Changes
| Change | Overview |
|---|---|
| Army Active Guard and Reserve Personnel Record Reinstated |
In January 2023, TRICARE eligibility was inadvertently deleted from around 13,000 Army Active Guard and Reserve (AGR) personnel records caused by an error transitioning to the Army Integrated Personnel and Pay System. Army and DMDC have resolved known impacted AGR records and TRICARE health plans have been reinstated in the Defense Enrollment Eligibility Reporting System(DEERS) A database of information on uniformed services members (sponsors), U.S.-sponsored foreign military, DoD and uniformed services civilians, other personnel as directed by the DoD, and their family members. You need to register in DEERS to get TRICARE. (DEERS). Primary Care Manager (PCM) assignments have been reconfirmed and regional contractors have reprocessed claims and referrals. To confirm eligibility status you can log into Beneficiary Web Enrollment (BWE) at milonnect.dmdc.osd.mil/milconnect. If you suspect your records have not been restored correctly, please contact your Army personnel office. |
| Changes to TRICARE Expected in 2024 |
A new TRICARE contract is expected to start in 2024. The changes will improve the delivery, quality, and cost of your health care services. This includes:
In addition, the following states are moving from the East RegionAlabama, Arkansas, Connecticut, Delaware, the District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa (Rock Island area), Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri (St. Louis area), New Hampshire, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas (excluding El Paso area), Vermont, Virginia, West Virginia, and Wisconsin. to the West RegionAlaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa (excludes Rock Island arsenal area), Kansas, Minnesota, Missouri (except St. Louis area), Montana, Nebraska, Nevada, New Mexico, North Dakota, Oregon, South Dakota, Texas (southwestern corner including El Paso), Utah, Washington and Wyoming.:
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FDA Recall of Certain Sleep and Respiratory Devices |
The Food and Drug Administration (FDA) has directed Philips Respironics to recall certain sleep and respiratory devices. This includes certain Constant Positive Airway Pressure (CPAP) devices, Bi-Level Airway Pressure (BiPAP) devices, and some ventilators.
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| TRICARE Reserve Select reinstatement request extension | Have you lost your TRICARE Reserve Select (TRS) coverage for failure to pay? You'll now have five months from your last paid-through date to request reinstatement. If your TRS coverage is reinstated, you’re still responsible for paying all past due premiums. You’ll also have to pay your current premiums, including fees. This is a temporary change during the national health emergency. |
| TRICARE Pharmacy Network Changes | As of Oct. 24, 2022, about 15,000 independent pharmacies will leave the TRICARE retail pharmacy network. If you fill a prescription at one of these pharmacies on or after Oct. 24, 2022, you’ll pay the full cost of the drug. If you choose to pay the retail non-network pharmacy copaymentA fixed dollar amount you may pay for a covered health care service or drug., you may file a claim for reimbursement. Learn more. |
| Omnipod 5 Insulin Delivery Device | Beginning Feb. 15, 2023, the TRICARE Pharmacy Program covers the Omnipod 5 insulin delivery device, including initial kit. You can purchase the Omnipod 5 through retail pharmacies only. The device isn’t available through TRICARE Pharmacy Home Delivery or military pharmacies. Pre-authorization from your primary care manager is required. Visit the Formulary Search Tool for availability of the Omnipod 5. Learn more about TRICARE’s diabetic supplies. |
Last Updated 4/4/2023