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Health Net Federal Services – TRICARE

January 09, 2018

Health Net Federal Services (HNFS) is now administering contracted services to TRICARE West Beneficiaries. PHO encourages all participating provider offices to attend a TRICARE webinar. Click here for dates and times. Below are some key changes for TRICARE in 2018:

·        New Website:  www.Tricare-West.com

·        TRICARE Regions consolidated from three to two (East and West). Health Net Federal Services manages the West Region and Humana Military manages the East Region.

·        TRICARE Select replaces TRICARE Standard and TRICARE Extra.

·        Beneficiary deductibles and catastrophic caps are now calculated based on a calendar year, January 1 – December 31.

·        HNFS will honor prior authorizations and referrals approved by UnitedHealthcare, through their expiration date, even if the approval is to a non-network provider. 

·        After December 31, 2017, you may access information regarding claims, referral and authorizations submitted in 2017 at www.myTRICARE.com, until May 1, 2018. After May 1, 2018 all information will be available at www.tricare-west.com (regardless of date of service). 

·        View Key Dates of the transition here.

·        HNFS is still working to get Provider Relation Representatives in place. At this time PHO does not have a direct claims contact. HNFS advises the best place to resolve claim questions it to contact them by phone at 844-866-9378. 

Please contact Marcia Petsche at MPetsche@ParamountHealthOptions.com with questions or credentialing issues.