Starting in January of this year, Humana became the new insurance contractor for TRICARE Health Insurance. This does mean slight changes, but nothing extensive for TRICARE recipients.

Starting in January of this year, Humana became the new insurance contractor for TRICARE Health Insurance. This does mean slight changes, but nothing extensive for TRICARE recipients.

TRICARE is a health insurance program (managed by the Defense Health Agency) for military members, their dependents, retirees, and some survivors and former spouses. Changes that individuals will encounter include different copays and number of visits.

TRICARE offers several options such as Standard, Extra, Prime, Reserve Select, Reserve-Retired, for Life, Young Adult, and Supplement.

“TRICARE did changes across the board,” said Maj. Edwin Pierce, chief, Managed Care, Womack Army Medical Center. “With the different co-payments, there are slight changes in the pharmacy payments when paying for different prescriptions. We have also had some changes in our co-payment in our TRICARE Prime and TRICARE Select individuals.”

Pierce added, there are changes in the amount of urgent care and emergency room visits as well.

“For urgent care in the past, when we had Health Net as our support contract, you were only allowed two health care visits,” Pierce said. “With Humana, you are allowed unlimited urgent care visits. This is for active duty service members and their dependents.”

Pierce stated that due to the changes, many individuals have concerns about TRICARE and the impact this may have on the physicians or clinics they receive services from. Many believe that once Humana took over the contract, their physician would change, but that is not the case.

All the physicians that were with the Health Net plan are now with the Humana plan. However, different circumstances can arise and cause some TRICARE beneficiaries to end up not having the same doctor or specialist.

“Some have retired, moved, closed down their practice, passed away or some practices did not want to accept TRICARE,” said Pierce.

To help with the transition, Womack offers one-on-one service for individuals who have any issues or questions regarding TRICARE.

“I invite anybody in our community to come up to the second floor of Womack Army Medical Center to visit our referral center and health benefits office,” said Pierce. “We have three health benefits advisers on staff that are able to help with any questions about TRICARE.”

Pierce added one of the best services the health benefits advisers provide is to the Soldiers transitioning out of the military. The advisers can explain the different TRICARE options and help service members make an informed educated decision on what is best for them and their Family.

For more information on TRICARE visit https://www.tricare.mil/ or information about Womack Hospital Facebook page.