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John Hopkins Brief
- 1. Johns Hopkins US Family Health Plan April Tinker Field Services Representative 1
- 2. Military Health System TRICARE TRICARE For Life TRICARE Standard TRICARE Extra TRICARE Prime (65+ Medicare (Fee-For-Service) (Preferred Provider) (Managed Care) Supplemental) TRICARE Reserve Military Treatment Select TRICARE US Family Facility & Managed TRICARE Young Health Plan Care Support Overseas Adult Contractor TRICARE Retired Reserve 2
- 3. Johns Hopkins USFHP Network 3
- 4. Why Consider the Plan? Full medical, surgical and behavioral health services Neighborhood practice locations Easy-to-make appointments You choose your own USFHP primary care physician Preventive care including physicals, mammograms, immunizations and more Prescription drugs with low co-pays No claim forms 4
- 5. Why Consider the Plan (Cont’d) No pre-existing condition restrictions 65+ Medicare-eligible If you join USFHP on or before 9/30/2012 – stay enrolled for life with or without Medicare Part B If NOT a USFHP member on or before 9/30/2012 – NOT eligible to join Under 65 – if you join USFHP after 9/30/2012, you must disenroll & enroll in Medicare at age 65 Two free dental cleanings per year Dental and vision care discounts offered solely by Johns Hopkins USFHP Access to world-renowned Johns Hopkins Hospital and specialists High member satisfaction ratings 5
- 6. Prescription Drug Services Prescriptions filled at ONLY Rite-Aid Pharmacies Retail Co-Pay (30 Days) (As of 1 Nov 2011) -- $5 generic name -- $12 brand name -- $25 non-formulary brand name Retail and Mail Order Co-Pay (31-90 Days) -- $0 generic name -- $9 brand name -- $25 non-formulary brand name 90-day supply available on most medications 6
- 7. Who is Eligible? Spouses and eligible family members of active duty or retired uniformed service members Family members of Reserve/Guard on active duty Retirees of all ages - including 65+ Medicare- eligible if enrolled on or before 9/30/2012 RC “gray area” retirees at age 60 Unremarried spouses and qualified unmarried children of deceased service members In all cases, DEERS-eligible 7
- 8. Who’s Eligible National Guard/Reserve DEPLOYMENT Family members enroll at no cost Sponsor & family covered for 6 months post deployment (TAMP) Transition to TRICARE Reserve Select at Hopkins Johns Hopkins Medicine – 25+ years caring for military families 8
- 9. To Enroll Check your eligibility in DEERS – Call 1-800-538-9552 – Visit your nearest MILPO Complete the DoD Enrollment Form – Mail/fax to our USFHP Enrollment Dept For more information – Call 1-800-801-9322 – Website www.hopkinsmedicine.org/usfhp – Member Services 1-800-80USFHP 1-800-808-7347 9
- 10. Still Serving! THANK YOU and THANK YOU FOR YOUR SERVICE 10
Notes de l'éditeur
- Good morning/afternoon/evening. I’m [Name]. [A little background.] I’m pleased to talk with you about our Military Health System and the Uniformed Services Family Health Plan – USFHP. NEXT SLIDE
- This is the only line and block chart you’ll see and it simply depicts the key components of our MHS. A key point here is to show you that the USFHP is a fully integrated part of our MHS. FOR RESERVE COMPONENT (National Guard and Reserve) AUDIENCES: Emphasize the use of Reserve Select and Retired Reserve in the context of CONTINUITY OF CARE using JH Health System MEMBER ORGANIZATIONS (NEW correct terminology) where appropriate. NEXT SLIDE
- The Johns Hopkins USFHP Network is a full service network , including all Johns Hopkins Community Physicians locations ( 22 ) , serving as the largest primary care provider group for the Plan in Maryland, plus other select network community primary care ( total 80 ) and specialty providers, overall totaling 3,000 throughout our service area. Our service area includes all of MD and parts of DC, DE, South Central PA , Northern VA, and Northeast WV. As a member, you also have access to the entire Johns Hopkins Health System, including our Johns Hopkins Health Care and Surgery Centers (see below), as well as 40+ hospitals throughout our service area, including The Johns Hopkins Hospital, Johns Hopkins Bayview, Howard County General Hospital , Suburban Hospital and Sibley Memorial Hospital. [FOR REFERENCE/USE AS NEEDED] Health Care and Surgery Centers: Hopkins Hospitals: Odenton The Johns Hopkins Hospital Green Spring Station Johns Hopkins Bayview White Marsh Howard County General Hospital Suburban Hospital Sibley Memorial Hospital NEXT SLIDE
- The USFHP is a comprehensive health care plan, including A fully integrated health system Community locations Easy-to-make appointments – most practices also offer evening appointments at least one night per week. Upon enrollment, you have the opportunity to select your USFHP Primary Care Doctor. The USFHP offers comprehensive preventive health care. Prescriptions are filled through Rite Aid pharmacies, some of which are co-located with our practices. I’ll cover the DoD-designated co-pays later. No claims to file. All providers deal directly with the USFHP Claims Dept. NEXT SLIDE
- In addition, There are no pre-existing condition restrictions For Medicare-eligible beneficiaries: [INCLUDE WHEN APPROPRIATE.] if you join USFHP on or before Sep 30, 2012 , you can remain with the USFHP beyond age 65/for life with or without Medicare Part B. [Once enrolled in Medicare, the USFHP is your primary coverage and Medicare may be used for benefits not covered by the Plan, such as limited chiropractic services.] If NOT a USFHP member on or before Sep 30, 2012, you are NOT eligible to join the Plan For Under age 65 beneficiaries, if you join USFHP after Sep 30, 2012 , you must disenroll & enroll in Medicare at age 65 [We encourage you to enroll in Medicare Part B so you do not incur a penalty for delayed enrollment (10% per each 12-month period beyond the original eligibility date). However, Medicare enrollment is NOT a prerequisite.] Beyond the TRICARE Prime benefits, John Hopkins has negotiated discounted rates for dental and vision services: Two free dental cleanings per year. Dental care is through United Concordia Dental Value Network providers in our area. Annual eye exam is covered. Other vision services are through the Block Vision Network providers and Hopkins Wilmer Eye Institute Optical Shops (in MD). If you need Specialist Care, you can use neighborhood specialists in our network or request to be referred into the Hopkins Health System . USFHP member satisfaction remains high… NEXT SLIDE
- Prescriptions are filled at ONLY Rite Aid pharmacies at low DoD standard co-pays Retail [ 30-day supply ] $5 for generic medications $12 for brand name medications $25 for non-formulary brand name medications Retail and Mail Order [ 31-90 day supply ] $0 for generic medications $9 for brand name medications $25 for non-formulary brand name medications Most mail orders are shipped via USPS and received within two weeks. [TRICARE PRIME PLUS HOPKINS VALUE SERVICES EQUALS A HIGH QUALITY COMPREHENSIVE HEALTH CARE PROGRAM.] NEXT SLIDE
- All these beneficiary categories are eligible to enroll in the USFHP. [ INCLUDE WHEN APPROPRIATE] Retirees and retiree family members who are 65 or older, or who will turn 65 before or in Sep 2012, you must enroll prior to Sep 30, or you will no longer be eligible for the USFHP. If you are under 65 and enroll after 30 Sep 2012, you must disenroll from the USFHP and enroll in Medicare and be eligible for TRICARE For Life. PLEASE SEE THE NDAA HANDOUT/INSERT IN OUR PACKET. [WHEN THERE ARE ATTENDEES CLOSE TO OR OVER 65, FURTHER EXPLAIN THE NDAA WHENEVER YOU HAVE TIME.] In all cases, beneficiaries must be listed in the DEERS ( D efense E nrollment E ligibility R eporting S ystem) to be eligible for health care benefits. NEXT SLIDE
- Good morning/afternoon/evening. I’m [Name]. [A little background.] I’m pleased to talk with you about our Military Health System and the Uniformed Services Family Health Plan – USFHP. NEXT SLIDE
- Enrollment is simple. Ensure your (family) info is up-to-date in DEERS [Defense Enrollment Eligibility reporting System]. If you have any questions, please call: Me at [Y0UR BUSINESS CARD NUMBER]. 1-800-801-9322 for additional benefits information. Go to our website for additional info as needed. Our Member Services, and if you need help with enrollment, ask for our Enrollment Dept. NEXT SLIDE - QUESTIONS
- Good morning/afternoon/evening. I’m [Name]. [A little background.] I’m pleased to talk with you about our Military Health System and the Uniformed Services Family Health Plan – USFHP. NEXT SLIDE