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ACCESS TO CARE
![Patient Assistance [logo]](images/faq.jpg)
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1. I AM NEW TO FORT SILL - HOW DO I OBTAIN MEDICAL CARE? 2. WHAT IS A PRIMARY CARE MANAGER (PCM)? 3. HOW DO I GET AN APPOINTMENT? 5. WHAT TO DO IF I AM TRAVELING OUT OF THE AREA AND NEED AUTHORIZATION FOR MEDICAL CARE? 6. WHO DO I GO TO WITH QUESTIONS OR CONCERNS ABOUT MY PROVIDER OR HEALTH CARE? 7. HOW DO I RECEIVE PREGNANCY TESTING? 8. DO I NEED TO BRING MY INSURANCE INFORMATION TO MY APPOINTMENTS? 9. HOW DO I OBTAIN MEDICATION REFILLS? 10. WHERE DO ACTIVE DUTY SOLDIERS GO FOR DENTAL SICK CALL? 11. I AM NOT ACTIVE DUTY—HOW DO I OBTAIN DENTAL SERVICES? 12. WHERE DO ACTIVE DUTY SOLDIERS GO FOR DENTAL SICK CALL? 13. I AM NOT ACTIVE DUTY - HOW DO I OBTAIN DENTAL SERVICES? 1. I AM NEW TO FORT SILL - HOW DO I OBTAIN MEDICAL CARE? There are two things you must do before obtaining medical care. First, you must update your status in DEERS (Defense Enrollment Eligibility Recording System). Second, you must enroll in TRICARE Prime or transfer your current enrollment to Fort Sill. TRICARE Prime enrollment is mandatory for Active Duty soldiers and voluntary for family members and retirees. Soldiers must take action to enroll within one week of unit assignment. Enroll at the TRICARE Service Center or online at www.humana-military.com. Back To Top 2. WHAT IS A PRIMARY CARE MANAGER (PCM)? After you complete TRICARE enrollment you will receive a letter notifying you of your assigned Primary Care Manager (PCM). A PCM is a healthcare provider who provides for your healthcare needs and coordinates specialty care as needed. If you do not receive notification of your assigned PCM within 45 days after enrolling, please contact the Managed Care Division at 558-2483/3161. Back To Top 3. HOW DO I GET AN APPOINTMENT? We encourage you to register with TRICARE Online (TOL) – www.tricareonline.com where you will be able to make your primary care appointments at your convenience 24 hours a day, 7 days a week or you may schedule appointments with your PCM by calling the Primary Care Call Center at (580) 558-2000. One of the booking staff will assist you with your appointment needs from 7 a.m. to 4 p.m., Monday through Friday. Back To Top 4. MY PRIMARY CARE MANAGER HAS WRITTEN ME A REFERRAL TO SEE A SPECIALIST. HOW DO I GET AN APPOINTMENT? If your PCM has referred you for Specialty Care, please be sure all your questions have been answered as to why you are being referred before you leave the clinic. If the Specialty Care your PCM has ordered is available at RACH, the Referral Management Office (located in the TSC) will work with you to set up the appointment within the time frame your PCM has requested. If the Referral Management Office has not contacted you within 10 days, for routine appointments, please call them at 558-2000, option 4. Sometimes RACH can not provide the services you need, or we are not able to obtain an appointment in the required timeframe. In such cases, the specialty request will be sent to Humana Military Healthcare Services for authorization and referral to a civilian provider. You should receive a letter from Humana within 10 working days. Any-time you are visiting the hospital, please verify that your contact information is updated in the hospital’s computer system to be sure you get your authorization letter. The letter you receive will recommend a particular specialty provider, will give you their phone number to call to book your appointment and include details on how many visits have been authorized. One of the Referral Management Staff will call you and offer to schedule your appointment for you or you may schedule your own appointment. For assistance, please call the Referral Management Center at 558-2000, option 4. Back To Top 5. WHAT TO DO IF I AM TRAVELING OUT OF THE AREA AND NEED AUTHORIZATION FOR MEDICAL CARE If you have an emergent need, please go to the nearest emergency room to receive care. If emergent care is received at a civilian emer¬gency room, please notify the Referral Man¬agement Office of this emergency care within 24 hours so authorization for payment can be made. Failure to do so could cause your claim to be denied and you could be held liable for all costs. Do not seek authorization until after you have received emergency care. If you have a medical problem that is non-emergent you must have an authorization prior to seeking/receiving health care in order to avoid point of service claims. You may speak to one of the nurses in the Referral Management Office during normal business hours for direction of care by calling toll free at (866) 207-7603, option 4 or (580) 558-2000, option 4. They can give you advice on whether or not you should see a provider while you are traveling or wait until you return home. If urgent care is approved they will enter a referral that will be sent to Humana Military for authorization. If you need assistance with finding a network provider for this approved urgent care, please call Humana (TRICARE) at (800) 444-5445. For an after-hours authorization, please contact the on-call PCM by using the after-hours pro¬cess described in Question Four, utilizing the toll free number. Back To Top 6. WHO DO I GO TO WITH QUESTIONS OR CONCERNS ABOUT MY PROVIDER OR HEALTH CARE? For health care or customer service concerns ask for the NCOIC or Office Manager of your clinic. In most cases they will be able to assist you and provide you with answers to your questions. If you need additional assistance, see one of our Patient Advocates, located on the first floor of the hospital, or call (580) 558-2389/2390. Back To Top 7. HOW DO I RECEIVE PREGNANCY TESTING? If you think that you are pregnant, you can walk-in to the OB/GYN clinic to request a pregnancy test. Walk-in hours are Monday through Friday, 7:30 a.m. to noon and 1 to 4 p.m. A nurse from the OB Clinic will call you within 24 hours with your results. Back To Top 8. DO I NEED TO BRING MY INSURANCE INFORMATION TO MY APPOINTMENTS? Yes. On your first visit you will be asked to complete a Record of Other Health Insurance, DD Form 2569. Completing the form will take approximately two to three minutes. After the form has been processed, you will receive a small insurance card. Please bring this card to each visit. The card’s information will need to be updated annually. The third party collection program is mandated from the Surgeon Gen¬eral and we appreciate your time and assistance in helping us meet this requirement. Back To Top 9. HOW DO I OBTAIN MEDICATION REFILLS? There are two easy ways to refill your medica¬tions: By phone or online.
Back To Top 10. WHERE DO ACTIVE DUTY SOLDIERS GO FOR DENTAL SICK CALL? Active Duty Soldiers Sick Call hours are Monday through Friday, 7:30 to 9 a.m. For questions, or to schedule an appointment, call (580) 558-2710. Outlying clinics, Cowan and Allen, conduct Dental Sick Call Mon-day through Friday, 7:30 to 9 a.m. The Cowan Dental Clinic phone number is (580) 442-2991 and the Allen Dental Clinic phone number is (580) 442-6106/5544. Back To Top 11. I AM NOT ACTIVE DUTY—HOW DO I OBTAIN DENTAL SERVICES? The TRICARE Dental Program (TDP) is a high-quality; cost-effective dental care benefit for eligible Family Members of all Active Duty uniformed services personnel; as well as mem¬bers of the Selected Reserve and Individual Ready Reserve (IRR) and their eligible Family Members. To Enroll
TRICARE Retiree Dental Program The TRICARE Retiree Dental Program (TRDP) offers comprehensive, cost-effective dental coverage for uniformed services retirees and their eligible Family Members. To Enroll
Back To Top 12. WHERE DO ACTIVE DUTY SOLDIERS GO FOR DENTAL SICK CALL? Active Duty Soldiers Sick Call hours are Monday through Friday, 7:30 to 9 a.m. For questions, or to schedule an appointment, call (580) 558-2710. Outlying clinics, Cowan and Allen, conduct Dental Sick Call Monday through Friday, 7:30 to 9 a.m. The Cowan Dental Clinic phone number is (580) 442-2991 and the Allen Dental Clinic phone number is (580) 442-6106/5544. Back To Top 13. I AM NOT ACTIVE DUTY - HOW DO I OBTAIN DENTAL SERVICES? The TRICARE Dental Program (TDP) is a high-quality, cost-effective dental care benefit for eligible family members of all Active Duty uniformed services personnel; as well as members of the Selected Reserve and Individual Ready Reserve (IRR) and their eligible family members. To Enroll Online at www.tricaredentalprogram.com. Call (888) 622-2256 for enrollment form. Contact the TRICARE Service Center. The TRICARE Retiree Dental Program (TRDP) offers comprehensive, cost-effective dental coverage for uniformed services retirees and their eligible family members. To Enroll Online at www.trdp.org. (with acceptable credit card). Call (888) 838-8737. Contact the TRICARE Service Center. Back To Top |
4301 Wilson Street Fort Sill, Oklahoma 73503-78 | Phone: (580) 558-2800 or 558-2801 | |