Reserve Component Healthcare Benefits Upon Release from Active Duty

1

• Reserve Component Healthcare Benefits Upon
  Release from Active Duty

2
Agenda

• Transitional Healthcare Benefits
• Transitional Pharmacy Benefit
• TRICARE Dental Program
• TRICARE Reserve Select (TRS)
• Miscellaneous Topics

3
Transitional Health Care Benefits
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Transitional Healthcare BenefitsEligibility

• Eligibility for Soldiers and dependent family
• members
• RC member released from active duty
• Served for more than 30 days in support of a
  contingency operation
• Eligible dependants must be in DEERS
• (Defense Enrollment Eligibility Reporting System)

5
Transitional Healthcare BenefitsBenefit Time
Frames

• Transitional Care
• 180 Days of Transitional Assistance (TA-180)
• Transitional Assistance (TA) begins the day
  following the Release From Active Duty (REFRAD).

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Transitional Healthcare Benefits Medical

• Three Options for Medical Care
• TRICARE Standard (20 cost share)
• TRICARE Extra (15 cost share)
• TRICARE Prime
• You must actively RE-ENROLL
• to use TRICARE Prime!

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Transitional Healthcare BenefitsOCONUS

• Soldiers and dependents living in
• Saipan, American Samoa and Guam
• Continue interacting International SOS
• TRICARE Prime Remote goes away
• TRICARE Prime available only where
  prime-providers are located-
• Guam US Naval Hospital or Andersen AFB

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TRICARE Pharmacy Benefit
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TRICARE Pharmacy Benefit

• Pharmacy benefit remains the same as when the
  Soldier was on active duty.
• 4 ways to fill prescription
• Military Treatment Facility Pharmacy
• TRICARE Mail Order Pharmacy
• Retail Network Pharmacy
• Retail Non-Network Pharmacy
• Present your dependent ID card and copy of REFRAD
  order.

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TRICARE Dental Program (United Concordia)
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TRICARE Dental Program (TDP)Enrollment

• The dental programs or TDP is not part of the
• Transitional Healthcare Benefits Program
• RC Members who were enrolled in TDP prior to
  active duty will be automatically reenrolled in
  TDP
• RC members should contact UCCI to confirm
  enrollment prior to seeking treatment for
  themselves or their family members

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TRICARE Dental Program (TDP)Commitment

• Family members enrolled after the first 30 days
  of mobilization must meet 12 month initial
  enrollment requirement
• Family members affected by 12 month commitment
  will continue enrollment at the full premium rate

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TRICARE Reserve Select (TRS)
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TRICARE Reserve Select (TRS)Eligibility

• New premium based TRICARE plan
• Reserve Component Eligibility
• Since September 11, 2001
• Activated under Title 10
• Serve continuously for 90 days
• Supported contingency operation
• Effective after TA-180
• Service commitment required

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TRICARE Reserve Select (TRS)Coverage

• Types of medical coverage
• TRICARE Standard (20 cost share)
• TRICARE Extra (15 cost share)
• TRICARE Prime is NOT available however MTFs may
  be used on a space available basis

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TRICARE Reserve Select (TRS)

• Monthly Premiums ( cost shares)
• Member only 75
• Member and family 233
• Annual Deductibles per Fiscal Year
• E-4 and below 50 (ind.) or 100 (fam.)
• E-5 and above 150 (ind.) or 300 (fam.)

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TRICARE Reserve Select (TRS)Requirements

• Soldier must complete purchase NLT 30
• days before TA-180 ends
• Enter into Service Agreement before Release from
  Active Duty (RFRAD)
• Execute the Service Agreement
• Purchase TRS at https//www.dmdc.osd.mil/Guard-R
  eservePortal

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TRICARE Reserve Select (TRS)Length of Coverage

• Must serve at least 90 days
• Every 90 days served equals 1 year
• Must commitment to equal years in Selective
  Reserves
• Maximum length is four years

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Miscellaneous Topics
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Uniformed Services Employment and Re-employment
Rights Act (USERRA)

• Under USERRA, you are entitled to re-enroll into
  your employer-sponsored health plan
• No waiting period
• All previously covered members
• No exclusion for pre-existing conditions
• USERRA protection for Soldiers
  employer-sponsored health plan only

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Certificate of Credible Coverage

• Certifies your coverage under the Military
  Healthcare System while on active duty
• May be required by your employer sponsored
  insurance plan
• DEERS Support Office will automatically provide
  this certificate
• (1-800-538-9552)

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Website Resources

• TRICARE
• 1-888-DoD Care (363-2273)
• http//www.tricare.osd.mil
• United Concordia (TDP)
• 1-800-866-8499
• http//www.ucci.com
• DMDC Support Office
• 1-800-538-9552
• http//www.dmdc.osd.mil
• TRS
• https//www.dmdc.osd.mil/Guard-ReservePortal