tricare area office-eurasia africa ausa brief · pdf file“medically ready forceready...

“MedicallyReadyForce…ReadyMedicalForce” 1

TRICARE Area Office-Eurasia AfricaAUSA Brief

CAPT Christine W. Mankowski, MSC, USNActing, Executive Director and

Chief, Program Operations

July 2017

“MedicallyReadyForce…ReadyMedicalForce”

Objectives

• DiscussTRICAREOverseasProgram• DiscussthecomplexitiesofprovidingtheTRICAREbenefitinanoverseasenvironment

• DiscussTRICAREAreaOffice– EurasiaAfrica(TAO-EA)SupportofOperationAtlanticResolve


WhatistheTRICAREOverseasProgram?

• TRICAREisahealthbenefitsplanfornetwork/purchased care• Not“insurance,”but…aBENEFITdirectedbylaw.

• 1overseasregiondivided into3overseasareas– HealthcareSupportServicesContract(Eurasia-Africa,Pacific,LatinAmerica&Canada)

• PEACE TimeContract

• TRICAREOverseasProgram(TOP)=TRICAREOCONUS

• TOPPrime(MTF-based),TOPPrimeRemote(non-MTFbased)

• TOPStandard(eligiblebeneficiarynotenrolledtoTOPPrime/Remote)

• InternationalSOS(Intl.SOS)isthecontractorforalloverseascare

4

TAO– EurasiaAfricaAOR

98Countries, 255remotesites/embassies,&23MilitaryTreatmentFacilities(MTFs).

6countriesaccount fornearly90%ofallthebeneficiaries.Germany,Italy,Spain,England,Turkey,Belgium

TRICAREEurasiaAfricaAOR

• 175,000eligiblebeneficiariesinEurasia-Africa• 163,579enrolledorempanelled forcare• 146,221Prime(136,090)and PrimeRemote(10,131)• 17,358TRICAREPLUS• Additional Deployed,TDYandpersonnel onleave


TAO- EurasiaAfrica- Challenges

• LanguageBarriers

• CulturalDifferences

• ExpectationManagement(especiallyinremoteareas)

• OverseasScreening/EFMP

• DeployableTroops• Non-network areas• Cashless/claimless• EducationoftheProcess


SupportofAtlanticResolveJan-Jun2017

Ø New Operational DMIS 6721 created/implemented Jan 2017Ø 3000 Soldiers are enrolled into operational DMIS 6721

Ø Cashless/Claimless in non-network areas of PolandØ 291 Authorization Letters issued (Jan-Jun)Ø 100% cashless/claimless for ADSMs seeking medical care through Intl SOS

Ø 10 sites requested Prime Remote Status:Ø Elk,Powidz, Skwierzyna,Zagan,Boleslawiec,Trzebien,Swietoszow, Drawsko

Pomorskje,PoznanandElblag(allsitesinPoland)Ø ElkNetworkEstablishedandfinalizedØ 8networksestablished,nearingcontractcompletionØ 1network(Elblag)newlyrequested, inprocessofestablishment


SupportofAtlanticResolveandeFP(NATO)inEasternEurope:Poland

ElkRemoteSite:Ø Supports eFP,NATOForces(2CR)Ø Successfully establishedmidAPR2017

(RequestsubmittedNOV2016)Ø Approximately700Soldiers onground, no

ADFMElblagRemoteSite:Ø RemoteSiterequestedISONATOoperations,

19May2017;CORawaitingpriceproposalfromInt’lSOS

Ø Willsupport approx.31beneficiaries

AtlanticResolve:Ø Variouslocations supportingAtlanticResolve,

approximately3,000Soldiers (noADFMs)Ø Remotesiteestablishment pending-

• 95%complete

Legend:• DesignatedRemoteSiteNetwork• SoldiersSupportingOAR• SoldiersSupportingNATOOperations• PendingRemoteSiteNetworks


Inconclusion….

• Theoverseasenvironmentiscomplex• COCOMS,Services,POCs,MTFs,TAO,InternationalSOS• Weareallonthesameteam!

• Therearenumerousresourcestoavailable• Grievances,complaints,compliments…..sharethem!


UsefulResources

• TOPOverviewBrief• www.tricare.mil/briefings

• TRICAREPublications• www.tricare-overseas.com

• TOPBeneficiaryHandbook• TOPGuidebook• TOPPassport• TRICAREWalletCard• TRICAREOverseasHealthMattersNewsletters


TOPOnlineResources

• DownloadaTOPCountry-SpecificWalletCard:www.tricare-overseas.com/contactus

• Frequentlyaskedquestions:www.tricare.mil/faqs

• Providersearch:www.tricare-overseas.com/ProviderSearch

• milConnect:http://milconnect.dmdc.mil

• E-mailupdates:www.tricare.mil/subscriptions

• Publications:www.tricare.mil/smart


• RegionalProgramDirector:Mr.SeanBevington• RegionalProgramManager:Mr.WilliamCochran• RegionalMedicalDirector:Dr.EdwardBebb

• TRICAREOverseasRegionalCallCenterEurasiaAfrica• FromUS:1-877-678-1207 (+44-20-8762-8384)• FromGermany:0800-589-1599,0800-723-4214• www.tricare-overseas.com/ContactUs/default.htm

InternationalSOS(RegionalMedicalAssistanceCenter:London)


TRICAREAreaOffice– EurasiaAfrica

• Acting,ExecutiveDirector:CAPTChristineW.Mankowski,USN• [email protected]

• MedicalDirector:LTCRandallFreeman,USA• [email protected]

• DSN314590-2999(+496371-9464-2999)• DSN314590-2957(+496371-9464-2957)• [email protected]


Questions?


Back-upSlides

Current10LargestPrimeRemoteSitesinEurasia-Africa


City,Country Enrollees NotesofInterestDoha,Qatar 754 3populationgroups(AlUdeidAFB,Embassy,CAS)Lajes,Portugal 532 Ex-AirForceMTFSite,clinicclosed4thofJuly2015

AbuDhabi,UnitedArabEmirates 431AlDafraAirBase(USAF380thAirExpeditionaryWing)plusEmbassypersonnel

London, UK 409Embassy-basedBeneficiariesplusNorthwoodNATObasepersonnel

Riyadh,SaudiArabia 356 EskanVillageAFBplusEmbassypersonnelGarmisch,Germany 339 LargeArmyGarrison(USAGBavaria)

Volkel,Netherlands 276701stMunitionsSupport SquadronoftheUSAF52ndFighterWingatSpangdahlem

Gaziantep,Turkey 274 VeryremotemissionneartheSyrianborder

Ghedi,Italy 261704thSupportSquadronoftheUSAF52ndFighterWingatSpangdahlem

Moron,Spain 250 GSUoftheUSAF86thOpsGroup(Ramstein)

16

TRICAREisaGlobalEnterprise

Green=TAO-EAAOR



SupportofAtlanticResolveinEasternEurope:SaberGuardian(RomaniaBulgaria)

Cincu,Romania:Ø Approximately5kSoldiers Jun/JulyØ HighlevelofrisktoCashless/Claimless process(200kmfrom

nearestremotesiteinBucharest)Ø WillhaveorganicRoleIØ Int.SOShasbegunoperationalpreparationstosupportthis

effort• Reachintocorporatenetwork• Validatelocallanguagespeaking staffadequacy

Constanta,Romania(MK):Ø Approximately3kSoldiersØ PrimarylogistichubforEasternEuropeØ Established remotesite/Armyplans totransitionthislocationto

adirectcarenetworkwithMTF(12-24mo.)

NovoSelo,Bulgaria:Ø Approximately1-2kSoldiersØ OrganicRoleIatlocationØ HighlevelofrisktoCashless/Claimlessprocess(220kmfromnearest

remotesiteinSofia)Ø Int.SOShasbegunoperationalpreparationstosupportthiseffort

• Reachintocorporatenetwork• Validatelocallanguagespeakingstaffadequacy

07June2017FOUO

Legend:• DesignatedRemoteSiteNetwork• SoldiersSupportingOAR• SoldiersSupportingNATOOperations• PendingRemoteSiteNetworks

tricare area office-eurasia africa ausa brief · pdf file“medically ready forceready...

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