either an urgent care center or other Primary Care Manager for urgent care please give us your feedback at the following website: https://surveys.uscg.mil/Community/se.ashx?s=6F20F77464644EF5 . Thank you

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