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TRICARE Eases Rules for West Region Beneficiaries

Compliments of:

TRICARE Management Activity

 

TRICARE West Region Prime enrollees referred for specialty care from April 1 up to May 18 do not need authorization before seeking care.

The authorization requirement has been temporarily waived due to delays by UnitedHealthcare Military & Veterans in processing referrals.

TRICARE Management Activity leadership acted to waive the authorization requirement for TRICARE covered services, reducing the impact of delays on Prime enrollees while UnitedHealthcare takes action to reduce backlogs since it began delivering health care support to the West Region on April 1.

During the waiver period, West Region Prime enrollees seeking specialty care should request two items from their primary care manager: a paper copy of their referral [or ask that it be sent via fax to the specialist], and a copy of a waiver letter from UnitedHealthcare authorizing the care.

The form letter can also be downloaded from the provider section of www.uhcmilitarywest.com.

As always, beneficiaries who feel they are in need of emergency care should call 911 or go to the nearest hospital emergency room. TRICARE Prime enrollees must contact their primary care manager within 24 hours or the next business day after receiving emergency care.

The waiver does not apply to beneficiaries using TRICARE Standard, TRICARE For Life or Prime enrollees with the US Family Health Plan, which is available in some areas of Washington state.

Since the start of the new West Region health care support contract on April 1, UnitedHealthcare’s website and call center have experienced heavy usage, and now, referral and authorization delays.

TRICARE Management Activity officials are working closely with UnitedHealthcare to address issues, reduce backlogs and ensure beneficiaries get the quality health care and service they deserve. TMA leadership is closely monitoring UnitedHealthcare efforts to improve their customer service.

West Region beneficiaries can get more information and sign up for updates at http://www.tricare.mil/westtransition.

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About Edited by Susan Bainbridge

At age 6, Susan was destined to be a journalist and photographer.  In 1980, Susan founded Bainbridge News and The Bainbridge Chronicle Newspaper. Bainbridge News specializes in Military and National Politics, including Military Funerals and Burials and Political Funerals and Burials.  Susan has covered the White House, the Pentagon and Capitol Hill. She has covered every president from Ronald Reagan to Barack Obama. Recognized for her versatility, Susan has also covered finance, crime, civil rights events, marches, sports, musical events and more. In 1990, she established Bainbridge Photography, an On-Location photography company. In addition to military and political events, including Military and Political funerals and burials, Bainbridge Photography expanded into covering ALL funerals and burials, receptions, weddings, real estate, inventory, insurance, portrait, head shot, pets, fire and Hazmat.  Miss Bainbridge believes in going the extra mile. "My Clients always come first." In 1980, Susan began her career in Washington, D.C., working for WMZQ Radio as a reporter and guest hostess from 1980 to 1985. Intrigued by radio, Susan wanted to write, freelancing for radio, television and print newspapers, including AP, The Washington Post, The Washington Times, The Northern Virginia Sun, The Press-Republican and The Bainbridge Chronicle (established by Susan Bainbridge). In 1986, Susan worked at WDCA-TV Channel 20 as a guest hostess for "Eye On Washington." From 1990 to 1994, Susan reported and anchored for "The Arlington Weekly News." Additionally, she produced a segment for the G. Gordon Liddy Radio Show. A prolific writer, while in high school in 1977, Bainbridge wrote an episode for NBC's "Little House on The Prairie" entitled "Laura's Best Friend." Though the show's producers did not use the script then, NBC producers encouraged Susan to pursue a writing and journalism career. Susan is a member of the National Press Club, the National Press Photographer's Association and the Society of Professional Journalists. Susan Bainbridge's recognitions include from former Presidents Ronald Reagan, George Herbert Walker Bush and Bill Clinton, former First Lady Nancy Reagan, former British Prime Minister Margaret Thatcher, the late actor Lorne Greene, among many others. BAINBRIDGE NEWS was founded in 1980 by Susan Bainbridge (a sixth generation writer), a third generation journalist, a first generation photographer and a fourth generation entrepreneur. She is the first generation to establish a news business. Bainbridge News is dedicated in honor of Miss Bainbridge's late grandfather and idol, Mark S. Watson (The Baltimore Sun editor and war correspondent from 1920 to his death in 1966).

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