TRICARE NEWS AND INFORMATION - DIRECTLY FROM THE DEFENSE HEALTH AGENCY

These important briefings are provided through AFSAs Veterans Service Organization's Communicators Partnership with the National Veterans Outreach Office, Department of Veterans Affairs. 

BENEFICIARY FOCUS

1. TRICARE Select beneficiaries, ages 0-64, with two or more complex medical conditions. These may include illnesses such as asthma, cancer, depression, diabetes, and heart disease.
2. Beneficiaries who have claims totaling $100,000 a year or more. This may happen if they have multiple emergency room trips or hospital admissions.
3. Beneficiaries can call Accolade at 833-400-9603 to find out if they are eligible.

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STAKEHOLDERS

• Military Health System Leadership
• Department of Defense Leadership
• Humana Military Leadership
• Health Net Leadership
• MSO/VSOs

TRICARE Select Health Care Benefits
Section 731 of the National Defense Authorization Act (NDAA) mandated the Defense Health Agency to implement a pilot program, “Navigator Pilot.” The pilot launched May 1, 2020. Under this pilot, certain TRICARE Select beneficiary’s ages 0-64 with complex medical conditions receive assistance with the following: 

• Understanding and using TRICARE Select health care benefits
• Accessing and navigating the purchased care health care delivery system
• Providing/obtaining information to allow beneficiaries to make informed decisions regarding quality, safety, and cost of available health care services
• Improving the health outcomes of beneficiaries

 
The Defense Health Agency contracted with Accolade Health Inc. to launch the TRICARE Select Navigator health care pilot to provide assistance to certain TRICARE Select beneficiaries, ages 0-64, with complex medical conditions, defined as two or more conditions requiring coordination of multiple specialties or high cost claimants ($100k/year or above).
 
The purpose of the pilot is to assess whether such a program improves health outcomes and patient experience for covered beneficiaries with complex medical conditions, including reduced use of unnecessary emergency room or urgent care visits due to lack of understanding of benefit options.
 
Through the TRICARE Select Navigator pilot, Accolade assigns an independent clinical nurse (advisor) to support each eligible beneficiary in a personalized way throughout their healthcare experience. The nurse conducts assessments to identify clinical needs and help beneficiaries understand tests, costs, risks, and treatment options. The nurse assists in hospital admissions/discharge and collaborates with providers to coordinate care. 

VISIT THE TRICARE WEBSITE TO SIGN=UP AND LEARN MORE: https://tricare.mil/selectnavigator2020

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Are you a TRICARE Select beneficiary with complex medical conditions? You may be eligible for TRICARE Select Navigator, a new program to help you navigate your health care. Learn more at tricare.mil/selectnavigator2020

Do you or a loved one have complex medical conditions? If enrolled in TRICARE Select, you may be eligible to use the new TRICARE Select Navigator. Personalized clinical support is just a click away. See if you qualify today: tricare.mil/selectnavigator2020​

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