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TRICARE SOUTH RESERVE/GUARD ADVISORY COMMITTEE MEETING. January 21, 2010. Overview. Opening Comments Open Items From Last Meeting (22 July 2009) New NDAA (2010) TRICARE Policy DoD Lifestyles Assessment Program (DLAP) and Health RelatedBehavior (HRB) Survey

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Presentation Transcript
overview
Overview
  • Opening Comments
  • Open Items From Last Meeting (22 July 2009)
  • New NDAA (2010) TRICARE Policy
  • DoD Lifestyles Assessment Program (DLAP) and Health

RelatedBehavior (HRB) Survey

  • TRICARE Updates, Including TRICARE Reserve Select,

Provider Availability, and Briefing Request Updates

  • Update on New TRICARE Contract (T-3)
  • Feedback from the Field
  • Closing Comments

2 of 27

slide3

Open Items

From Last Meeting (July 22, 2009)

Ms. Sherry Steindel, RC BCACTRICARE Regional Office-South

items from last meeting
Items From Last Meeting

How To Access LOD Dental Care With the New TRICARE Active Duty Dental Program

- Developed info paper addressing dental care and

provided info paper to all RC POCs

USAR Needed TRICARE Pacific Contact Information

- Provided USAR with TAO-Pacific Area contact info

MS NG Wanted Information on How New Access

Standards Would Effect Prime Enrollees (Retired)

- Information letter provided to all participants

i tems from last meeting cont
Items From Last Meeting (Cont.)

OK NG Had Concerns Accessing Dental Care at a DTF in Their Area

- Coordination completed with the DTF; OK NG

Members now receiving appropriate access.

slide6

National Defense Authorization Act (NDAA) Updates

Dr. Jody Donehoo

Chief, Warrior Support Branch

TRICARE Management Activity

tricare retired reserve trr gray area retirees
TRICARE Retired Reserve (TRR)(Gray-Area Retirees)
    • Contrasted with TRICARE Reserve Select (TRS)
  • Retired Reservists may qualify to purchase TRICARE coverage
      • Qualified for non-regular retirement at age 60, but is not yet age 60
      • Commonly called gray-area retirees
      • Not enrolled or eligible to enroll in Federal Health Employees

Benefits (FEHB) program

  • TRR premiums equal full cost of premium by law

- TRR – premiums are not subsidized

- TRS – premium rates reflect 28% of total TRS premium costs

  • TRICARE Standard/Extra comprehensive coverage

for a) member-only or b) member and immediate family

- TRR: retiree cost shares, deductibles, and catastrophic cap apply

- TRS: active duty family member cost shares, deductibles, and

catastrophic cap apply

  • Statute requires DoD to prescribe federal regulations

Section 705, NDAA for FY 2010

7 of 27

lt col janet pouncy assistant director medical readiness program oasd ra manpower personnel

DoD Lifestyles Assessment Program (DLAP) and Health Related Behavior (HRB) Survey

Lt Col Janet Pouncy

Assistant Director, Medical Readiness & Program

OASD/RA (Manpower & Personnel)

dod lifestyles assessment program dlap
DoD Lifestyles Assessment Program (DLAP)
  • BACKGROUND
    • Initiated in 2005 by USD (P&R); directed by ASD (HA)
    • DLAP builds on Active Duty (AD) health behavior surveys conducted since 1980; 2005 AD final report most current fielding and is basis for comparison
    • In 2006, broadened assessment scope to Reserve Component (RC) and Unit-level influences
    • Includes surveys, special studies, and evaluations
  • PURPOSE
    • Assess lifestyle factors affecting health and readiness
    • Identify/track health-related trends and high-risk groups
    • Target groups and/or lifestyle factors for intervention
    • Help identify future directions for additional studies, DoD programs and policies
2006 dod survey
2006 DoD Survey
  • BACKGROUND
    • Largest anonymous population-based health behavior survey of Reserve Component personnel
    • First survey of its kind conducted on the Reserve Components (RC)
    • ASD(HA) and ASD(CN) - proponents
  • METHODOLOGY
    • Reserve Centers and Armories randomly chosen from 16 randomly selected clusters
    • All RCs represented: Army Reserve, Army National Guard, Navy Reserve, Marine Corps Reserve, Air Force Reserve, and Air National Guard
    • Anonymous on-site administration (80%). Mail questionnaires sent to non-clustered, remote installations (20%).
    • 18,342 usable questionnaires overall (including full-time and/or activated Guard/Reservists)
    • Overall response rate of 55.3% (completed questionnaires/number expected to be drilling on data collection weekend)
    • Stratified by each RC; due to large number of small facilities and unknown composition of personnel attending on a given drill weekend, additional stratification not possible.
survey to be conducted by rti international
Survey to be Conducted by RTI International
  • RTI International (Research Triangle Inc)
    • Independent, nonprofit research organization
    • Headquartered in central North Carolina
    • Maintains satellite and project offices around the world
  • Founded in 1958 by three Triangle Universities
    • Duke University (Durham)
    • University of North Carolina (Chapel Hill)
    • North Carolina State University (Raleigh)
topic areas 169 questions 9 standard scales
Topic Areas169 Questions; 9 Standard Scales
  • Substance Use: Alcohol, Tobacco, Illicit drug use
  • Selected Healthy People 2010 Objectives
  • Mental well being
  • Weight management
  • Exercise/fitness/nutrition
  • Deployment related issues
  • Safety - Helmet/safety belt use
  • Health Status
    • Preventive/sexual/oral health
    • Productivity
    • Negative life events/behavioral problems/risk-taking behaviors
  • Spirituality/religiosity
  • Job satisfaction
  • Sociodemographics
command support needed
Command Support Needed
  • Importance of this survey cannot be overstated
  • Please encourage members to participate
  • Purpose is fourfold:
    • Assess lifestyle factors affecting health and readiness
    • Identify/track health-related behavior trends and high-risk groups
    • Target groups and/or lifestyle factors for intervention
    • Help identify future directions for additional studies, DoD programs and policies
slide15

TRICARE Reserve Select (TRS) andBriefing Request UpdateMr. Mac Sanders, RC BCACTRICARE Regional Office-SouthMr. Wendell Cheek, Director, Guard and Reserve ProgramsHumana Military Healthcare Services

tricare programs overview
TRICARE Programs Overview

TRICARE Reserve Select (TRS)

- Numbers

- 2010 Premium Increases

TRICARE Provider Availability

TRICARE Briefings

- Numbers

- Command Support

tricare reserve select total enrollment
TRICARE Reserve Select Total Enrollment

Source: DMDC as of December 31, 2009

January 21, 2010

trs total covered lives
TRS Total Covered Lives

Source: DMDC as of Dec 31, 2009

January 21, 2010

19 of 27

tricare reserve select premiums
TRICARE Reserve Select Premiums
  • 2009 Premiums
    • Member Only $47.51 Monthly
    • Member and Family $180.17 Monthly
  • 2010 Premiums
    • Member Only $49.62 Monthly
    • Member and Family $197.65 Monthly
national guard and reserve outreach cy 09
National Guard and Reserve Outreach CY 09

Contact Venues Attendees

  • 122 Family Day Briefings 33,973
  • 127 Conference Presentations 26,666
  • 618 Unit Briefings 120,531
    • 199 Yellow Ribbon with 47,112 attendees
  • Calls Received on Unique 800 Line 55,655
  • “Hits” on NGR Website 12,525
  • 9 Leadership Briefings 1,288

Benes w/opportunities to receive TRICARE info 250,638

national guard and reserve unit briefings cy 09
National Guard and Reserve Unit Briefings CY 09
  • Alabama = 38
  • Arkansas = 25
  • Florida = 145
  • Georgia = 82
  • Louisiana = 91
  • Mississippi = 61
  • Oklahoma = 63
  • South Carolina = 16
  • Tennessee = 51
  • Texas = 168

* Includes Family Day and Unit Briefings = 740

slide24
New TRICARE Contract and What It Means to You

(Update on T-3)

Ms. Martha Lupo, Chief Operating Officer

TRICARE Regional Office-South

January 21, 2010

slide26

Closing Comments

Mr. William Thresher, Director

TRICARE Regional Office-South

Mr. Larry Burchfield, Senior Executive

Humana Military Healthcare Services