R 161059Z JUL 09 ALCOAST 402/09 COMDTNOTE 3061 SUBJ: FY 09/10 TRANSITION GUIDANCE FOR INVOLUNTARY TITLE 10 DEMOBILIZED RESERVISTS: MEDICAL A. PERSONNEL AND PAY PROCEDURES MANUAL, PSCINST M1000.2 (SERIES), CH.11 B. MEDICAL MANUAL, COMDTINST M6000.1 (SERIES) C. PHYSICAL DISABILITY EVALUATION SYSTEM, COMDTINST M1850.2 (SERIES) D. RESERVE POLICY MANUAL, COMDTINST M1001.28 (SERIES) 1. THE FOLLOWING INFORMATION PROVIDES CLARIFICATION ON MEDICAL PROGRAMS AND EVALUATIONS RELATED TO DEMOBILIZATION (DEMOB). MEMBERS WHO SUSTAIN AN INJURY OR ILLNESS ON ACTIVE DUTY/RENDERING THEM AVAILABLE FOR LIMITED DUTY (AFLD) MAY VOLUNTARILY BE RETAINED ON ACTIVE DUTY OR MUST BE ISSUED A NOTICE OF ELIGIBILITY (NOE) PRIOR TO RELEASE. 2. SEPARATION COUNSELING: ALL PERSONNEL SHALL BE PROVIDED SEPARATION COUNSELING AT THE UNIT PER REF A PRIOR TO DEMOB CONCERNING THE FOLLOWING MEDICAL PROGRAMS: TRANSITIONAL ASSISTANCE MANAGEMENT PROGRAM (TAMP) BENEFITS AND TRICARE RESERVE SELECT (TRS) HEALTH INSURANCE. A. TAMP: THESE BENEFITS ARE PROVIDED FOR 180 DAYS WHEN DEMOBILIZING FROM ORDERS IN SUPPORT OF A CONTINGENCY OPERATION, AS SPECIFIED IN 10 USC 101, OVER 30 DAYS. FAMILY MEMBERS ENROLLED IN TRICARE PRIME DURING MOBILIZATION MUST RE-ENROLL TO CONTINUE BENEFITS. MEMBERS CONTINUING ON OTHER ORDERS, SUCH AS ADOS (ADSW) (NOT IN SUPPORT OF CONTINGENCY OPS) OR EAD, WILL NOT HAVE TAMP BENEFITS WHEN THEIR NEW ORDERS END. FURTHER DETAILS ARE AVAILABLE AT: HTTP://WWW.TRICARE.OSD.MIL/RESERVE/. B. TRS: RESERVE MEMBERS MAY PURCHASE PREMIUM-BASED HEALTH INSURANCE. COST IS 47.51 DOLLARS PER MONTH FOR MEMBER ONLY, OR 180.17 DOLLARS PER MONTH FOR FAMILY. TO ENROLL, A MEMBER MUST BE IN THE SELRES AND NOT ELIGIBLE FOR FEDERAL EMPLOYEE HEALTH BENEFITS (FEHB). MORE INFORMATION IS AVAILABLE AT: HTTP://WWW.TRICARE.MIL/RESERVESELECT TO PURCHASE THE PLAN, ACCESS THE PORTAL AND FOLLOW THE GUIDANCE IN THE USER MANUAL HTTPS://WWW.DMDC.OSD.MIL/APPJ/TRS/WEBGUARDAUTHENTICATE.JSP (MUST USE LOWERCASE). ENROLL 60 DAYS BEFORE TAMP EXPIRES TO AVOID A GAP IN HEALTH COVERAGE. 3. MEDICAL EVALUATIONS: A. DEMOB PHYSICALS: IAW CH 3.A.7.C OF REF B, RESERVISTS WHO SERVE ON ACTIVE DUTY FOR MORE THAN 30 DAYS MUST HAVE A COMPLETE APPROVED PHYSICAL EXAM WITHIN 12 MONTHS OF DEMOB/RELAD. MEMBERS MUST MEET RETENTION, NOT SEPARATION, STANDARDS FOR CONTINUED AFFILIATION IN THE SELRES OR IRR. DEMOB PHYSICAL EXAMS ARE NOT REQUIRED FOR MEMBERS WHO CONTINUE ON ANY OTHER FORM OF ACTIVE DUTY WITH NO BREAK IN SERVICE. RESERVE MEMBERS WITH SPECIFIC MEDICAL CONCERNS MAY REQUEST AN EVALUATION AT ANY TIME PRIOR TO DEMOB. B. POST DEPLOYMENT HEALTH ASSESSMENTS (PDHA): COMPLETION OF THE ONLINE PDHA FORM DD-2796 IS REQUIRED FOR RESERVISTS RETURNING FROM AN EXPEDITIONARY DEPLOYMENT (CH 6, REF B) FOR AT LEAST 30 CONTINUOUS DAYS (TO BE COMPLETED UP TO 7 DAYS BEFORE RETURNING AND NOT LATER THAN 30 DAYS AFTER RETURNING TO HOME STATION). DEPLOYED RESERVISTS WILL ACCESS THE NAVY ELECTRONIC DEPLOYMENT HEALTH ASSESSMENT (EDHA) LOCATED AT HTTPS://WWW-NEHC.MED.NAVY.MIL/EDHA/. TO COMPLETE THE FORM ONLINE, CREATE AN ACCOUNT BY SELECTING "NEW USER" AND ENTERING "COASTIE1234(DOLLAR SIGN)" AS THE PASS PHRASE (NOTE THE ONLY LETTER CAPITALIZED IN THE PASS PHRASE IS THE "C"). NEXT, ENTER THE REQUIRED INFORMATION, SELECT "REGISTER" AND FOLLOW THE PROMPTS TO COMPLETE AND SAVE FORM DD-2796. MEMBERS MUST ALSO SCHEDULE A MEDICAL APPOINTMENT WITH AN INDEPENDENT DUTY HEALTH SERVICES TECHNICAN (IDHS) OR MEDICAL OFFICER AT A COAST GUARD CLINIC OR NAVY MEDICAL TREATMENT FACILITY(MTF) AFTER COMPLETING THE PDHA. C. POST DEPLOYMENT HEALTH REASSESSMENT (PDHRA) FORM DD-2900, A SECOND HEALTH ASSESSMENT, IS REQUIRED DURING THE PERIOD FROM 3-6 MONTHS FOLLOWING RETURN FROM AN EXPEDITIONARY DEPLOYMENT. ACCESS THE SAME NAVY EDHA SITE NOTED ABOVE, CHOOSE DD FORM 2900. MEMBERS MUST EITHER SCHEDULE AN APPOINTMENT WITH AN IDHS OR MEDICAL OFFICER AT A COAST GUARD OR NAVY MTF OR CALL THE PDHRA CALL CENTER AT 888- PDHRA-99 (PRESS OPTION 3). GENERAL DEMOB INFORMATION IS ON THE WEB AT: HTTP://WWW.PDHEALTH.MIL/MAIN.ASP 4. MEDICAL HOLDS: A. RESERVISTS WHO ARE AFLD AND REQUIRE MORE DETAILED MEDICAL EVALUATIONS OR TREATMENTS SHALL, WITH THEIR CONSENT, BE RETAINED ON ACTIVE DUTY PENDING LINE OF DUTY (LOD) DETERMINATIONS AND RESOLUTION OF MEDICAL CONDITIONS. MEMBERS MEETING LOD CRITERIA SHALL HAVE THEIR 10 USC12302 INVOLUNTARY ORDERS TERMINATED AND SHALL BE ISSUED 10 USC 12301(H) VOLUNTARY ORDERS, IN SUPPORT OF CONTINGENCY OPS. ORDERS WILL REMAIN IN EFFECT, PENDING RESOLUTION OF THE MEDICAL ISSUE AND/OR COMPLETION OF THE PHYSICAL DISABILITY EVALUATION BOARD PROCESS IAW REF C. RESERVISTS WHO ELECT TO STAY ON VOLUNTARY ORDERS FOR MEDICAL TREATMENT SHALL TYPICALLY NOT BE SENT HOME TO RECEIVE TREATMENT. MEMBERS SHALL BE EVALUATED BY A COAST GUARD MEDICAL OFFICER. BEING SEPARATED FROM ACTIVE DUTY FOLLOWING A VOLUNTARY AGREEMENT TO STAY ON ACTIVE DUTY FOR LESS THAN ONE YEAR, IN SUPPORT OF A CONTINGENCY OP, STILL ENTITLES MEMBERS TO TAMP. B. RESERVISTS WHO ELECT RELEASE FROM ACTIVE DUTY SHALL HAVE THEIR MEDICAL PROBLEMS FULLY DOCUMENTED IN THEIR MEDICAL RECORDS PRIOR TO RELEASE. THE DISTRICT DXR SHALL ISSUE A NOTICE OF ELIGIBILITY (NOE) AUTHORIZING HEALTH CARE AT A MILITARY OR CIVILIAN FACILITY FOR THE SPECIFIC CONDITION. FURTHER GUIDANCE CAN BE FOUND IN CH 6, REF D. C. REPORTING REQUIREMENTS FOR MEDICAL HOLDS: COMMANDS SHALL PROVIDE INITIAL MESSAGE NOTIFICATION OF THE MEMBERS MEDICAL HOLD STATUS TO FC-1, INFO COMMANDER PSC-RPM AND COMDT (CG-1311). A MONTHLY EMAIL UPDATE IS REQUIRED BY THE RESPONSIBLE CLINIC UNTIL THE RESERVIST HAS BEEN DETERMINED AFFD OR SEPARATED/RETIRED AS DISPOSED BY PDES PROCESS. A MEDHOLD TEMPLATE AND OTHER HELPFUL LINKS ARE AVAILABLE UNDER MOB RESOURCES AT HTTP://WWW.USCG.MIL/RESERVE/MEMBER(UNDERSCORE)RESOURCES.ASP. 5. DENTAL COVERAGE: UPON DEMOBILIZATION, IF PREVIOUSLY ENROLLED IN THE TRICARE DENTAL PROGRAM (TDP) BEFORE ACTIVATION, MEMBER WILL BE AUTOMATICALLY RE-ENROLLED UPON DEACTIVATION/DEMOB. FAMILY MEMBERS WILL REMAIN ENROLLED IN TDP, BUT THE PREMIUM RATE WILL INCREASE TO THE RESERVE FAMILY MEMBER RATE. IF NOT ALREADY ENROLLED, THEY CAN ENROLL. FURTHER INFORMATION: PHONE 800-866-8499, OR WWW.TRICAREDENTALPROGRAM.COM 6. POC IS LTJG PATRICK ODONNELL, E-MAIL PATRICK.G.ODONNELL(AT) USCG.MIL. 7. RDML D. R. MAY, DIRECTOR OF RESERVE AND TRAINING, SENDS. 8. INTERNET RELEASE IS AUTHORIZED.