By Kristin Shives
TRICARE Management Activity
October 09, 2012
Starting Jan. 1, 2013 TRICARE is launching a demonstration project in designated areas of the Philippines to provide beneficiaries access to high-quality health care from approved demonstration providers. TRICARE Standard beneficiaries who live in the Philippines and receive care in the designated demonstration areas may participate.
All beneficiaries who live in the Philippines and who’ve filed a claim in the last two years will be notified by letter at least 60 days prior to the start of health care delivery under the Philippine Demonstration. To have TRICARE cost share on their claims, beneficiaries getting care in demonstration areas must see an approved provider. If they elect not to participate in the demonstration by seeing a provider not on the approved provider list when they receive care in designated demonstration areas, TRICARE will not cost share on their claim.
One of the main benefits of the TRICARE Philippine Demonstration is approved providers will file claims on behalf of the beneficiary. The beneficiary then receives an explanation of benefits (EOB), which informs them of their patient liability, appropriate cost shares and deductibles.
Beneficiaries who live in the Philippines and want to participate in the demonstration must provide their physical address to the approved provider to submit claims on their behalf. Post office boxes and retirement activity office boxes are not acceptable.
TRICARE is committed to providing high-quality care to eligible TRICARE Standard beneficiaries residing in the Philippines while effectively managing health care costs. Beneficiaries looking for more information on the Philippine Demonstration can visit www.tricare.mil/Philippines or www.tricare-overseas.com/Beneficiary_PhilippineDemonstration_home.htm. The approved provider list will be posted on the TRICARE Overseas Program contractor’s website at least 60 days prior to the start date of the demonstration, www.tricare-overseas.com.