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Future US Military
Retired_Activities
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The following bulletins are furnished to ANA as important information to retirees by LT EMO Tichacek, USN (Ret) who is the Retired Activities Director in Baguio, P.I. and are used with his permission. If you have questions about the articles, please direct them to the cited reference in the bulletin and NOT to ANA or LT Tichacek. 15 Sep 04
Medicare 2005 Rates: On 3 SEP 04 the
Department of Health and Human Services (HHS) announced the 2005
Medicare premium, deductible and coinsurance amounts to be paid by
Medicare beneficiaries. For Medicare Part A, the program that pays for
inpatient hospital, skilled nursing facilities and some home health
care, the deductible paid by the beneficiary when admitted will be $912,
up from $876 in 2004. The Part A deductible is the beneficiaries only
cost for up to 60 days in a Medicare covered hospital. The monthly
premiums for Medicare Part B, which covers physician services,
outpatient hospital services, certain home health services, durable
medical equipment and other items, will increase from $66.60 to $78.20.
The new premium reflects general growth in health care costs, higher
payments to physicians and Medicare Advantage coordinated care health
plans under the Medicare Modernization Act (MMA), and building trust
fund reserves. HHS officials reported that under the MMA, Medicare
enrollees are benefiting from improved access to physician services, new
preventive and health screening benefits, more Medicare Advantage plan
choices, and better benefits and/or lower out-of-pocket costs in many
Medicare Advantage plans. Medicare deductibles and premiums are updated
annually in accordance with formulas set by law. By law, the federal
government picks up about 75 percent of the cost of Part B benefits and
the Part B premium covers the remaining 25 percent. However, the Part B
premium increase may not exceed any beneficiary's cost of living
adjustment in their Social Security check. For the great majority of
beneficiaries, the Social Security cost of living increase is likely to
be significantly greater than the premium change. Two other MMA changes will help lower beneficiaries'
out-of-pocket costs in 2005. First, the new Medicare law provides
additional savings for Medicare beneficiaries by paying more
appropriately for Medicare covered drugs and the administration of those
covered drugs. Second, the new preventive benefits in Medicare will help
beneficiaries cover the cost of screening tests for heart disease and
diabetes, and will provide a "Welcome to Medicare" exam (including
coverage for associated services) for beneficiaries entering the
program. For more information on Medicare, go to http://www.hhs.gov/news Military Health Care Transition: In a
Washington Post Article, the Pentagon announced that they will begin to
replace thousands of uniformed health care personnel with civilian
workers or contractors, as part of the overall Defense Transformation
for the 21st Century Act proposed by Secretary of Defense, Donald
Rumsfeld. The overall goal of the Pentagon is to reassign service
members to jobs that are directly tied to fighting wars and national
security and either civilianizing or eliminating their prior positions.
In the case of the Military Health System, the goal is to
civilianize/eliminate up to 10% of the current FTEs. This plan will
begin with the Navy in July 2005 as they review the some 6,000 medical
positions determined to have no ties to readiness. The Army and Air
Force are expected to begin their conversions in Fiscal Year 2006. The
Pentagon expects this plan will save money in the long run by reducing
the number of uniformed military health care workers, which will in turn
reduce the infrastructure retirement obligations. There is also a belief
that some of the positions being converted can be done more cheaply by
civilians than by military service members. This transformation could
bring considerable changes to the Defense Health Program and will most
certainly affect the medical care provided to the 8.9 million active
duty service members, retirees and their dependants. Concerns have been
noted by military fraternal organizations regarding the impact that this
will have on the proficiency of our military medical professionals who
need retirees and family members to work on in order to maintain their
skills. If their practice is limited to young healthy active duty
service members only, how will the doctors maintain their competency?
Also, DoD's track record in implementing changes to health care is not
very impressive. The Next Generation of TRICARE Contracts proposed a
multitude of changes with the belief that there would be cost savings:
including a centralized referral and prior authorization computer
system. At the start of the new contracts, the Pentagon's centralized
computer system was not in place, the Managed Care Support Contractors
were forced to improvise a manual process of faxing authorizations and
referrals, and increasing their overall cost to the government in
support of TRICARE. Medicare Special Enrollment Mailings: The
Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA)
has a provision that directly impacts certain Medicare-TRICARE
dual-eligible beneficiaries. It eliminates the Medicare Part B surcharge
for uniformed services beneficiaries who were subject to a higher
premium (currently paying more than $66.60 a month) for enrolling in
Part B during the years 2001 to 2004. Under the MMA, Medicare Part B
premiums will be reduced for these beneficiaries to the regular monthly
premium rate and beneficiaries will be reimbursed for any surcharges
paid in 2004. These refunds will be provided in Social Security
retirement checks. The legislation also provides the opportunity for
uniformed services beneficiaries who are entitled to Medicare Part A but
are not enrolled in Medicare Part B to enroll in Part B without a
premium surcharge. These beneficiaries will be offered the opportunity
to enroll in Part B during a Special Enrollment Period. SSA Special Enrollment Period Notice: The SSA will mail a
Special Enrollment Period notice in mid-September 2004 to uniformed
services DEERS Registration: Uniformed services beneficiaries also must
be registered in the Defense Enrollment Eligibility Reporting System (DEERS)
to remain eligible for TRICARE benefits. Beneficiaries may update their
information in DEERS by visiting an identification card issuing facility
or by contacting the Defense Manpower Data Center Support Office (DSO)
Telephone Center at (800) 538-9552. To find the nearest identification
card issuing facility, beneficiaries may visit http://www.dmdc.osd.mil/rsl
For general information about TRICARE benefits, beneficiaries may call
Wisconsin Physicians Service (WPS) TRICARE For Life at 1-866-773-0404 or
visit the TRICARE Web site at http://www.tricare.osd.mil
Additional information regarding the Medicare Prescription Drug,
Improvement and Modernization Act of 2003 (P.L.108-173) is available at
http://www.socialsecurity.gov/legislation/tricare.html If
beneficiaries have questions about enrolling in Medicare Part B, they
may call SSA toll free, at (800) 772-1213 or visit any Social Security
office. VA Informed Consent: The Department of
Veterans Affairs (VA) Electronic Support for Patient Decisions
initiative will be introduced at all 158 VA medical centers within a
year. Customized software called iMedConsent will provide patients with
information about treatment options and standardize procedures among
clinicians. The program: Although the program is designed primarily to assist physicians,
it also guides informed-consent discussions between doctors and
patients. The goal of the informed consent process is to ensure that
patients are knowledgeable participants in decisions about their health
care. It generally requires that patients understand their choices
through discussions of proposed treatments, reasonable alternatives to
proposed care, risks and benefits of each alternative. The electronic
support system is VA's latest use of technology to enhance patient care. [Source: VA News Release 3 SEP 04] Commissary Coupon Use Update 01: All
273 of the Defense Commissary Agency stores are now accepting
computer-generated Internet coupons that meet the following criteria: DeCA and other grocery retailers had stopped accepting
home-printed coupons in SEP 03 as an interim measure while the grocery
industry grappled with losses incurred because of their fraudulent use.
Analysts estimated the grocery industry had lost millions of dollars
from coupon fraud, which ultimately costs consumers in the form of
raised prices to recoup losses. The agency's Web site, http://www.commissaries.com
will re-establish links to Internet grocery coupon sites for the
convenience of commissary shoppers. Veterans Presidential Choice: Veterans have less than two months to make up their minds on who they want to represent them for the next four years. The candidate they choose should be one who will support legislation that will enhance benefits, eliminate present inequities, and prevent erosion of benefits. It is not an easy decision and both candidates' positions are in many cases being clouded by avid supporter's of the opposing candidate. The American Legion has taken a poll of the questions that veteran's would most like to be answered by each candidate. The top ten are listed below. The candidate's responses can be viewed at http://www.impact04.legion.org/vote.php (1) Do you support designating VA health care as a 'mandatory'
item within the Federal budget? To learn more about each of the candidates visit http://www.georgewbush.com
and http://www.johnkerry.com
Information on each parties platform can be found at http://www.impact04.legion.org/pdf/platform_rep.pdf
and http://www.impact04.legion.org/pdf/platform_dem.pdf
Representation in Congress is also key in bringing legislation before
the president that will benefit the veteran community. [Source: Armed Forces News 3 SEP 04, +++] Tricare: Region North: DoD announced
that on 1 SEP 04 transition to Tricare North has been completed. This
affects eligible Tricare beneficiaries in Maine, Vermont, New Hampshire,
Massachusetts, Rhode Island, Connecticut, New York, New Jersey,
Pennsylvania, Delaware, Maryland, the District of Columbia, and Northern
Virginia. This transition completes the new North Region that began 1
JUN with the states of Illinois, Indiana, portions of Iowa (Rock Island
Arsenal area), Kentucky, Michigan, portions of Missouri (St. Louis
area), North Carolina, Ohio, portions of Tennessee (Ft. Campbell area),
southern Virginia, western West Virginia and Wisconsin. The new
structure enhances customer service, increases benefit portability, and
improves access to care for beneficiaries Health Net Federal Services
Inc. (Health Net), a government operations division of Health Net Inc.,
based in Sacramento, Calif., will provide healthcare services and
support to the region's 2.85 million beneficiaries. The military
community located within this region can obtain healthcare information
by contacting Health Net at (877) 874-2273 or viewing their web site
http://www.healthnetfederalservices.com Those who are not in
Tricare Prime, will have the opportunity to enroll. The online Health
Net web site provides: Military treatment facilities (MTFs) in all Tricare regions
remain at the core of the military health system. The Tricare Online Web
site National Debt & Consumer Credit Update
01...Correction: The National Debt on July 12, 2004, was
$7,265,299,676,980.06. The U.S. population on July 14, 2004 at 8:59 am
EDT was estimated to be 293,735,011. If you divide the National Debt of
7 trillion dollars by the number of men, women, and children, we each
owed $24,734.20 on 14 July. Recent figures indicate we owe vendors on
revolving credit, credit cards and the like, $2038.4 billion, or two
trillion in consumer debt that we have to repay. Divided by the
aforementioned population number indicates $6939.59 would have to be
repaid per person if the debt were to have been evenly indurred by all
U.S. citizens. To track at any given time the amount you owe you can get
the latest figures on debt at http://www.publicdebt.treas.gov
population at http://www.census.gov
and consumer credit at
http://www.federalreserve.gov/releases/g19 Tricare Pharmacy Copay for OHI: On June
1, Express Scripts, Inc. (ESI) took over the TRICARE retail pharmacy
program. Since that time, some beneficiaries have experienced continuing
problems with reimbursement of copayments for other health insurance (OHI).
If you are a TRICARE beneficiary who has OHI, you are eligible to have
TRICARE reimburse your OHI pharmacy co-payments. If you use a TRICARE network pharmacy you will be reimbursed the
full co-pay in most situations. But if you use a non-TRICARE network
pharmacy; you must first meet the annual TRICARE deductibles. After
that, in most circumstances, DoD will refund the co-pay amount. Forms
should be sent to: ESI, PO Box 66518, St. Louis, MO 63166-6518. For more
information contact: Civil Air Patrol Wants Retirees: The
Civil Air Patrol (CAP) is playing a role in homeland security and is
looking for senior members to join the effort. The auxiliary of the U.S.
Air Force is a force multiplier in critical homeland security efforts.
Members have excellent air/ground National Cemetery Administration Update 01: The Department of Veterans Affairs which operates 120 of the 136 national cemeteries has named the new national cemetery in the Detroit area the "Great Lakes National Cemetery," and the one in the Atlanta area the "Georgia National Cemetery." Veterans with a discharge other than dishonorable, their spouses and eligible dependent children can be buried in a national cemetery. Other burial benefits include a burial flag, Presidential Memorial Certificate and a government headstone or marker - even if they are not buried in a national cemetery. VA, now in the midst of its largest cemetery expansion since the Civil War, operates 120 national cemeteries in 39 states and Puerto Rico, 33 soldiers' lots and monument sites. More than 2.5 million Americans, including veterans of every war and conflict - from the Revolutionary War to the current war against terrorism - are buried in VA's national cemeteries on more than 14,200 acres of land. Information on VA burial benefits can be obtained from national cemetery offices, from the Internet at http://www.cem.va.gov or by calling VA regional offices toll-free at (800) 827-1000. Georgia: The 775-acre site Georgia site is located in Cherokee
County approximately 40 miles north of Atlanta. Nearly 400,000 veterans
and their families live within 75 miles of the site. Currently there are
no open national cemeteries in Georgia. The two closest open VA national
Michigan: The 544-acre Michigan site is located in Oakland
County, approximately 45 miles northwest of Detroit. Nearly 460,000
veterans and their families live within 75 miles of the site. Currently,
the closest open VA national cemetery is Fort Custer National Cemetery,
located 114 [Source: VA News Release No. 08-07-04 dtd 16 AUG 04] VA Burial Benefits: Regardless of whether the in-service death is due to combat, accident or disease, the following benefits apply: * Burial in a VA National Cemetery:
Members of the armed forces and veterans, their spouses and dependent
children may be buried in any of VA's national cemeteries with
available space. There currently are 120 national cemeteries across the
nation and 83 have available grave space. More information is
available at http://www.cem.va.gov
VA NBC Fees Payment: The National Board
for Professional Teaching Standards (NBPTS) announced in May 04 that VA
will reimburse eligible veterans up to $2000 for National board
Certification (NBC) fees for each first-time or retake assessment. NBC
takes between one and three years to achieve and is the highest
credential in the teaching profession. It is achieved through a rigorous
performance-based assessment that measures what accomplished teachers
should know and be able to do. Veterans must be eligible for the
Montgomery GI Bill to participate. Additional information on the
certification is available at http://www.nbpts.org/candidates/become.cfm
or (800) 11TEACH. For information on the GI Bill access
www.gibill.va.gov or call (888) GI-BILL-1. program is available at http://www.homeloans.va.gov
Great Pond Recreational Facility: The
MWR at NAS Brunswick ME has opened a four season recreational facility
located 140 miles northeast of the air station at Great Pond and 50
miles south of the Canadian border. The 374-acre former "Dow Pines"
facility offers quiet, rustic comfort that is ideally situated in the
woods. The facility offers:
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