Tag Archives: TRICARE

The Power of Volunteering

The power of volunteeringApril 21-27 is designated as National Volunteer Week and this year’s theme is “Celebrate Service.” The National Military Family Association is celebrating our volunteers, both past and present, who have made a profound contribution to the Association and the military families we serve. Today’s post is written by a volunteer about a volunteer, and is just one highlight of the great work all our volunteers do!

“Never be afraid to ask what you can do, because even if something seems really small, it can still help,” says Susan Reynolds, a military spouse and volunteer for the National Military Family Association. This philosophy, an unshakable optimism, and a genuine desire to contribute to her community keeps Susan fighting hard for military kids and families. She is committed to making sure that military kids, especially those with special needs, get the quality medical care they need and deserve.

Susan’s initiative started when her son was diagnosed with plagiocephaly, a condition defined by an asymmetrical distortion, or flattening, of one side of the skull. Her son needed a reshaping helmet, which she was told was not covered by TRICARE. The helmets can cost up to $5,000. Luckily, she and her husband were able to pay for it out of their savings account. However, she realized that not every military family could afford to do the same. “I don’t care what your rank is, that is a lot of money to come up with right away,” Susan says.

Even worse than the cost of the treatment was the uncertainty and delay Susan faced in getting her son properly diagnosed. “I was really given the runaround from the military treatment facility about TRICARE and what his course of treatment was,” Susan explains. Her experience convinced her that TRICARE and DoD can and must do better to ensure that military kids, especially those with special needs, are getting the care they need.

Susan soon became a tireless advocate for military kids and families. She worked closely with our Association’s Government Relations Department to understand TRICARE policy and how it should be changed. She founded support groups for military families with special needs children and met with Congressional staff members and other officials to share those families’ stories. During this time, while her husband deployed to Afghanistan, Susan’s home was hit by a tornado, but she never allowed herself to be distracted from her objective: to fight for military children.

Thanks in part to Susan’s efforts, Congress included a provision in the 2013 National Defense Authorization Act directing the Department of Defense to study TRICARE and its policies regarding care for kids. The provision, known as TRICARE for Kids, aims to develop and encourage health care practices addressing the specific needs of military children. “It was just so exciting to know that something I had worked on with the Association was passed,” Susan says. For her, knowing the President signed the bill that includes this provision is among her most rewarding and exciting achievements. She continues to work hard, however, to make sure that the results of the study reflect the real needs of military children and families.

To Susan, being a volunteer for the Association is her part time job. She enjoys reading, doing research, and keeping an eye on different issues happening in her local community and the greater military community. She never hesitates to talk about the Association and the people and organizations that she is involved with. She goes to key spouse meetings, to community blueprint meetings, talks to local nonprofits, and reports information associated with the military.

Susan will continue to work with the Association and to represent military families, as she wants to ensure people’s voices are being heard. She has received various awards and recognition  including one of the Air Force General’s coins. On more than one occasion, Susan was nominated as Air Force Spouse of the Year by different spouse magazines. Nevertheless, to her, knowing that she can make a difference and serve her community is the greatest reward.

Marlis Perez RiveraPosted by Marlis Perez Rivera, Volunteer with the National Military Family Association

Everything you need to know about the new TRICARE West Region Contractor, UnitedHealthcare Military & Veterans

Everything you need to know about the new TRICARE West Region ContractorThis month, the contractor managing the health care benefit in the TRICARE West Region changed from TriWest to UnitedHealthcare Military & Veterans (UnitedHealthcare). If you are enrolled in the TRICARE West Region, you should have received a welcome packet from UnitedHealthcare.

The TRICARE West Region includes Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excluding the Rock Island Arsenal area), Kansas, Minnesota, Missouri (excluding the St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (the southwestern corner, including El Paso), Utah, Washington, and Wyoming.

Continuity of care remains a top TRICARE priority, and UnitedHealthcare officials have pledged to the National Military Family Association and other beneficiary groups that it will make every effort to conduct a smooth transition. Here are some tips to help ensure your family has a smooth transition:

Keep Contact Information Handy
UnitedHealthcare Military & Veterans
1.877.988.WEST (1.877.988.9378)
www.uhcmilitarywest.com

Review your Primary Care Manager (PCM)
UnitedHealthcare has recruited more than 90% of the PCMs in TriWest’s network to be in their network. A searchable online directory is available on UnitedHealthcare’s website. If you do not see your current PCM listed in the directory, do not be alarmed. UnitedHealthcare is will continue to add more providers. It is recommended your ask if your provider is part of UnitedHealthcare’s network before you seek services.

Explore Enhanced Benefits
UnitedHealthcare will provide new benefits including Convenience Care Clinics, Urgent Care Centers, Centers of Excellence, and Telemedicine services. Keep checking the UnitedHealthcare website for more information about the enhanced benefits.

The National Military Family Association welcomes UnitedHealthcare to the TRICARE community. We look forward to continuing our ongoing dialogue about how to best meet the health care needs of military families in the West Region.

katiePosted by Katie Savant, Government Relations Information Manager at the National Military Family Association

We fight for military families: the Association’s 2013 priorities, Part 3

We fight for military families: the Association’s 2013 priorities, Part 3This is Part 3 of a series explaining the National Military Family Association’s legislative priorities for 2013. Read Part 1 and Part 2 here.

Some issues affecting military families can only be taken care of through Congressional action. We see most of the work on these issues being addressed through the House and Senate Armed Services Committees in the National Defense Authorization Act (NDAA), which sets the laws and regulations for Department of Defense (DoD) and the Services to follow. The funding of this legislation comes through the House and Senate Appropriations Committees with the Defense Appropriations bill and the Military Construction and Veterans Affairs Appropriations bill.

Congress did not pass the Appropriations bills for Fiscal Year 2013 (FY13), which began on October 1, 2012. They passed a Continuing Resolution or CR, which forced DoD to work on 2013 missions, projects, and programs with 2012 levels of funding. The current Continuing Resolution will expire March 27. While military paychecks are protected for 2013, essential services could shut down if the CR is allowed to expire. This isn’t the first year we have had the threat of a government shutdown.

Pass the NDAA FY14

This is why our first “ask” for Congress is to pass the National Defense Authorization Act for FY14 and the bills that fund this legislation by October 1 in order to eliminate the uncertainty faced by the military community.

Increase Impact Aid

If you have children attending public schools, you should be aware of how important Impact Aid funding is to local school districts that educate large numbers of military children. We’re asking Congress to increase the level of Department of Education Impact Aid funding to meet the Federal obligation to support school districts educating military children and continue to fund the DoD supplemental impact aid and grant program. Impact Aid funding has not kept pace with rising education costs.

Protect surviving spouses

Survivors of service members who have died on active duty or from a service-connected disability are unfairly penalized by having their Survivor Benefit Plan (SBP) annuity offset by the Department of Veterans Affairs Dependency and Indemnity Compensation (DIC) payment. Under current law, survivors who are eligible for both SBP and DIC must forfeit a dollar of their SBP annuity for every dollar of DIC received. Often the offset eliminates the SBP annuity altogether. We ask Congress to end the DIC dollar for dollar offset of SBP payments for surviving spouses. For more details on this issue, visit the Survivors section on our website.

Ease transitions for the whole family

DoD does not always need Congressional approval to improve or change policies. We are asking DoD to address the informational needs of military families transitioning out of the military by expanding the opportunity for spouses to attend transition classes with service members and tailor information to address family transition issues.

Support families with special needs

It can often take DoD a long time to implement programs mandated by Congress. In the NDAA FY13, Congress charged DoD to start a pilot program to provide therapy for some families with special needs. We want DoD to implement the new pilot program to provide Applied Behavior Analysis to ALL eligible TRICARE beneficiaries.

If you have questions about our priorities for 2013 or would like to provide us with information about how these issues will affect you and your family, please leave a comment below. As I mentioned in the beginning of this blog series, we are sharing your stories, your experiences, and your suggestions to improve the quality of life for military families.

These are not the only issues we will be advocating for. When a new challenge surfaces that affects military families, we will make sure it is brought to the attention of the policymakers who can make a difference. We are listening to you and for you. We are your voice.

kathyPosted by Kathleen Moakler, Government Relations Director at the National Military Family Association

Looking back at 2012

National Military Family Association: A look back at 2012Where does a year go? It’s amazing to see the months fly by, filled with memorable occasions like weddings, road trips, big moves, and deployments. 2012 was a year of change, new ideas, and growth for the military community, and for us as well! Here’s how we spent our year.

Sometimes it seems like if something can go wrong, it will. Or when it rains, it pours. Whichever idiom you want to apply, 2012 brought a few unexpected lemons for us to make into lemonade. From the close call of a government shutdown in April, threats to commissary benefits, and the fiscal cliff negotiations in December, we were proud to be  the place military families turned to understand the impact of these actions and find out what could be done in response. It’s nice to know that no matter what comes our way, our community always makes it to the other side of the issue infinitely stronger.

With almost everyone and their grandma (literally) having a smart phone or social media account, these days it seems like we are more connected than ever. Military families are no different, and this year we created a few new ways to provide resources and support via the most-used platforms. Although we are all part of the same community, each military family faces its own challenges going through the many different stages and phases of life. Whether a family is preparing to move, expecting a baby, or anticipating a deployment, our new app, MyMilitaryLife, brings our subject matter expertise and important resources when and where it’s most needed. We’ve had nearly 4,000 downloads from the iTunes and GooglePlay stores, and with six more life paths being added in 2013, we look forward to growing our presence on this new mobile platform.

We are committed to providing spouses and families with the resources and programs needed to make military life a bit easier. We awarded $448,000 in scholarship funds to military spouses beginning or continuing their education through our Joanne Holbrook Patton Military Spouse Scholarship Program. Our Operation Purple® program had another great season, sending 1,581 military kids to camp across the country. With so many service members returning from deployment, creating a network of support during this period of change and adjustment was more important than ever. We held six Family Retreats and four Healing Adventures for families with a wounded or returning service member who needed to ease into the reintegration process after a deployment.

It went by fast, but 2012 was a productive and fulfilling year. We’re excited to see where 2013 takes us—stay tuned for a companion post on the Association’s goals for the year.

Your turn: what would you like to see us focus on this year?

maranathaPosted by Maranatha Bivens, Communications Editor at the National Military Family Association

One toe over the edge: the Fiscal Cliff and military families

One toe over the ledge: the Fiscal Cliff and military familiesSo we’ve managed not to topple over the cliff, but it looks like we’ll be hanging on the ledge of uncertainty for a few more months. In the wee hours of the New Year, Congress passed a compromise bill to keep the country from heading over the edge. Like any compromise, the bill didn’t please everyone, but it did fix several issues important to military families, including a one-year extension of the Medicare/TRICARE doc fix, which will help protect families’ access to health care. The compromise legislation did not include an increase to the debt ceiling and the Treasury Department estimates it will run out of ways to stay within the current ceiling by late February or early March, right about the time sequestration is now set to start.

And what of those automatic cuts to federal spending, known as sequestration? The best the Congressional leaders and the President could do was to postpone it for two months. That might sound like a good thing, but this delay also means uncertainty about what will or could be cut for military installations, schools that educate military kids, defense contractors, and all other military and community agencies that support military families.

Other provisions included in the compromise bill would:

  • Create a permanent fix for the Alternative Minimum Tax to prevent taxpayers from moving into higher tax brackets simply because of inflation—this fix was needed immediately to keep taxpayers from paying higher taxes on their 2012 income.
  • Permanently extend the Bush-era tax rates for all families earning less than $450,000.
  • Increase the tax rate on capital gains and some estates.
  • Freeze Congressional pay.
  • Extend federal unemployment benefits for one year.
  • Extend provisions in the expiring farm bill by one year. (This means milk prices won’t skyrocket, as you may have seen in the news.)

The compromise bill did not extend the lower payroll tax rate of 4.2% in effect during the past two years through economic stimulus legislation. Therefore, the payroll tax workers pay to support Social Security will immediately return to 6.2%. Workers will see this change in their first paycheck of 2013. Experts estimate that the family earning an average of $50,000 per year will pay an additional $1,000 in payroll taxes this year.

While the New Year’s Congressional action gives the government and taxpayers some breathing room, we’re not out of the woods yet. The temporary delay of the sequestration cuts will combine with other pending budget events to continue the fiscal uncertainty facing our Nation.

The Association appreciates the actions by Congress and the President to provide the fix to Medicare and TRICARE doctors. We remain concerned about the failure to address the potentially devastating sequestration cuts to both civilian and military programs that could have a negative impact on military families. While the delay in sequestration will temporarily protect some needed support services, it also continues the uncertainty, and a military community at war needs certainty that the Nation supports its service. We call on our Nation’s leaders to forge a more permanent solution that will preserve the strength of our service members and their families.

How do you feel about the outcome of the compromise bill and the negotiations surrounding it?

Joyce RaezerPosted by Joyce Raezer, Executive Director at the National Military Family Association

Here We Go Again! Cuts to Medicare/TRICARE Physician Payments Begin January 1 Unless Congress Acts

Here We Go Again! Cuts to Medicare/TRICARE Physician Payments Begin January 1 Unless Congress ActsAttention TRICARE beneficiaries! In two weeks, doctors will face a 26.5% payment cut for care they provide to Medicare and TRICARE patients. The National Military Family Association believes these impending cuts will directly affect military families’ access to timely care because physicians may decide to no longer care for their existing Medicare or TRICARE patients or accept new ones.

Getting a so-called “Doc Fix,” which would end scheduled cuts in Medicare reimbursement rates, is a recurring issue. Congress temporarily stopped the scheduled payment cuts in February 2012 as part of the Middle Class Tax Relief and Job Creation Act of 2012  (P.L. 112-96). Unfortunately, that fix is due to expire on January 1, 2013, which means that without further Congressional action the 26.5% physician payment cut will go into effect. The timing of the expiration also means the issue has been caught up in the negotiations over the pending fiscal cliff. This makes fixing it that more difficult.

By law, TRICARE reimbursement rates must follow the Medicare reimbursement rules. The law does permit TRICARE to make exceptions if necessary to ensure an adequate network of providers or to eliminate a situation of severely impaired access to care. But, the process of making those adjustments can take time and may happen only after TRICARE officials receive enough reports that military families aren’t finding the care they need.

Our research, Views from the Homefront, demonstrated the need for mental health services for military spouses and children. Our military families already experience difficulty gaining access to mental health care in many communities. We cannot afford to lose any mental health providers. After 11+ years of war, the military must be growing our access to mental health care rather than decreasing it.

We’ve been monitoring this issue and raising concerns about the impact not fixing the rates could have on military families. We encourage military families to contact Members of Congress (House and Senate) and tell them how these cuts can affect access to the health care they need. Ask Congress to implement a permanent fix.

What do you think about these potential cuts? Will your family be affected?

Joyce RaezerPosted by Joyce Raezer, Executive Director at the National Military Family Association