10th Medical Group

Secure Messaging

This Briefing is: UNCLASSIFIED I n t e g r i t y - S e r v i c e - E x c e l l e n c e

What is Secure Messaging?

AF Secure Messaging, provided by Change Healthcare, through the Tricare Online Patient Portal, is a confidential online healthcare messaging system that allows you to communicate directly with your healthcare team. Allow up to three business days for a timely response; however, the response time can vary from 0-3 days.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

What services does Secure messaging provide?

! Communicate online with your healthcare team about non-urgent, non-emergent medical concerns ! Request appointments ! Cancel appointments ! Request medication renewals ! View records ! Request referral renewals or get answers to referral questions ! Request a copy of immunization records ! Create accounts for dependents (Under age 18)

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Why is Secure messaging good for you?

MiCare empowers you to be more engaged with your healthcare team regarding your health, treatment plan and preventive services. We value your time. To help you communicate with your team, MiCare: ! Is accessible 24 hours a day ! Facilitates pre-planning and supports personal time management needs ! Allows you to receive written advice that might otherwise have been forgotten or misunderstood ! Avoids long wait times on the phone and/or playing “telephone tag” with the healthcare team ! Minimizes the inconvenience of traffic, parking, or lost days at work

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Who can use Secure Messaging?

Any of the Medical Group’s enrolled patients can use this service. Secure Messaging has been implemented Air Force-wide. That means that once you have registered, you will remain in the system and will be linked to your new healthcare team in the event of a PCS or relocation.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 10th Medical Group

Secure Messaging Questions

This Briefing is: UNCLASSIFIED I n t e g r i t y - S e r v i c e - E x c e l l e n c e HQ U.S. Air Force Academy

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

MEDICAL IN-PROCESSING

On Behalf of the 10th MDG Staff and Health Net, Welcome to the United States Air Force Academy! WHO WE SUPPORT

" Cadet Wing

" Prep School

" 10th Air Base Wing

" 306th Flying Training Group

I n t e g r i t y - S e r v i c e - E x c e l l e n c e WHERE WE ARE

Current location

Proposed location Main Clinic Cadet Clinic & Dental Clinic

Community Center: Flight Line Clinic Mental Health & Refill Pharmacy

I n t e g r i t y - S e r v i c e - E x c e l l e n c e I n t e g r i t y - S e r v i c e - E x c e l l e n c e Health Net Federal Services 1-844-866-9378 [1.844.866-WEST]

I n t e g r i t y - S e r v i c e - E x c e l l e n c e YOUR MEDICAL BENEFIT

1-844-866-9378

I n t e g r i t y - S e r v i c e - E x c e l l e n c e I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Health Net Federal Services

www.tricare-west.com

1.844.866.WEST [1-844-866-9378]

I n t e g r i t y - S e r v i c e - E x c e l l e n c e I n t e g r i t y - S e r v i c e - E x c e l l e n c e ADSMs, ADFMs, and transitional survivors

Covered service Group A Group B

All covered services $0 $0

Retirees, their families, and all others

Covered service Group A Group B

Preventive Care Visit $0 $0

Primary Care Outpatient Visit $20 $20

Specialty Care Outpatient Visit $31 $31

Urgent Care Center Visit $31 $31

Emergency Room Visit $62 $62

Inpatient Admission (Hospitalization) $156/ admission $156/ admission

Catastrophic Caps

Sponsor or Beneficiary Type Group A Group B

ADFMs $1,000/family $1,044/family

Retirees, their families, and others $3,000/family $3,655/family

TRS members (Follow Group B) $1,044/family

TRR members (Follow Group B) $3,655/family I n t e g r i t y - S e r v i c e - E x c e l l e n c e [ADDP]

1.866.984-ADDP [1.866.984.2337]

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Enroll Online: www.Tricare.mil/bwe

WWW.TRICARE.MIL/TDP By Mail: TRICARE Dental program P.O. Box 645547 1.844.653.4061 – CONUS Pittsburgh, PA 15264

1.844.653.4060 - OCONUS By Phone:1-844-653-4061

I n t e g r i t y - S e r v i c e - E x c e l l e n c e YOUR MEDICAL BENEFIT

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE

MON – FRI 0600-1630HRS " Call 524-CARE (2273) " Option 1: Make an appointment with your Primary Care Manager " Option 2: Medication/Pharmacy services " Option 3: Nurse Advice Line " Option 4: Laboratory/Radiology services

AFTER-HOURS " Call 524-CARE (2273) " Option 3: Nurse Advice Line " After-hours Services – Provider On-Call

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Emergency Rooms vs. Urgent Care Clinics)

URGENT CARE CLINICS EMERGENCY DEPARTMENTS Designed for Primary Care needs when Designed for acute care needs that there are no appointments available threaten life, limb or sight 24/7 Referral required for AD. No referral No referral required needed for dependents & retirees Average wait time: 20 minutes Average wait time: 60+ minutes Average cost to USAFA: $90 per visit / Average cost to USAFA: $490 / $125,000 per year $2,800,000 per year < 1/10 visits are referredI n t toe g the r i ERt y - S e r v i 9/10c e - visits E x c could e l l e be n ctreated e in a UCC ACCESSING CARE

! Emergencies are life-threatening situations ! “loss of life, limb or eyesight; or extreme pain/suffering”

! No Emergency Services at USAFA!

! CALL 911 or go to nearest Emergency Room (ER).

! No referral needed to obtain EMERGENCY CARE, however, you should notify your PCM at 10th MDG within 24hrs (or next duty day) 719-524-CARE

! Avoid “freestanding Emergency Rooms”

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Local Emergency Rooms)

MEMORIAL NORTH On Briargate Pkwy between Union & Austin Bluffs PENROSE On Nevada between Fillmore & Uintah

ST. FRANCIS Woodmen & Powers

EVANS ARMY COMMUNITY HOSPITAL (EACH) MEMORIAL CENTRAL Ft Carson On Boulder & Union

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Walk In Services)

Family Health Internal Medical Pediatrics Women’s Health Clinic Clinic Clinic • Suture Removal • Suture Removal • Throat Cultures • Pregnancy Test • Wound Checks • Wound Checks (if 2 weeks past • Throat Cultures • Throat Cultures expected menses) • Blood Pressure • Injections (Tue & • Emergency Screening Wed,1300-1500 hrs) Contraception • Previously ordered injections (i.e. B12) • Wart removal

0830 - 1100 and 0800 - 1100 and 0800 - 1100 and 1300 - 1500 hours 1300 - 1530 hours 1300 - 1530 hours

Monday - Friday

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Specialty Clinics)

" Must see your Primary Care Manager(PCM) first for a referral!

" EENT/Audiology/Opthalmology " Orthopedics " Physical/Occupational Therapy " General Surgery " Neurology/Sleep Lab " Gastroenterology (GI) " Dermatology " Podiatry

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Active Duty personnel only) " Chiropractic care " No referral needed " 333-5582 " Corneal Refractive Surgery Center " PRK/LASIK " Application form/instructions [email protected]. " Post-Surgery: non-deployable for 4 months " Dental Services " Located across from Cadet Clinic in Fairchild Annex " Oral surgery in Main 10th MDG building

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Flight Medicine & Cadet Clinics)

" For AD Flyers & Cadets ONLY " No Sick Call " Return to Flying Status: " 0700 - 0800 Monday to Friday at Flight-Line Clinic " By Appointment in Flight Medicine/Cadet Clinic

No clinic visits outside Flight Medicine without Flight Surgeon referral/approval!!

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Behavioral Health Optimization Program/BHOP)

! Clinical Health Psychologist ! Self-Referral for SHORT-TERM Education & Consultation ! Candidates: AD, Spouses, Adult Dependents, and Retirees ! Routine Appointments – Call 524/524-2273 (CARE)

Stress Management Depression Parenting Issues Anxiety School Performance Problems Insomnia/Sleep Issues Grief Issues Diabetes Type II Stress Problems Phobias Heart of High Blood Pressure Issues Chronic Pain/Fibromyalgia

I n t e g r i t y - S e r v i c e - E x c e l l e n c e ACCESSING CARE (Other Services)

! Community Center ! Behavioral Health Clinic ! Limited access for retirees/dependents ! Family Advocacy (Self referral service) ! Classes, workshops, and seminars ! (Couples communication, anger management, stress management, effective parenting, and conflict resolution) ! New Parent Support Program (NPSP). ! The program offers home visitation, parenting education, and other services to help young families provide a safe and nurturing environment for their children (prenatal up to 3 yrs old) ! Counseling. ! Individual and couples counseling with a licensed clinical social worker ! Refill Pharmacy

I n t e g r i t y - S e r v i c e - E x c e l l e n c e I n t e g r i t y - S e r v i c e - E x c e l l e n c e 30 Pharmacy types Formulary drug costs Non-formulary drug costs Non-covered drug Generic Brand-name costs Military pharmacy $0 $0 Generally not available Not available 30 day supply without medical necessity

TRICARE Pharmacy Home Delivery $10 $29 $60 Not available 90 day supply TRICARE retail network pharmacy $13 $33 $60 Full cost of drug 30 day supply Non-network pharmacy TRICARE Prime options: 50% cost-share applies after the point-of- service (POS) deductible Full cost of drug (in the U.S. and U.S. territories: American Samoa, is met Guam, the Northern Mariana Islands, Puerto Rico, All other beneficiaries: You pay for formulary drugs ($33 or 20% of total cost, whichever is more, and the after you meet your annual deductible) and non-formulary drugs ($60 or 20% of total cost, U.S. Virgin Islands) whichever is more, after you meet your annual deductible).

Overseas pharmacy ADSMs and ADFMs$7 using TOP Prime or TOP Prime Remote:$24 $0 (you may have to pay the Full cost of drug (outside the U.S. and U.S. territories) full cost up front and file a claim for reimbursement) ADFMs using TOP Select and TRS members: 20% cost-share after yearly deductible is met Visit www.tricare.mil/overseas- pharmacy for Retirees, their families, TRR members, and all others enrolled in TOP Select: 25% cost-share more information. after the yearly deductible is met $11 $7

TRICARE Pharmacy Program: Express Scripts, Inc. www.tricare.mil/pharmacy or www.express-scripts.com/TRICARE 1.877.363.1303

I n t e g r i t y - S e r v i c e - E x c e l l e n c e 31 RESOURCES (Pharmacy Services)

" Refills -- Now available via Tricare On-line! " Community Center Pharmacy " DoD mail out program

" PCS refills " MTF Rx - Bring container to Main Clinic Pharmacy and medication will be transferred from that MTF

" No refills left on an active prescription? " Call 524/524-CARE to book appointment with your PCM – you can then get “BRIDGE” prescription from Pharmacy (no controlled medications or medications available over the counter)

I n t e g r i t y - S e r v i c e - E x c e l l e n c e RESOURCES (Pharmacy OTC Program) " Where: " Main Clinic Pharmacy " Who: " PRIME beneficiaries enrolled at USAFA " Purpose: " Alleviate minor symptoms of colds without scheduling an appointment with your PCM " Process: " Go to pharmacy and ask to speak with a pharmacist " Ask to use the “OTC Program” and disclose your symptoms " Pharmacist prescribes OTC items (over 30 items available) " Prescription Limitations: " 3 items per family per month " No refills

I n t e g r i t y - S e r v i c e - E x c e l l e n c e RESOURCES (Pharmacy OTC Program)

I n t e g r i t y - S e r v i c e - E x c e l l e n c e RESOURCES

" Want up-to-date information on what the MDG is doing? " Follow us on Facebook www.facebook.com/10thMedicalGroup

AFMS - US Air Force Academy - 10th Medical Group

I n t e g r i t y - S e r v i c e - E x c e l l e n c e RESOURCES (TriCare Online)

Go to Tricare online homepage at www.tricareonline.com

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Airmen Medical Readiness Optimization (AMRO)

LtCol Keith Deardorff, FNP, AMRO Team Lead

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Airmen Medical Readiness Optimization (AMRO)

BLUF: New PCM assignments for all AD personnel with primary emphasis on increasing medical readiness to 95% across the AF.

SITUATION: On 1 October 2019, the 10 MDG began implementing the new AF-wide initiative called the Airmen Medical Readiness Optimization (AMRO) program.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Airmen Medical Readiness Optimization (AMRO)

BACKGROUND: In February 2018, the then Defense Secretary Jim Mattis announced a new policy to increase deployability among service members throughout the DoD. This policy has been popularly and unofficially dubbed as the “Deploy or Get Out” policy, and it is not limited to medical aspects of deployability. In response to this DoD policy, the Air Force Medical Support Agency (now called the Air Force Medical Readiness Agency or AFMRA) developed called the Airman Medical Readiness Optimization (AMRO) program. The goal of this new program is to “optimally manage Airmen with mobility restrictions due to medical and/or mental health condition(s)” and “get the member back to mobility status as soon as possible”.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Airmen Medical Readiness Optimization (AMRO)

ASSESSMENT: At USAFA, a new primary care teams (PCT) was established to care for all AD patients. The PCT will meet on a regular basis to discuss active duty members that are on mobility restrictions (MR). On 1 October 2019, the 10 MDG implemented new PCT. The PCM team includes: • LtCol Keith Deardorff, FNP (Team lead) • Maj. (Dr.) Brian Bentele, DO • Capt. Brooke Ryan, PA AD members enrolled with Internal Medicine and Flight Medicine will still be followed by these clinics.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Airmen Medical Readiness Optimization (AMRO)

RECOMMENDATION: No action is necessary on your part. If you have not already done so it is recommended that you sign up for Tricare Online Secure Messaging for improved communication.

FYI: when the PCT reaches out to AD members regarding profiles it is imperative that you reply. Failure to reply to messages by phone, email (no sensitive information), or secure message will result in notification to unit Commander/First Sergeant.

I n t e g r i t y - S e r v i c e - E x c e l l e n c e HQ U.S. Air Force Academy

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

BENEFICIARY SERVICES:

10th Medical Group

What Services Do We Offer Beneficiaries?

" Benefits Counselor and Assistance Coordinator (BCAC)

" Exceptional Family Member Program (EFMP)

" Patient Travel Program

I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Benefits Counselor and Assistance Coordinator Glenda Phillips (333-5281)

" Primary Care Manager (PCM) change requests " Requests are subject to availability " PCMs do not make this decision " Debt Collections Assistance Officer (DCAO) " Our BCAC is also our DCAO " The DCAO assists patience who have billing issues with medical facilities and/or Health Net

Allow 3 business days for requests to process

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Exceptional Family Member Program Contacts: Erika Schultz, FMRCC (333-5991) L. Christine Herman, MS, MSW, LSW (333-5919)

" The Air Force Exceptional Family Member Program (EFMP)

is designed to provide support to military families with special needs, in collaboration with all primary care clinics, the Airman & Family Readiness Center, and the Military Personnel Section (MPS) " The In-processing Health Assessment form will help to identify those appropriate for the program " Upon PCS, the EFMP office will assist with family member relocation clearances (FMRC) for all enrolled family members, as well as dependents PCSing overseas with their sponsor " Location: 10 MDG, 1st floor, Beneficiary Services/Medical Management office I n t e g r i t y - S e r v i c e - E x c e l l e n c e

Patient Travel Program TSgt Fiebig (333-5336)

" What is the Patient Travel program? " Air Force funded program " Pays expenses for travel to & from medical appointments " Requirements " The patient must be enrolled in Tricare Prime " Referral from PCM " Medical facility > 100 miles from 10 MDG, one way " Contact Patient Travel Coordinator as soon as you know you will be needing this service " Patient Travel Coordinator " 10 MDG, 1st floor " Primary: TSgt Fiebig

I n t e g r i t y - S e r v i c e - E x c e l l e n c e Enrollment

" All new patients must contact Health Net to enroll " As of 01 April 2014, these representatives were removed from all MTFs " These services are available over the phone 1-844-866-WEST (844-866-9378) or online at www.Tricare-west.com

" All new patients must be registered in this clinic’s system in order to schedule an appointment " You must enroll in this region through HEALTH NET and get assigned to a Primary Care Manager (PCM) in this area

I n t e g r i t y - S e r v i c e - E x c e l l e n c e PROBLEMS / INFORMATION

" Tricare Walk-in Services are no longer available " For Issues or Questions, Contact Health Net " 1-844-866-WEST (1-844-866-9378)

" Beneficiary Services Office " 333-5597

" Beneficiary Services Element Chief " TSgt Jessica Fiebig: 333-5979

" 10 MDG Patient Advocate " Douglas Young: 333-5283

I n t e g r i t y - S e r v i c e - E x c e l l e n c e WELCOME, FROM YOUR

COMBAT MEDICS!

I n t e g r i t y - S e r v i c e - E x c e l l e n c e