Medical Group

1
Medical Group

• Col Vincent Michaud Commander
• 784-2001

2
51 MDG Overview

• Osan Hospital Services
• Getting the Care You Need
• Pharmacy Services
• Women, Infants, Children - Overseas Program
• Dental Services and TRICARE Dental

3
Welcome to Osan!
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Osan Hospital Services

• Full outpatient and limited inpatient services
• Primary Care, Pediatrics, Internal Medicine,
  Womens Health, and Flight Medicine
• Optometry, Physical Therapy
• Orthopedics (Surgery) and General Surgery
• Full service Emergency Room (24/7)
• Access via 9-1-1 (base phone) or 031-661-9111
• Life Skills and Behavioral Health
• Full ancillary services
• Pharmacy, Radiology, and Laboratory
• CT and ultrasound available in-house

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Getting the Care You Need

• TRICARE Basics and Enrollment
• Appointments
• Referrals (for care outside Osan Hospital)
• Local Challenges
• Command Sponsored vs. Non-Command Sponsored
• Prenatal Care
• Health Care Advisory Council

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TRICARE at Osan

• Phone number 784-2589/2273
• Hours of Operation Mon-Fri 0700-1600
• TRICARE office is located in main hospital
• Services provided
• Referrals, medical clearances, claims, patient
  advocacy, TRICARE information/questions

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Enrollments

• Upon arrival at Osan
• Update DEERS (address, etc)
• Check with the TRICARE office to transfer
  enrollment
• ADFMs must transfer enrollment within 60 days or
  they will be disenrolled from TRICARE Pacific
  Prime and revert to TRICARE Standard

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TRICARE Plan Basics

• TRICARE Prime
• Enrolled to the base hospital (military treatment
  facility)
• Less choice of where to get care, but less
  costly
• Open at Osan to AD and ADFM (Command Sponsored)
• Other DoD support personnel enjoy Prime-like
  benefit
• TRICARE Standard
• Not enrolled, but gives access to base hospital
• More choice, but more costs w/ co-pays,
  deductibles
• Open to all Team Osan members (AD must be Prime)
• Default health plan option for Non-Command
  Sponsored ADFMs

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TRICARE Claims

• Tips to filing
• Keep copies of all paperwork
• Always ask questions to ensure you have
  everything you may need request a translator in
  host nation facilities (International Clinic
  option is useful)
• Consult with TRICARE office (Mr. Genesy) on
  specifics
• Request payment in US dollars or you may receive
  reimbursement in host nation currency (Won)
• Submit claims to

Wisconsin Physician Services PO Box 7985 Madison,
WI 53707-7985
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Guidelines for Getting Care While
Traveling

• Emergency care seek care at the nearest
  military or civilian emergency room (No
  Authorization Needed)
• Urgent care - Prime members are encouraged to
  visit the nearest MTF whenever possible (No
  Authorization Needed)
• Routine Care Must get authorization prior to
  visit call the
• TRICARE Pacific Service Center at
  1-888-777-8343
• AD must call the Military Medical Support Office
  (MMSO) at 1-888-647-6676 for in-patient mental
  health or in the event of traumatic injury

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Healthcare While Traveling in WESTPAC Remote
Countries for AD ONLY

• International SOS (65) 6338-9277 (Singapore)
• Can call collect or dial direct
• Provides access to quality, western style urgent
  and emergent medical and dental care for active
  duty
• Provides a cashless claimless service for all
  Active Duty traveling in the remote Pacific
  countries
• Doctor on staff 24/7 for personal assistance
• Not available in Okinawa, Japan, Guam and
  Korea

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Medical Appointments

• Commercial 031-661-DOCS (3627), DSN 784-DOCS
  (3627)
• Hours of Operation Mon-Fri 0700-1600
• (closures for exercises/training will be
  advertised)
• Phone Options
• 1 - Appointment (Make/Change/Cancel)
• 2 - Leave Message for PCM
• 3 - Dental Clinic
• 4 - TRICARE Office (51 MDG)
• 5 - Pharmacy and Other Services

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Common Referral Sources

• 51 MDG does not provide every service in-house
• 51 MDG providers will refer out to other
  sources
• Access to others sources of care enable full
  range of services
• 121 Combat Support Hospital (121 CSH)
• Ajou University Hospital
• Good Morning Hospital
• Aeromedical Evacuation for active duty (AD) and
  AD family members (ADFM) also an option

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Common Challenges

• Access to care can be challenging Jul-Sep
• Appoint delays due to no-notice exercises
• Limited access to specialties at 121 CSH
• Korean facilities prefer payment up front
• Usually for referrals and emergency care if
  sought
• Cultural differences in treatment
• Approach can vary w/ privacy and techniques
• And of course, language barriers do exist!
• Many providers are Western trained
• Nurse partnerships and International Clinics help

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Local ChallengesCSP vs. Non-CSP

• CSP
• Family members must be on orders to be covered
• Eligible to enroll in TRICARE Prime
• Eligible for referral to civilian facilities (by
  PCM)
• Non-CSP
• Eligible for TRICARE Standard only (automatic)
• Seen on a space available basis at Osan Hospital
  (or other MTF)
• TRICARE pays 80 and sponsor pays 20 for care
  after deductible
• Civilian care may require payment up-front

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Local ChallengesPrenatal Care

• Begins with initial visit to Womens Health
  provider (OB/GYN)
• High risk patients are referred to 121 CSH at
  Yongsan
• Routine OB visits continue every 4 weeks, up to
  28 weeks gestation
• Last Osan OB visit will be at 34 weeks, patients
  are then referred to 121 CSH

Osan Hospital does not offer full obstetrics
services (deliveries)
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Pharmacy Services

• Osan Hospital has a full-service Pharmacy
• Open 0700-1600, Mon-Fri 0700-1700 on Thurs
• Call-in refills available via 784-DOCS or direct
  at 784-2186
• TRICARE Mail Order Pharmacy (TMOP)
• Register at www.express-scripts.com
• 1-866-363-8667 (US)

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Pharmacy ServicesRefills

• Refills from Osan AB providers
• Must be called into automated phone system
  (784-2186)
• You will be asked to input your Rx from bottle
• Refills will be ready by 1000 the next duty day
• If you have any pharmacy questions please
• Phone [phone]

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WIC Overseas Program

• WIC Women, Infant and Children
• WICO Regional Manager Luman Medalla, MS, RD
• DSN 784-3806/9426 Commercial
  031-661-3806/9426
• Location Bldg 766 (Rear entrance of Veterinary
  Clinic)
• Hours M-F 0800-1630 (closed Federal Holidays)
• WIC Website http//www.tricare.mil/wic/location.c
  fm

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What is WIC Overseas?

• Nutrition Education and Supplemental Food Program
  which aims to enhance the quality of health and
  wellness of the family.

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Dental Services

• Normal duty hours
• 0700-1600 Monday Friday, excluding holidays
• TRICARE Family Member Dental Plan
• Inquire at Dental Clinic Front Desk or TRICARE
  Office
• Sick Call hours
• 0700 and 1230, report to the front desk
• After hours emergency care
• To control bleeding, swelling, extreme pain
• Report to the emergency room (Bldg 777, Main
  Hospital)

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Priority of Dental Care

• Eligible categories for routine dental care
  appts
• Active Duty
• Active Duty CSP family members
• DoDDS employees family members
• Priority for those eligible for Space Available
  (SA) appts
• Non-command sponsored family members
• Retirees and their family members
• SA care is generally limited to procedures that
  can be completed in one appointment

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Orthodontic Care

• Eligible for care by Orthodontist at 121 Combat
  Support Hospital, Yongsan Army Garrison (Seoul)
• Active Duty (continuation and new cases)
• Continuation of command sponsored family member
  cases that had orthodontic treatment initiated
  prior to notification of assignment to Korea
• Initiation of new orthodontics for family
  members
• TRICARE OCONUS Family Member Dental Plan
• Utilizes Host-nation Orthodontists
• Requires two-stage referral from Osan Dental
  Clinic/TRICARE
• Available in the local Osan/Pyeongtaek area

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United Concordia (UCCI) TRICARE Dental Program

• Benefits same as the CONUS plan
• Open only to active duty family members
• Enroll directly with UCCI
• Covers preventive and general dentistry needs
• Can be used with any licensed dentist when in
  CONUS
• Can avoid possible balance billing when using
  UCCI network dentists
• Must have non-availability form from military
  dental treatment facility if receiving civilian
  dental care in non-remote countries

Dental, Rev 1, 01-01-04