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TRICARE Changes and You

The Military Health System (MHS) is modernizing to better serve you and respond to changes in law and policy. Over the coming months and years, you will see some significant changes to the TRICARE health plan. Most provisions went into effect on January 1, 2018, with full implementation occurring on January 1, 2019.

Visit the TRICARE Website to Learn More

TRICARE is changing. Are you ready?

What has changed so far?

What else is changing?

  • February 1, 2018: Pharmacy copayments will change.
  • November 12 - December 10, 2018: Federal Benefits Open Season for FEDVIP.
  • December 31, 2018: TRICARE Retiree Dental Program will end.

What can you do to prepare for the changes?

Want to learn more?

Tell Us What You Think

Send us your suggestions on information you want to know about the upcoming changes: tricarechanges@mail.mil

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Defense Health Agency Year in Review

Article
12/20/2016
Defense Health Agency’s Director, Navy Vice Adm. Raquel Bono, visited the Medical Education and Training Campus at Fort Sam Houston, Texas, to see the training of the next generation of enlisted medical personnel earlier this fall.

As 2016 comes to an end, it is important to reflect on the goals, accomplishments and events that shaped DHA this year

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GAO upholds TRICARE contract awards

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11/15/2016
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The Government Accountability Office announced the results of its review of the protests filed against the TRICARE 2017 Managed Care Support Contracts awards November 11

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Approved Laboratory Developed Tests

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10/21/2016

Approved Laboratory Developed Tests by Test Name or by Gene(s) Tested

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The Defense Health Agency makes additional laboratory developed tests available

Article
10/21/2016
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The Defense Health Agency updated its policies, making 25 additional laboratory developed tests available to TRICARE patients

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Ten defendants charged in $100 Million TRICARE fraud scheme

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10/17/2016
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Special agents with the Federal Bureau of Investigation and the Defense Criminal Investigative Service arrested nine defendants this week in connection with their roles in a $100 million health care fraud conspiracy perpetrated against TRICARE

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Memorandum to Establish 2017 TRICARE Reserve Select and TRICARE Retired Reserve Rates

Policy

Calendar Year 2017 premium rates are established for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the attachment. Please provide widest dissemination. This information can be found at www.tricare.mil/trs and www.tricare.mil/trr.

Memorandum to Establish 2017 Premium Rates for the TRICARE Young Adult Program

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This memo establishes the CY2017 Premium Rates for TRICARE Young Adult

TRICARE expands access to mental health care, substance use disorder treatment

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9/29/2016
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Significant improvements to TRICARE's mental health benefit being implemented

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Memorandum to Establish 2016 Rates for TRICARE Young Adult Premiums

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TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 1110b and Title 32, Code of Federal Regulations, Part 199.26.

Have a #MilKid? Here's how to use TRICARE

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10/2/2015
Infographic that explains TRICARE coverage for children.

This infographic shows you the steps to take to get TRICARE for your child and highlights your child's benefits from birth to college. Learn more at www.tricare.mil/baby.

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How a Benefit Become Covered by TRICARE

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9/1/2015
Infographic depicted steps for a benefit to become covered by TRICARE

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DoD Directive 6010.04: Healthcare for Uniformed Services Members and Beneficiaries

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This directive reissues DoD Directive (DoDD) 6010.04 (Reference (a)) to update established policy and assigned responsibilities for administering Title 10, United States Code (Reference (b)). It serves as the joint document for administration of healthcare benefits required pursuant to Reference (b), and is issued by the Departments of Defense, Homeland Security, and Health and Human Services

ASD HA Memorandum 14-022 Policy Memorandum to Establish 2015 Premium Rates for the TRICARE Young Adult Program

Policy

TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 111Ob and Title 32, Code of Federal Regulations, Part 199.26. TYA monthly premiums for CY 2015 shall be the rates listed in this document.

Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year

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ASD (HA) Memorandum 14-015 - Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year. This memorandum establishes the Calendar Year 2015 premium rates for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the attachment. This information can be found at www.TRICARE.mil/trs and www.TRICARE.mil/trr.

Procedures on Responsibility of Dispensing Prescriptions at MTF Pharmacies 14-004

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This memorandum clarifies procedures relating to Health Affairs Policy 04-032, "TRICARE Pharmacy Benefit Program Formulary Management," dated December 22, 2004, which remains in effect. Specifically, this memorandum is addressed to all military treatment facility (MTF) providers and pharmacies. It revalidates the requirement for MTFs to provide medications prescribed by MTF providers and restates procedures for obtaining 3rd tier (Nonformulary) and compounded medications for patients treated at MTFs.

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