dental care

New Electronic Health Records System Coming Soon for Military Families

If you’ve ever transferred between military treatment facilities (MTFs), you know how frustrating it can be reciting your complete medical history over and over.

This new medical records system will mean less paperwork for providers and patients. You won’t have to fill out a medical history form each time you see a new military doctor or dentist.

Before February of this year, MTFs did not have a computer system that allowed them to share medical and dental records easily. It was a very frustrating process for medical professionals and patients alike. You could find yourself repeating your information from a first responder to a nurse and then again to a doctor. If you got sent to another clinic, you might repeat that information yet again.

Luckily, a new electronic health records system, known as MHS GENESIS, was introduced this year.

What is the MHS GENESIS system?

MHS GENESIS is the new electronic health records system that will keep track of health information for the Military Health System (MHS) through secure technology.

It is an integrated medical and dental electronic health record that will be able to give medical professionals an electronic record of your health information. Basically, it is an electronic copy of all your medical and dental information.

It will eventually be accessible to all medical professionals at any military treatment facility. With MHS GENESIS, you will no longer need to recite your medial history to your new doctor every time you PCS. You also won’t need to pick up your medical records or dental records before you move. Your provider will be able to see your family’s entire medical and dental history in one place.

MHS GENESIS will also mean less paperwork for providers and patients. You won’t have to fill out a medical history form each time you see a new military doctor or dentist. MHS GENESIS will have information stored on all care that has been provided for you. This also means that there will be less of a chance for inaccurate information given or received. You will no longer need to try to remember the dates of previous surgeries or vaccines for example.

More than 800 subject matter experts came together to create MHS GENESIS. This includes medical professionals such as doctors and nurses as well as computer system professionals such as information technologists. MHS GENESIS will replace all of the systems that are currently used; that’s more than 50 systems that will be narrowed down to one single system. This includes replacing DoD health care systems such as: AHLTA, Composite Health Care System, inpatient, and parts of the Theater Medical Information Program-Joint.

More than 9.4 million Department of Defense beneficiaries and about 205,000 Military Health System professionals around the world will benefit from using MHS GENESIS.

MHS GENESIS Patient Portal

The MHS GENESIS Patient Portal launched in February. It is a secure website that provides access for you and health care providers to your medical information. Through the MHS GENESIS Patient Portal you can:

Review your current health information
Schedule medical and dental appointments for both yourself and your dependents
Request prescription renewals
Send and receive secure messages with your doctor or nurse
Review medical notes and certain lab and test results
Complete the pre-visit dental health history questionnaire
View, download or print health data
Receive alerts from the MHS GENESIS Patient Portal to schedule wellness exams

When is MHS GENESIS available?

MHS GENESIS is being rolled out in waves, starting with several small military treatment facilities in the Pacific Northwest. In February the system launched at Fairchild Air Force Base in Washington.

“We are following a path of going from our smallest to our largest deployment, so we can again take the lessons learned from each deployment so we can make the next deployment even more successful, efficient, and streamlined,”

said Stacy Cummings, the program executive officer for the Program Executive Office, Defense Healthcare Management Systems.

MHS GENESIS was scheduled to go live at Naval Hospital Oak Harbor in May; Naval Hospital Bremerton in June; and Madigan Army Medical Center in July, but at the time of writing this article there have been no updates given.

Those that have used the system have said it is a flexible and user-friendly system. The plan is to have MHS GENESIS in place in all MTFs by 2022. This will connect 55 hospitals and more than 350 clinics worldwide. They will announce when each location will go live as that time approaches.

You can access the MHS GENESIS Patient Portal here once it is available to you.

Veterans Affairs Embraces MHS GENESIS

In June Secretary of Veterans Affairs David Shulkin announced that the VA would be adopting the same electronic health records system, MHS GENESIS. This will be great for service members that transition out of the military and receive medical care through the VA.

What are your questions or concerns about the MHS GENESIS health record system?

What to Do if Your Dentist Isn’t Accepting United Concordia

By Kimber Green

On May 1, 2017, Tricare dental coverage for active duty, Guard and Reserve families will transition from MetLife to United Concordia.

What to Do if Your Dentist Isn't Accepting United Concordia

Do you know if your dentist will be an in-network dentist under United Concordia? Check with Tricare today to find out.

Along with this change comes many great new benefits, but unfortunately not all dentists will be accepting United Concordia. This means you have some choices to make when it comes to your family’s dental care provider. Below are the things you need to know to make an informed decision.

Should You Drop Your Dentist if They Drop Tricare When United Concordia Takes Over?

First of all, this change only affects active duty, Guard and Reserve families. Delta Dental will continue to administer dental coverage for retirees and their families and that program is not changing at this time. For those that are part of the change, an increase in benefits and lower premiums come with the transition to United Concordia. In fact, no benefits are being reduced.

One important addition to United Concordia taking this contract is that the annual maximum benefit, which was previously $1,300 will now increase to $1,500. Under MetLife, sealants required a 20% co-pay. With United Concordia, sealants will be free.

Tricare dental is a voluntary program. You have to enroll your family if you want to use it. Previously, when a child turned 4 that was registered in DEERS, they would automatically be added to the family dental plan if that family had enrolled in one.

Under United Concordia, on the child’s 1st birthday they will be automatically added to the family dental plan. That is an important thing to consider if only a spouse was on the dental plan paying single enrollment. On the child’s 1st birthday that would automatically move the plan to a family enrollment and along with that comes a higher monthly premium.

Premiums are going down under United Concordia. You can view the chart at Tricare.mil. While premiums for some programs are going down a small amount, others will see significant savings. A single enrollment for the dependent of an active duty service member currently pays $11.68 a month, but as of May it will decrease to $11.10. That isn’t much of a savings, but an active duty family plan does have a better rate. That premium drops from $34.68 to $28.87 under United Concordia.

That’s all great, but what if the dentist you visit no longer accepts your insurance once United Concordia takes over in May?

Some dentists will no longer be accepting Tricare dental since reimbursement rates are much lower for them with United Concordia.

Dr. Adams, a dentist in Hampton Roads, Va., sees his share of military families, but says he will be losing money if he continues to do so come May. According to him, the reimbursement from United Concordia will be 15% lower than it was with MetLife.

What should you do if your dentist drops Tricare?

You can visit any dentist you want with Tricare dental, but it might cost you more. There are 330,000 network dentists with United Concordia. You can therefore, stay with your current dentist and pay out of pocket or you can search for a new dentist. You can search for a dentist online or call United Concordia customer service at 1-844-653-4061.

It is important to check if your dentist is in network. If they are not, but accept some payment from United Concordia, they might bill you for the difference in what United Concordia does not cover. Don’t get stuck with a bill. A dentist that is in network cannot bill you for any difference in payment.

Any member of your family can see any dentist; you don’t all have to go to the same practice. If there are multiple providers, you will need to check that the one you are seeing is in network. There can be several dentists in an office, each choosing to accept Tricare or not.

The dentist you choose to see may not know everything that is covered by United Concordia. You can log into your account online to see what is covered before authorizing any procedures. You will not have to file a claim if you see a dentist in network; they will do it for you.

Sticking with a dentist that is in network can save you a lot of money. Call your dentist or check online to see if they will be in the network come May.

If not, ask friends for referrals to other dentists and try someone new. If you are set on staying with your current dentist, make sure you ask how much procedures will cost before you authorize them.

For more information about the United Concordia dental contract, visit Tricare.mil.

Tricare Dental Contract Change

By Kimber Green

More than 1.8 million beneficiaries will see a change in their dental coverage next year as the government has just awarded United Concordia Companies, Inc. Tricare’s dental contract.

MetLife has held the contract since they took it over from United Concordia in 2012. Now that the government has made the switch back, there is plenty of protest.

How the Tricare Dental Contract Change May Affect Your Dental Care

If you’re worried about scheduling your next cleaning, note that United Concordia doesn’t take over Tricare dental until February 1, 2017.

The contract award is for $11,010,000 to support the Tricare Dental Program by providing comprehensive dental care services around the world to eligible Tricare beneficiaries. There were 4 offers made, but ultimately the Department of Defense (DoD) went with United Concordia. The 5-year contract includes 1-year transition in contract with 5 12-month option periods and a 12-month phase out period. United Concordia already manages the Tricare Active Duty Dental Program (ADDP) for active duty service members.

United Concordia reports that surveys confirm that enrolled members and the government are both satisfied with their service.

Some beneficiaries however are skeptical of the change.

When the DoD awarded the Tricare Dental Program contract to MetLife in 2012, many were delighted to find dental coverage expanded in many categories. The annual maximum amount covered increased, the lifetime orthodontic coverage increased, there was an addition of accidental dental injury and pregnant women were allowed an extra cleaning.

Now there is worry that some of these additions won’t carry over.

If United Concordia does keep these category expansions going, the question then becomes how much will this cost? A company spokesperson said that they don’t have specifics on Tricare dental coverage yet as they are still working out details with the government. In turn, the DoD says it cannot comment until the protests have been settled. That leaves a lot of room for questions and wondering minds.

A few program details have been announced however. The annual maximum benefit will increase from $1,300 to $1,500 under the new contract. Sealants, which required a 20 percent cost share under MetLife’s management, will now be completely covered with no out-of-pocket costs at all.

Monthly premiums won’t be going away though. All beneficiaries who are currently required to pay a monthly premium will still incur that cost. Two free cleanings a year will continue to be the norm and pregnant women will be able to have a third cleaning.

Is your family enrolled in the Tricare Dental Program?

While these benefits are all great, some worry that they will have to find a new dental provider once the change in contract occurs. Each dental office can choose which provider they accept for dental coverage and they might not accept Tricare under United Concordia. It can be nerve-racking enough going to a dentist. Once you find one you like and trust, whether for yourself or your family, you want to stick with them. Facing the potential to have to search for a new dental office is cumbersome.

If you’re worried about scheduling your next cleaning, note that United Concordia doesn’t take over Tricare dental until February 1, 2017, so you have plenty of time to see your dental care provider.

If you or a family member are not enrolled in the Tricare Dental Program and would like to do so, you can sign up online.

The Tricare Dental Program is the world’s largest voluntary dental program. Those eligible for enrollment include: family members of active duty service members, family members of national guard/reserve members, and national guard/reserve members who are not on active duty or covered by Transitional Assistance Management Program (TAMP).

Coverage is available worldwide. It includes coverage for many dental procedures including:

exams
cleanings
fluorides
sealants
X-rays
fillings
root canals
gum surgery and tooth extractions
crowns
dentures
orthodontics and braces
scaling and root planning for diabetics
as well as an additional cleaning for pregnant women.

If you’re worried about how the Tricare Dental Program will change after the contact award, don’t delay in making a trip to your favorite dentist before next year.