|
Humana Military launched a new Heart Failure Disease Management Program on July 1, 2005. This program is available to those TRICARE beneficiaries in the South Region who have heart failure and are at risk for further medical complications.
Beneficiaries who meet certain criteria and who are not entitled to Medicare are eligible for this program, which is designed to minimize the impact of having long-term compromised health.
According to Rose Mary Royalty, Humana Military’s Director of Case Management, “Beneficiaries can benefit greatly from this disease management program because they are assigned a dedicated registered nurse who is knowledgeable about complications and treatments of heart failure. The nurse offers education about the disease and provides support that helps beneficiaries enjoy optimal health.”
Acceptance into the program is based on Humana Military’s review of beneficiary claims data. Additionally, primary care managers (PCMs) and military treatment facility (MTF) providers may refer candidates to the program. Referrals to the program are accepted based on meeting certain criteria, such as an established diagnosis of heart failure.
Beneficiaries accepted into the program can expect to receive the following support tools and educational materials:
-
Letter of introduction
-
Assessment call
-
Welcome letter
-
Clinical guide
-
Audio Library Educational Reference
-
Stop Light Heart Failure Self Management Tool
-
Newsletters
-
Unlimited contact with primary nurse
All beneficiaries receive regular contact from their nurse; those in higher risk categories receive more frequent calls from their nurse as their condition dictates. Overall, the nurses in the Heart Failure Disease Management Program are devoted to helping heart failure patients enjoy a better quality of life. For more information about the program, call Humana Military at 1-800-881-9227.
|
|
From changing your primary care manager (PCM) to understanding your explanation of benefits statements, TRICARE Prime beneficiaries need access to real-time information.
That’s why the Humana Military Web site provides the answers you need, 24 hours a day, 7 days a week.
If you haven’t visited the site yet, do it today. Go to Online Beneficiary Services. You’ll want to register (click Register Now in the right-hand navigation bar and follow the directions) for the site’s Secured Member Services, as well as for myTRICARE.com to take full advantage of all the available features and tools. Once you do, here’s what you’ll find:
Online Beneficiary Services
This section of the site is divided into two main sections: Universal Services, which can be viewed by anyone, and Secured Member Services, which can be used only by registered users.
Universal Services include:
Secured Member Services include:
TRICARE Resources
If you can’t find what you need on the Web site, chances are good you can find it in a TRICARE resource. You can download or print any of the following electronic files:
Health and Wellness
In addition to your specific TRICARE questions, the Humana Military site offers some guidance for your general health inquiries. Visit the Health and Wellness section of the site for the following:
-
Wellness information—informative articles on eating healthy, living with asthma, quitting smoking, preventing heart disease and more
-
Audio Health Library—an online resource of the health topic codes available for reference by calling 1-877-217-7946
-
Health-related links—a link library of health organizations, institutes, associations and foundations
This section also features behavioral health benefit information, including cost-shares, copayments and frequently asked questions.
The Answer Place
If you still haven’t found what you’re looking for, turn to The Answer Place. Humana Military created this search engine with cutting-edge technology to answer your TRICARE questions with greater speed and accuracy than ever before.
Just type in your question using plain English and the tool will use “artificial intelligence technology” to understand your question and match it with relevant answers formulated from the Web site’s information. You can also browse The Answer Place’s list of topics to find the answers to frequently asked questions.
Bookmark and register for www.humana-military.com today. You’ll find the health and benefits information you need, whenever you need it.
|
|
Active duty service members (ADSMs) are eligible for chiropractic care through the Military Health System (MHS) Chiropractic Care Program. If you are an ADSM, you can access these services at any one of 42 military treatment facilities (MTFs) across the country that offer the program.
To access these services you will need to make an appointment with your primary care manager (PCM) who will determine if specialty care is medically necessary. If chiropractic care is recommended, you will undergo a screening process to rule out any medical conditions that would prohibit chiropractic care as an option. If appropriate, your PCM may refer you to a chiropractic provider for treatment.
The MHS Chiropractic Care Program is only available to ADSMs. However, if you are an active duty family member (ADFM) or retired service member or family member, you may be referred to other traditional health care services available with TRICARE. These services include physical therapy, family practice or orthopedics, or you may seek chiropractic care in the local community at your own expense.
Please contact a beneficiary counseling and assistance coordinator (BCAC) with any questions you may have regarding the chiropractic benefit. Find a BCAC near you by visiting the BCAC online directory.
You may also visit http://www.tricare.osd.mil/chiropractic for a list of MTFs that offer chiropractic care or for more information about obtaining care under the Chiropractic Care Program. |
