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Military Bases Brace for Impact of Climate Change

10/15/2019 By Meg Flanagan

Military bases have been making news over the last several years, but not for military maneuvers or deployments. Instead, many bases around the world have been feeling the direct impacts of climate change in the form of powerful storms and weather systems.

Now a group of former top military leaders and national security experts have created a sweeping plan of action to protect our nation from “these unprecedented security risks urgently and comprehensively.”

Military Bases Brace for Impact of Climate Change

The Climate Security Plan for America was issued by the Center for Climate a Security, a DC-based think tank, along with the Elliott School of International Affairs at George Washington University.

“The Climate Security Plan for America is a call for Presidential leadership to prioritize this challenge and take action to protect our national security in the face of the coming storm,” said John Conger, director of the Center for Climate and Security.

The plan has been endorsed by 64 leaders in the US military and national security, including Gen. Larry Welch (R), former chief of staff of the U.S. Air Force; Adm. Samuel Locklear (R), former commander of U.S. Pacific Command; and Gen. Anthony Zinni (R), former commander of U.S. Central Command.

Majority of Bases at Major Risk Due to Climate Change

This proposal, while limited to managing future risks rather than slowing or reserving climate change immediately, follows closely on the heels of a major Pentagon report discussing the projected impact of severe weather related to our changing climate.

Released in June 2018, the DoD-commissioned report found that about half of all US military bases, CONUS and OCONUS, are at risk for flooding due to climate change-related severe weather. Other risks reported at over 50% of military bases due to climate change included wildfires, storm surge, high winds and drought.

Many bases are already feeling the impacts of increased severe weather patterns. MCB Camp Lejeune, AFB Tyndall, MCAS Cherry Point and AFB Offutt have experienced devastating weather patterns, including hurricanes, between August 2018 and August 2019. Tyndall is still trying to recover after being virtually destroyed. In addition, Okinawa, a major hub for US military forces of all branches in the Pacific, has been experiencing multiple major typhoon systems during the 2019 season.

Photo Credit: © Stephen Orsillo /Adobe Stock

Weather-Related Destruction Impacts Military Missions

While military families feel the impact of severe weather on the homefront, it also complicates the national security and defense missions the troops are tasked with carrying out daily.

As of late May, the Air Force was still struggling to repair the massive damages at AFB Tyndall. Virtually every single structure was damaged or completely destroyed as a result of Hurrican Michael in 2018.

One year later, the Air Force was still waiting for Congress to pass an aid bill that would allow this base to rebuild.

MCB Camp Lejeune was also waiting for funding from this same $19 billion bill in order to continue repairing damages from Hurricane Florence in September 2018. Estimates in December 2018 put the cost to rebuild and repair at $3.6 billion.

Without this funding, the Air Force, as of May 2019, was looking at cutting thousands of hours of training flights. With multiple Air Force bases severely damaged by storms over the last year, the budget has been stretched thin in order to cover the massive cost to repair the destruction.

At Lejeune, military families have already seen how Hurricane Florence has hit their Marines’ missions. As of November 2018, incoming families were told to look for housing off-base due to hurricane damage.

Addressing the Present Climate Change Danger

The proposal from the Center for Climate and Security focuses on risk management for climate-related impacts on the military mission. However, it does not propose strategies or solutions that will stop or reverse climate change.

Some bases have taken steps on their own to address energy and resource in a way that minimizes the impact on the environment. Fort Hood currently receives 40% of its energy from renewable sources, including solar and wind power. Eventually, base leadership would like to create a microgrid that can sustain the base in the event the larger power systems fail.

“(M)ilitary planners don’t have the luxury of playing politics on the issue. They know that they have to do what’s required to ensure our country is kept secure and safe,” Maj. Gen. Rick Devereaux (R), former director of operational planning, policy and strategy for the U.S. Air Force, explained to Yale Climate Connections.

Has your duty station felt the impact of climate change-related weather? Share your experiences in the comments.

Host an Adults Only Halloween Candy Wine Tasting to Get in the Spooky Spirit

10/10/2019 By Military Life Administrator

I ran a wine club for a few years for our military spouses’ club. Each month we would have a different theme but we always did a Halloween Candy Wine Tasting in October. This is super fun and a huge hit because who doesn’t love wine and chocolate. Decide for your event if you want to do a tasting or a pairing. You can Google Halloween candy wine tasting and a variety of charts and websites will come up. I personally like Vivino because not only does it provide a chart with the pairing it also provides tasting notes from partner sommeliers like Joel Caruso who pairs Pinot Noir with KitKats.

“Although variations of Pinot Noir can be dramatic, they always tend to carry a tense and nuanced red fruit quality. This makes the milk chocolate and wafer combo feel like a chocolate dipped raspberry pulled straight out of the fridge. I’d suggest terroir driven Pinot Noirs like those from Sonoma Coast or Burgundy that will bring out earthiness and tannin for a more complex pairing. Tannin is mellowed by the chocolate, and the earthy qualities can create a mushroom-flavored effect,” says Caruso on the  Vivino website.

Photo Credit: © Grafvision /Adobe Stock

To plan your event, decide which candies you will want to pair with wine. For a group pick about six candies and select mostly chocolate and try a few like starburst or jolly ranchers. Next pair with the wine. Reds go very well with chocolate while tart candies pair well with sweeter whites such as Moscato and gewürztraminer. Plan water for each guest and add one or two charcuterie platters with meats and cheeses with a French baguette to help break up the sweetness from all that candy. Provide each guest with a pen and small notebook or printed sheets to take notes with. I think it is important to have a leader read tasting notes like the one above from Vivino and have everyone taste one wine at a time. It is interesting to hear each person’s take on the wine you are tasting.

 For a more casual event, have a post Halloween impromptu wine get together with left over Halloween candy and have guests just bring a bottle of wine they have at home.  Make up your own pairings based on what everyone brought. It is a fun way to “wine” down after all the Halloween chaos.

If you want to learn more about wine check with your local military spouses club. Many have wine subclubs and it is a great way to gain more experience in a comfortable environment.

Marguerite Cleveland is a freelance writer who specializes in human interest and travel stories. She is a military brat, a veteran and now a military spouse.  Her military experience is vast as the daughter of a Navy man who served as an enlisted sailor and then Naval Officer. She served as an enlisted soldier in the reserves and on active duty, then as an Army Officer. She currently serves as a military spouse. She lives in the Pacific Northwest with her husband and two sons. Visit her website www.PeggyWhereShouldIGo.com

Tricare Issues for Military Kids

10/09/2019 By Meg Flanagan

We all know that just getting in to see the doctor can be a hassle. But when you’re trying to navigate the healthcare system with a child who has medical complications, it can be downright scary.

Tricare Issues for Military Kids

All kids might face issues and concerns with the Tricare system though. And you deserve to know what you’re facing.

Referrals to Specialists

Need to see a (fill in the medical specialist here)? Oh, that’ll be a 6-12 month wait! That’s if they’re in-network and accepting new clients.

Sure, sometimes you get lucky and can get in ASAP, but often there’s at least some waiting involved.

On Tricare Prime and USFHP, beneficiaries are required to get a referral from their PCM in order to see a specialist. While Prime and USFHP offer no or very low-cost co-pays for all services and referrals, finding and getting into a provider can be difficult.

Select beneficiaries can select their own in-network specialists without a referral, but getting in to the correct person can still mean they’ll be waiting.

Often, on-base specialty clinics are full or limited to active duty personnel. Other times, finding a specialist who is in-network, accepting new patients and within a reasonable driving distance is a struggle.

Help! I Need Advice!

Perfect! That’s what the Nurse Advice Line is designed for! You can call 1-800-TRICARE (874-2273)—Option 1 to speak to a registered nurse about your concern.

The nurse you speak to can listen to your child’s symptoms and the progression of the illness/injury. Then, they’ll provide the next best steps in terms of seeking treatment or providing care at home. The nurses can even help you locate an ER or urgent care clinic.

Where Do I Go If…?

For military families, knowing where to get medical care in the event of an urgent or emergent medical issue is vital. Emergencies never seem to happen when you’re safely tucked into your familiar hometown. No, your child is sure to get into something dangerous or spike a terrible fever when you’re somewhere completely new. Of course.

What do you do then?

First, you no longer need pre-authorization to seek treatment at an urgent care center near you. However, there’s a catch: your urgent care center must be in-network. In some cases, that could mean driving long distances to be seen somewhere in-network even though there is a perfectly good clinic within 5 minutes.

After you’re seen, just call Tricare’s regional call center to let them know about your visit. If you’ve gone out of network, be prepared to pay point-of-service co-pays.

Second, you can be seen at any ER anywhere. If you’re on Prime, be sure to call Tricare to let them know about your visit or if you’ve been admitted.

Getting the Records Straight

Moving every three years doesn’t make it easy to keep records, even digital ones. Ensuring that your child’s medical files are complete and accurate can be a full-time job, especially when they run to the hundreds of pages – as is the case for many medically complicated children.

With each move and every new report generated, there is more to keep track of and pass along between providers.

Making sure that the most important details, like a deadly allergy or surgical records, be communicated is extremely important.

If you’re working with off-base, civilian offices, getting the records for your records can be costly. Many medical offices charge a fee per page copied but will transfer your records digitally or via fax to another doctor’s office for free.

Getting Coverage

Can you see that provider or get that needed supply now? That’s a strong maybe!

Not all medical care needs fit into neat little boxes. What is needed for one child to thrive may be excluded under current Tricare policy.

For example, dyslexia treatment is not allowed, but ABA therapy is covered as long as your child is enrolled in a special Tricare program.

Figuring out which much-needed providers will be covered by insurance or should be added to your already tight budget can be an extreme balancing act!

Do We Need ECHO?

The Extended Care Health Option (ECHO) is available to support military families with medical needs that might go beyond standard Tricare coverage. These can include home nursing and some supplies, like diapers.

ECHO offers a lifeline for many military families, at a low cost-share, who are struggling to meet the needs of a medically complicated child while also being financially smart.

Hospice Care Now Covered

No one wants to consider this scenario, but it’s comforting to know that hospice care is now an option for military dependents and troops. Hospice is designed for people who have a life expectancy of fewer than 6 months. Care will focus on comfort and daily living rather than a treatment plan in hopes of a cure.

However, military families have to choose between hospice and treatment. You cannot have both services operating concurrently.

What are your experiences navigating Tricare with your child – medically complex or typically developing? We’d love to hear your stories!

Host a Blow Out Football Party in Your Barracks Room

10/07/2019 By Meg Flanagan

Yeah, a blow out football party in the barracks is possible. Yeah, you might get noise complaints. No, it might not be looked upon kindly by your CoC. Should you do it? Heck, yes!

Host a Blow Out Football Party in Your Barracks Room

It’s fall, which means football season. Whether you’re a die-hard SEC fan or you prefer the highly paid athletes of the NFL, football games call for parties.

If you can’t get to the stadium to tailgate, you can still invite some battle buddies to your space for a super chill game night bash.

(Okay, you can totally use these tips outside of the barracks, too)

Photo Credit: © Drobot Dean /Adobe Stock

Make Like Mom & Slow Cook

Nothing says football like food – and lots of it! Keep your energy going for the whole game or day with hearty, stick-to-your-ribs dishes. Just like Mom used to make.

Plus, if you can invest in a slow cooker, you’re going to open up a whole new world of food away from the chow hall. Total bonus.

Slow-Cooked Ribs

You’ll need:

  • slow cooker, the bigger the better
  • 1-2 racks of ribs (fewer racks for a smaller cooker)
  • your favorite BBQ sauce
  • can of Coke or Dr. Pepper
  • seasonings: paprika, cinnamon (trust me), salt, pepper, brown sugar, cloves
  • onion, sliced into rings

How to:

  1. Spray the slow cooker with non-stick cooking spray; chop the onion into rings
  2. Put a layer of onion on the bottom, then a layer of ribs – breaking them into smaller chunks to fit the cooker; repeat layering until all ribs and onions are used
  3. Dump bottle of BBQ sauce + can of soda + seasonings of your choice into the slow cooker
  4. Set on low for 6-8 hours
  5. Eat

Slow-Cooked Meatball Subs

You’ll need:

  • frozen pre-cooked meatballs
  • 1-2 jars your favorite marinara sauce
  • sub rolls
  • cheese and toppings for making meatball subs

How to:

  1. Add frozen meatballs and sauce to slow cooker
  2. Cook on low for 3-4 hours OR high for 1-2 hours
  3. Serve meatballs with rolls and toppings

Round out your feast with chips, dips and salsa. If you’re more health-minded, and you should be because that PFT deadline is closing in, reach for hummus and veggie sticks. You can get pre-sliced veggies at the Commissary!

For a no-prep meal, order a bunch of sandwich meats and cheeses from the deli. Provide some sub rolls and toppings for DIY hoagies!

Prep the Tech

Honestly, you’re probably better at this part than me so I’ll leave the logistics and wiring up to you. (But 100% take my word on the cooking – I’m really good at feeding a group of hungry Marines!)

Basically, you’re going to want to make sure that you have optimized your viewing options. You’re not a one-game kind of crowd.

Set up multiple screens – TVs, laptops, iPads – to watch several games at once. Work with your buddies to combine your financial resources and tech know-how. You’re going to want to make sure that you have access to all the networks and viewing platforms. Do this part before the weekend. Or, actually, I’m guessing you’ve got this covered.

Put Your Field Gear to Good Use

Got some clean(ish) sleeping bags or camp stools? Pull out the field gear to create slightly more comfortable seating options for everyone.

Just maybe shake everything out once or twice outside. No one wants to be surprised by a huntsman spider on their head, am I right?

Word to the Wise

Gents (and ladies), if you’re hosting this shindig in or around your barracks room, it pays to keep a cool (and soberish) head on your shoulders.

Don’t be obnoxiously intoxicated. That’s a bonafide way to get extra PT on Monday or NJPed with litter picking. No one wants that, but especially not you. Having Top rip you a new one first thing is extremely unpleasant.

Watch the underage drinking. If you’re drinking around those who are under 21 years old, be on your guard. It’s still technically illegal to knowingly serve alcohol to people under the legal age.

Keep the noise down – someone might be trying to sleep off a few weeks in the field. Remember how tired you were after a few nights or weeks spent on the hard ground, “camping” with your closest buds in the cold, fall air? Yeah, that guy down the hall just got back and he’s tired. Be respectful of his sleep.

Most importantly: Do not, under any circumstance, drink and drive. Getting a DUI can often spell the end of your promising military career and a black mark on your permanent record. Plus, you could seriously injure or kill someone – yourself included. If you or any of your buddies need to leave the barracks post-game, call a cab, a ride-share or designate a sober driver.

Where do you go to watch the big game when you’re living in the barracks? Share your best tips with us!

Peep Some Fall Leaves Near These Military Bases

10/04/2019 By Meg Flanagan

The hills are alive with all the colors! At least they are if you live in certain bases and places. But (luckily) we can all travel to peep some fall leaves near these military bases!

Peep Some Fall Leaves Near These Military Bases

From mid-summer to late fall, military families can see gorgeous oranges, reds and golds throughout the US and around the world.

Joint Base Elmendorf-Richardson, Anchorage, AK

According to Amy Buschatz, Executive Editor of Military.com, head to Alaska super early for gorgeous fall foliage.

“It’s brilliant but short-lived,” she said. “The neat thing about Alaska is that often the fall foliage is on the ground because the mountains turn different colors, too.”

You can start enjoying beautiful leaves starting in mid-August. Just be sure to make your trip before mid-September, or you’ll miss this super short colorful season!

Naval Sub Base New London, CT

Even though this base is located along the coast in Groton, CT you can head out to the western side of the state for the most beautiful leaves in southern New England.

Trips to Discover recommends the Litchfield Hills for gorgeous hues!

Bangor Air Force Base, ME

Northern New England is known for stunning foliage, with the first leaves turning in late August and the last leaves falling sometime in October or November.

From Bangor, you can head west to the Green and White Mountains, part of the larger Appalachian Mountain Range. While you’re wandering around in the mountains, pick up some maple syrup and fresh-picked apples, too!

Presidio of Monterey Army Base, CA

Lucky you, living in Monterey! You’ve got a great seaside location and easier access to Napa and Sonoma, which is where the pretty leaves are at.

Not only will you enjoy the vibrant hues, there’s also the opportunity to sip some vino. Napa and Sonoma are famous worldwide for their high quality, diverse wines.

The Pentagon & Virginia Bases

Go west, military families! The Shenandoah Valley is one of the most popular places to peep foliage along winding mountains roads and through rural valleys.

Skyline Drive is the place to be, and it’s reasonably accessible from bases all over Virginia, from the DC-region to Virginia Beach and Norfolk.

While you’re driving, swing into Luray for some super safe spelunking-light experiences wandering through subterranean caves!

Photo Credit: © SeanPavonePhoto /Adobe Stock

Fort Campbell, Clarksville, TN

The Smokies are stunning in fall. The mountains start turning in late-September and continue through November or so.

Clarksville is smack in the middle of the state and along the northern border. Which means that you have access to tons of gorgeous leaves!

So go east, go west and go north to enjoy amazing colors no matter where the road takes you.

Iwakuni, Yakota & Fukuoka Japan

Military spouses living in the land of the rising sun can take in the glories of fall, too! Fall leaves start turning in northern Japan around mid-September, but peak season for the Tokyo and more southern main island locations lasting through December.

Hiroshima is a beautiful spot to check out fall foliage, plus access the floating torii on Miyajima with pretty reds and yellows starting in mid-November.

JR Rail, the national railroad system throughout the main island, has even prepared a helpful guide with anticipated fall color dates for travelers.

Camp Humphreys, South Korea

Starting around mid-September, South Korea will be awash in all the fall colors! From the southern islands to the DMZ, leaf peepers will be able to feast their eyes on incredible foliage all over the nation.

Be sure to check out the Seoul Tower for stunning views of the entire city. Another great option is to wander near the US Yongsan base through the Itaewon and Yongsan districts, full of eclectic eateries and quirky boutiques for shopping.

Ramstein Air Force Base, Germany

No matter where you’re located in Germany (we just picked this particular location out of the many US bases), fall is a great time to be bopping around here.

Enjoy Oktoberfest, which is already well underway, throughout the country with large steins, yummy sausage and pretty leaves. It’s practically a requirement.

Where do you go to peep fall leaves? We’d love to check out some of your secret foliage spots!

New Moms Face Snags with Tricare Breastfeeding Changes

10/03/2019 By Meg Flanagan

New parents connected to the military have relied on Tricare’s breastfeeding support programs for years. Moms have received breast pumps and supplies for free. Now, parents of some infants may also qualify for donor breast milk, too!

Expanding safe feeding options that allow parents a variety of solutions that fit the business of military life is always a good thing. But all this good also comes with a few hiccups.

New Moms Face Snags with Tricare Breastfeeding Changes

While donor milk coverage has been added, the notoriously generous breast pump program has been slapped with new restrictions.

$16 Million Breast Pump Overspend Leads to Major Changes

During a 2018 Inspector General audit, over $16 million in overspending on breast pumps and associated supplies was discovered. In one case, a breast pump that normally cost $200 at major retailers was billed at $1400 to Tricare.

Photo Credit: © tiagozr /Adobe Stock

These inflated bills were caused by beneficiaries purchasing a pump directly from a medical supply company, which would then bill Tricare. Another option was to purchase a pump from other retailers on their own, submitting their receipt for reimbursement later.

Now, Tricare is instituting a reimbursement cap and streamlining the process for filing a claim.

Here’s what you need to know now:

  • Tricare will reimburse qualified beneficiaries up to $312.84 (CONUS) or $500.55 (OCONUS) during 2019
  • There are no restrictions on where beneficiaries may purchase their pump
  • Deluxe models are no longer allowed; contact your Tricare call center for specifics
  • To get reimbursed for a pump, you must have or obtain a prescription from your PCM or another in-network provider
  • Initiate your claim for DD-2642; attach your prescription and a copy of your receipt when submitting the claim
  • There are limits on milk collections containers, replacement parts and other associated supplies
  • You are limited to one pump per birth event

For questions regarding the specifics of your coverage, please contact your Tricare regional office. You can call Tricare East at 1-800-444-5445 or Tricare West at 1-844-866-9378. Members stationed OCONUS should also call their regional call center.

Canceled Orders, Big Debts

With the major changes to how Tricare handles breast pumps, many beneficiaries have been left up in the air.

As of July, over 5,000 claims were pending at Pumping Essentials. The CA-based company also canceled all current and future orders of pumps and supplies for Tricare beneficiaries.

Pumping Essentials has also officially cut ties, for the time being, with the Pentagon due to outstanding debts owed on already ordered pumps and supplies. In July, the DoD owed Pumping Essentials over $1 million for past orders and claims. Pumping Essentials, in a prepared statement, claims that contractors like Humana and HealthNet were negligent in paying bills on time.

“[The contractors] have drastically mismanaged the handling of these claims, resulting in significant amounts of unpaid claims to Pumping Essentials and many other providers. … At this time, the volume of unpaid claims has put our company in a position where we can no longer sustain the debt that is accruing,” wrote Pumping Essentials officials.

New Benefit, Zero Instructions

Parents of infants with certain medical concerns can now access milk banks with limited or zero cost. But the implementation of this new benefit has been anything but smooth.

Donated milk is used to help totally feed or provide a supplemental food source for infants who meet one or more medically complicating conditions:

  • very low birth weight, often due to extreme premature birth
  • disorder or surgery that impacts the GI tract
  • failure-to-thrive diagnosis
  • unable to drink formula, causing weight loss or failure to thrive
  • low blood sugar
  • heart disease
  • organ transplant
  • when maternal milk isn’t available and the infant has a serious health concern
  • other serious health conditions, at the discretion of the PCM or specialists

Milk banks are located around the country and world, but the extremely high cost has limited or prevented access for many. Donated milk can cost as much as $5 per ounce, with daily bills costing upwards of $150 during peak consumption periods.

Military families have gone deeply into debt trying to care for their new baby. With Tricare’s new policy, retroactive to January 2019, military families will bear less of a financial burden in an already stressful situation.

However, Tricare and the Defense Health Agency announced this new policy without creating or communicating a complete plan of action to providers and associated agencies.

There are questions about what is covered and who is responsible for different elements of using donor milk.

Lactation specialist Pauline Sakamoto said that Mothers’ Milk Bank in San Jose, CA was overwhelmed with calls after the new policy was introduced.

“There continue to be questions as to what the benefit is and what the families are responsible for paying,” Sakamoto said. “For example, shipping costs. Is that part of Tricare coverage or not? And to some extent, Tricare has a co-pay, but we aren’t seeing that families are getting requests. There are a lot of issues right now swarming around this coverage.”

Getting Your Baby Banked Milk

Right now, parents who are interested in exploring how donor milk may benefit their baby should speak to their PCM or medical care team. A prescription is required.

Your child’s doctor should be actively monitoring your baby’s case and writing a new prescription every 30 days. Babies may consume donated breast milk, covered with a prescription, until 12 months of age as long as it is deemed medically necessary.

Parents may need to pay for the donor milk upfront, submitting a claim to Tricare for reimbursement after the fact. With all claims, parents should submit an active prescription and their bill from the milk bank.

In case of confusion, call your Tricare regional call center stateside or overseas. Customer service representatives should be able to help you navigate the billing and reimbursement loopholes.

Have you used either the new breast pump or donor milk benefit? We’d love to hear about your experiences!

Digging into Real EFMP Stories from MilSpouses Who’ve Been There

09/26/2019 By Meg Flanagan

EFMP or the Exceptional Family Member Program. It’s supposed to be a program to help military dependents access care, find advocates and only PCS to locations that can really, truly serve their needs.

Except it doesn’t always work that way.

Military spouses hear from commands and MTFs that EFMP will totally help them! It’ll be so much easier to ensure access to the right health care providers, additional support services and education programs (for kids) at wherever they’re stationed.

They hear that it’s “mandatory” to be enrolled.

And then they hear the horror stories from other families, detailing all the things that have gone wrong, promises left unfulfilled and careers derailed.

So what’s the truth about military spouses and EFMP? We went straight to the source – military spouses with EFMP experience that run the gamut.

Digging into Real EFMP Stories from MilSpouses Who’ve Been There

Enrolling in EFMP is supposed to be simple, just some paperwork. Paperwork that you should be able to grab right at your on-base PCM. And your PCM should be helping to determine if you or your children are eligible to begin with.

Photo Credit: © Sepy /Adobe Stock

That’s not always the case, as some military spouses have discovered. Air Force Spouse, Susan R., was given some faulty information

“I should have been enrolled years before, but was told some inaccurate information about EFMP and the population the program serves,” she said. “I was informed by my PCM in 2008, that EFMP was a pediatric program and that adult specialty medical care could always be found. Sadly, that’s not entirely accurate.”

Adults are, in fact, eligible for enrollment in EFMP. But this might not always be clear to your PCM, military or civilian.

Other spouses, like USMC spouse Melissa, were surprised with their EFMP status.

“I had a temporary condition that I did not know qualified me for EFMP, and I was enrolled in EFMP without anyone contacting me or contacting my active-duty spouse,” she explained. “I believe I was enrolled for about two years. When it came time to PCS, we suddenly found out that I was in EFMP, since it came up on the checklists. That was a surprise!”

Unlike Melissa, Susan found enrollment challenging, contrary to the “easy process” touted by the military powers that be.

“Enrolling in EFMP seems to be an easy process, too,” Susan shared. “Fill out a form, get the PCM to fill it out, sign it and that’s it. Sadly, that’s not it. Depending on the diagnosis there could be many physicians and specialists involved needing to fill out and sign paperwork. That process can be long and drawn out.”

Once in “the system,” many military spouses felt let down by the support and services they experienced.

Melissa felt completely ignored by the whole process. Not only was she not informed of her enrollment, she was barely involved in the process to get out.

“I saw a distinct lack of communication from the EFMP service at the base where we were, Melissa said. “I could not believe I’d been signed up and no one from the office contacted me. (It) took him three tries to get to someone who knew what forms we needed to get me out of the program. Then, the final in-person interview we needed to attend was only scheduled through my spouse, not me. He called and asked if I could attend the meeting time. No one from EFMP reached out to me then, either.”

Even though getting into EFMP, and apparently getting out as well, might be a challenge, there are some positives to this program.

“The base we were at had good programs for EFMP members, in terms of regular gatherings and events for both kids and adults,” Melissa said. “I think it was a good program for those who knew they were in it.”

Susan, an Army kid turned Air Force spouse, remembers the days pre-EFMP. In her eyes, the positives come close to balancing out the negatives.

“The positives of EFMP means that families with medical needs are being considered when the service member is up for an assignment,” she said. “I was an Army kid and I remember life as EFMP was being rolled out by the Army. We had families getting stationed in places where their medical, educational and family support needs were never considered. The stress on families was overwhelming. In some cases, rare cases, family members would get very sick and not have the medical care they needed.”

Good & Bad of EFMP

USMC Spouse Jen C. has seen both sides of EFMP. Both Jen and her children are enrolled in EFMP.

“I have been enrolled as EFMP member since 2003. I also am a disabled vet and have physical limitations,” Jen explained. “I had my oldest May 2005. I was given respite. I used respite with the CDC on base. I was given I believe 16 or 20 hours of respite a month. It actually helped our family since my husband was an e-5 and I only had a 10% service connected disability rating at the time.”

Respite care, available to EFMP-enrolled adults to care for their children as well as for EFMP-enrolled children, provides a qualified sitter or care providers. Families then apply for reimbursement at a set rate and for a particular number of hours.

However, after 2009, Jen saw EFMP change – and not for the better in her estimation.

“After 2009 things changed drastically because of the sequestration,” she said. “EFMP respite was than non-existent for EFMP adults.”

Will It Impact the Military Career?

Career issues top the list of why military families try to stay off of EFMP rosters. But if you’re talking to military powers that be, negative career effects are basically non-existent. But what’s the truth?

Actually, it seems like it’s both.

EFMP basically ensures that military families are not moved to locations without the correct services and supports. At least, it’s supposed to prevent that.

In reality, EFMP status can limit duty station options and lead to unaccompanied tours.

Army spouse Megan H. has experienced two unaccompanied tours and denial of tours, all due to EFMP-enrolled dependents. There are multiple EFMP-qualifying individuals in her household.

“(W)e were not just denied accompanied overseas assignments, but CONUS assignments as well,” Megan shared in her personal story. “(The) doctors, without understanding the process, not only ended up putting a wish list of services on each of my daughters’ forms (for now my three oldest all qualified to be enrolled) but they also enrolled me for about six or seven different diagnoses, some of which I didn’t really have, as well as listing approximately seven or eight providers that I needed to see either weekly or monthly for those diagnoses.”

Susan also saw impacts to her spouse’s career. While the personal impact is negative, she can also see the rationale behind the policy.

“(W)e were unable to move to a location that would have helped his career progression. The lack of medical care meant that my family was denied travel to that location. We ended up staying at a location for close to 8 years,” she explained. “I also believe that EFMP is supposed to impact the service member’s career. I’m sure this seems strange, but this is what I believe. If DoD didn’t have EFMP, then families who have children with autism, are diagnosed with cancer, have illnesses that require specialty medical care would move to duty stations and never be able to access the care and services needed.”

A new USMC study appears to show that there is little to no longterm impact on Marine’s careers.

“Not only did we find that career advancement was not distinguishably impacted by EFMP enrollment, we also learned that, on average, EFMP enrollees serve slightly longer than their non-EFMP active duty counterparts, achieve a slightly higher grade, and the majority achieve that high grade in the same or shorter amount of time than the average of their non-enrolled peers,”  said Jennifer Stewart, the EFMP Section Head for Marine and Family Programs.

What Happens If I Don’t Enroll?

If your EFMP-qualifying issue is mild or well-controlled, then this should be listed on your medical paperwork. Opting to avoid enrolling is a 100% personal decision that needs to be based on multiple factors.

However, before choosing to skip EFMP, it’s important to understand the implications.

  • Moving to a duty station where limited or no services are provided via MTFs or in-network civilian medical providers
  • Being located in a place with limited or no support services, like ABA therapy
  • Moving to a location where routine, infrequent maintenance screenings or check-ups are unavailable

Basically, you could be in a place where the things you or your child needs to cope with your diagnosis are just not available. While some diagnoses or individuals might be able to manage, others may not. And you just won’t know what’s there until you get there.

Susan appreciates the fact that her family’s duty station options are more limited.

“My husband and I are good with not being able to move to a location that doesn’t have the medical care to support our family,” she shared. “Our family is the most important thing which means having access to medical care that we need.”

However, Jen found that the system failed her family,

“We had serious waitlist issues in FL,” she explained. “I even called USMC EFMP HQ in Quantico because I asked why they sent me somewhere where there are no services.”

What has been your experience with EFMP? Sound off in the comments!

News Headlines Confusing Regarding Citizenship for Children Born to U.S. Military Members Overseas

09/26/2019 By Military Life Administrator

Here is a recent CNN Headline: “Citizenship will no longer be automatic for children of some US military members living overseas”. Reading this headline; I immediately think, if I am stationed outside the U.S. and have a child are they a U.S. citizen?

All this confusion comes from a Policy Alert, dated August 28, 2019 from the U.S. Citizenship and Immigration Services. Basically it is policy guidance to clarify requirements for residence in statutory provisions related to citizenship regarding children of U.S. government employees and members of the U.S. Armed Forces employed or stationed outside the United States. In layman’s terms, it affects a small number of children who are born to naturalized U.S. citizens who have not lived in the United States for a required period of time.

After realizing this new policy doesn’t affect the majority of military service members and their families who are stationed overseas it did make me wonder how the process works if you have a child while stationed outside the county. There are three ways you can become a U.S. citizen: naturalization which is becoming a citizen after birth, born on U.S. soil or birth to parents who are U.S. citizens. A few things you need to know if having a child outside the country.

  • Contrary to popular belief, a U.S. military base outside the country is not considered U.S. soil for citizenship purposes.
  • The only way a child born outside of the U.S. can become a citizen is through their parents.
  • If your child is born in a military hospital overseas or in a foreign hospital, you will receive a birth certificate but these are not valid for obtaining a U.S. passport.
  • It is important that you register the birth with the U.S. embassy or consulate in the country you are stationed in. This requires an application and documents proving the parents’ citizenship as well as the paperwork from the military or foreign hospital recording the birth. You will receive a Consular Report of Birth Abroad which proves your child’s citizenship and is valid for obtaining a U.S. passport

You may wonder if there are any benefits to making your child a dual citizen of the foreign country you are stationed in. This is something that should be carefully considered. Many countries have mandatory military service or income tax that you would not want to inflict on your child. It may make sense if one of the parents were from a foreign country. In these circumstances it would be worth it to speak to an immigration attorney.

Photo Credit: © Africa Studio
/Adobe Stock

An an interesting note this topic came up during the last election regarding whether Sen. Ted Cruz, was eligible to become President because he was born in Canada to a U.S. citizen Mom and a Father who was born in Cuba. He gained citizenship through his Mother and is consider a “natural born” citizen meaning he held citizenship from birth which is the requirement to become President.

Marguerite Cleveland is a freelance writer who specializes in human interest and travel stories. She is a military brat, a veteran and now a military spouse.  Her military experience is vast as the daughter of a Navy man who served as an enlisted sailor and then Naval Officer. She served as an enlisted soldier in the reserves and on active duty, then as an Army Officer. She currently serves as a military spouse. She lives in the Pacific Northwest with her husband and two sons. Visit her website www.PeggyWhereShouldIGo.com

10 Apps & Sites to Make Your Next PCS So Much Easier

09/26/2019 By Meg Flanagan

We just finished a monster of a PCS. And while everything went pretty well, I would have sure loved a little more support with organization and streamlining.

Perhaps something in the literal palm of my hand?

Luckily, there are tons of new apps out there designed for just this purpose. From service-specific apps to more general designs, there is sure to be an app (or two) out there to help your military family have an easier PCS!

10 Apps & Sites to Make Your Next PCS So Much Easier

When you’re on a tight timeline with about a million balls in the air, it helps to have everything in one place. These apps will set your military family on the path to make your next PCS easier!

My Ultimate PCS

Developed by military spouses, Moni Jefferson and Maria Reed, this simple, streamlined app keeps everything together! There are options to sync between the app and your calendar, making hitting deadlines so much easier! Plus, you can plan every stage of your trip, monitor checklists and take photos of all your high-value items before they get packed up.

My PCS Mobile

The Navy just launched a brand new way to track and monitor PCS moves – but it’s just for sailors. Best of all: no app needed! Launch this all-in-one app from any browser, anytime. Get started at the Navy App Locker!

MilitaryByOwner

House hunting is one of the most challenging aspects of any PCS. Trying to hit the sweet spot of BAH, ideal commute, great schools and good neighborhood is hard. MilitaryByOwner makes it easier with home for rent or sale by military families – just like you! You can search by base, BAH and commute distance. Plus, since everyone is military, your new landlords totally get the PCS process.

PCSMyPOV

You’ve got two cars and you’re moving cross-country. It can be a logistical nightmare for sure. Deciding who drives, what gets shipped and how much you’re willing to pay is stressful. Take some of the stress out of your PCS with this simple car shipping service – with an accompanying app, too! Search shippers, peek at rates and finalize your POV’s big move.

Google Maps

Know what worse than getting lost in your new hometown? Actually, no that is the worst. Stay in the know about where to go with Google Maps (or Apple Maps or Waze or your other favorite GPS app). With Google you can do a quick check of your surroundings for restaurants, parks and grocery stores. Bookmark important locations, like your child’s school or the best running trail.

Photo Credit: © zinkevych
/Adobe Stock

Your Favorite Hotel App(s)

Whether you are road-tripping or flying, you’re going to need someplace to lay your head along the way. Download your favorite hotel app or apps to try to save a little green on great locations. Some great options:

  • Hotels.com
  • Booking.com
  • Marriot Bonvoy
  • Kayak

BringFido

Have dog, will travel! Feel better about taking your puppy pal along for the adventure with BringFido. This app helps pet owners find hotels that will also welcome their pup.

Playground Buddy

Long TLF stays get old quick. Even just a few days of travel can be wearing, especially with kids. Find places and spaces to stretch everyone’s legs with Playground Buddy! This app helps parents locate playgrounds nearby. Bonus: this app had listings for playgrounds all over the world!

USA Rest Stops

When you’ve gotta go, you’ve gotta go and USA Rest Stops can help you locate something close by ASAP. You’ll be able to see where rest stops are located before you leave or search along the way. Plus, if you’re trying to combine a bathroom break with a quick bite to eat, you can also check to see what each rest stop offers – including their hours!

Priority Pass

If you’re passing through airports, you need to check out Priority Pass. It’s basically your all-access pass to luxury airport lounges. Think: free food, faster(er) WiFi and maybe a hot shower. You can purchase an annual membership with Priority Pass, but many credit cards like Chase Saphire or AMEX Platinum include this deal for cardholders. And these two cards specifically do not charge active duty troops the annual card fee! Which makes getting free Priority Pass a no-brainer for less stressful PCS flights.

What are your top tips or apps to make PCSing even smoother for military families? Sound off in the comments!

Funds Siphoned from Military to Build Border Wall

09/19/2019 By Military Life Administrator

Are you outraged that $3.6 Billion from the Pentagon Budget is going to be diverted to pay for the border wall?

The news has been filled with headlines like this one from a CNN opinion piece “Trump is hurting the military for his own political benefit”. According to the September 3, 2019, DOD Briefing on Use of 2808 MILCON Funds for Construction of the Border Wall, $3.6 billion dollars from the military construction budget will be reallocated to help fund the border wall. I found myself pretty angry for a variety of reasons. One of the listed projects is near where I live affecting one of our military bases and the local economy. The second reason is that budgeting falls under Congress and I didn’t like the use of Executive Orders with President Obama and I don’t like this use with President Trump. It violates our constitution and the separation of powers between the Executive, Legislative and Judicial Branches of the government.

Background. (compiled from the Sept 3, DOD Briefing)

So how can this happen? The president declared a national emergency at the border between Mexico and the United States under the use of Title 10, U.S. Code, Section 2808. The Defense Department then evaluated whether military construction projects (the wall) on the border would support the use of Armed Forces deployed to the border. The chairman of the Joint Chiefs of Staff, Gen. Joseph Dunford concurred that such projects support the use of armed forces. So after all the analysis, Secretary of Defense Esper determined these construction projects are necessary and that the DOD will take on 11 border barrier military construction projects on the border.

Photo Credit: © chess_ocampo /Adobe Stock

Next the DOD identified which construction projects could be deferred with the goal of minimizing the impact within the United States and its territories. They also did not include housing for both troops and families or those that were awarded for 2019.  Approximately $1.8 billion will come from projects outside the U.S. and about $1.8 billion from with the U.S. and its territories.

According to a Military Times article, “Here’s everything the Pentagon is putting on hold to concentrate on building the border wall,” dated Sept. 4. It is quite a few. “In total, the list included 43 projects in 23 states ― two of which had been slated for cancellation ― along with 21 in three U.S. territories and another 63 in 20 partner nations abroad. Now, they are all delayed in favor of 11 new projects that will make up 175 miles of new or reinforced border barriers.”

Where the politics come in – now the DOD is going back to Congress to request these funds that were reallocated to the wall be returned to the Pentagon budget.  In regards to the 63 projects occurring in partner nations, it seems the goal is to ask them to pay for the projects as part of President Trump’s plan to make allies pay a fair share of defense expenses.

Current headlines about money being pulled from the Defense Department to pay for the wall made me very angry. Some even stated that the military would be less safe because of the reduced funding. I found that many of these headlines are very inflammatory and really designed to elicit the response I had. After reviewing all the information I could find and going to the source (Department of Defense briefing about this issue) I realized that the Pentagon has worked to choose construction projects which will have the least impact if they are delayed and I don’t believe any directly affect the safety of our military service members. So, I am still angry that Pentagon money is still going to pay for the wall but it is not a damaging as the headlines would have you believe.

What do you think about this issue? When you see inflammatory headlines do you take them at face value or do you delve into the story a little deeper to find the facts?

Marguerite Cleveland is a freelance writer who specializes in human interest and travel stories. She is a military brat, a veteran and now a military spouse.  Her military experience is vast as the daughter of a Navy man who served as an enlisted sailor and then Naval Officer. She served as an enlisted soldier in the reserves and on active duty, then as an Army Officer. She currently serves as a military spouse. She lives in the Pacific Northwest with her husband and two sons. Visit her website www.PeggyWhereShouldIGo.com

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