Proof We are Treated as Second Class TRICARE Beneficiaries Using DHA’s Own Data

Many times we refer to Philippine TRICARE beneficiaries as being treated as second class beneficiaries by the Defense Health Activity (DHA) and International SOS (ISOS).

There are many reasons for this classification including multiple Philippine unique policies that are designed to cause beneficiaries to be denied access to care and denied payment for legitimate care from legitimate providers and all in the name of protecting the taxpayer from massive fraud; if one cares to believe the DHA hype. In addition ISOS tends to ignore beneficiary inquires claiming secrecy or just ignore you after saying they will get back to you. Continue reading

Posted in Closed Network, CMAC Table, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 4 Comments

DHA and ISOS’s Response to Typhoon Rammasun (Glenda)

See TRICARE’s Disaster Information webpage from 20 July 2014.

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Can you say SILENCE? What about SILENT? Or maybe the real answer is WE REALLY DON’T CARE? Can you say Déjà vu?

The Defense Health Agency (DHA) likes to go to great lengths to brag to Congress about how caring they are and how much they do for beneficiaries in need.

 

Here is just one example. Continue reading

Posted in Closed Network, Defense Health Agency (DHA), Demonstration, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | Tagged | 2 Comments

15 July 14 List of Certified Providers Removed in Secret & Massive Loss of Access to Care in Angeles!

The latest “Certified” list was posted by International SOS (ISOS) on 15 July 2014. We reviewed the list for suspicious removal activity. The providers we are concerned with were not moved to the Not Seen in > 2 Years list. This means beneficiaries used these providers during the last 2 years yet they secretly disappeared if you believe the notice in their webpage. While it is possible that they died or retired we find that is not the case with most of the ones we researched. So the removals are extremely suspicious and appear to involve the secret sanctioning process that is only conducted against providers in the Philippines; every other beneficiary anywhere in the world can access a list of sanctioned providers in their area. In the Philippines the Defense Health Agency (DHA) prefers beneficiaries play their game of Russian Roulette! Continue reading

Posted in Certified Provider List, Closed Network, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | Tagged , | 4 Comments

ISOS Continues to Reduce Access to Care in Their War Against Beneficiaries

International SOS (ISOS) pushed out an ominous notice to TRICARE Philippine beneficiaries. It applies to both of their convoluted versions of TRICARE; programs that are far different from what every other Standard overseas beneficiary is offered outside the Philippines which do not force beneficiaries to use substandard providers.

While they tried to hide the loss of access to care that is now limited to a single questionable hospital under the Demo in Angeles they apparently decided to go public with their latest attack. Continue reading

Posted in Certified Provider List, Closed Network, Defense Health Agency (DHA), Demonstration, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | Tagged , , | 3 Comments

Like a Drug Addict, DHA is Still in Complete Denial When it Comes to Filing Claims!

Since the beginning of time the Defense Health Agency (DHA) and its predecessors, apply U.S. health care industry standards to the rest of the world. It also appears they are very slow learners as well as the teller of tall tales.

The most recent example is this newly posted video, New TRICARE TV Episode: How to File a Claim. Continue reading

Posted in Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | Tagged , , , | 3 Comments

More Loss of Access to Care in Angeles and Others Issues

Angeles Demo Area

In its normal display of no concern for beneficiaries, their welfare and access to care, ISOS and their front Global 24, quietly and all but in secret, posted a disclaimer that reveals that “The Medical City Angeles”, although still listed on the Approved list it is no longer an approved provider and a self admission they can’t manage even a small list of providers. Continue reading

Posted in Certified Provider List, Closed Network, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | Tagged | 2 Comments

1 July 14 List of Certified Providers Removed in Secret, Bottom of the Barrel and Disclaimers

The latest “Certified” list was posted by International SOS (ISOS) on 1 July 2014. We reviewed the list for suspicious removal activity. The providers we are concerned with were not moved to the Not Seen in > 2 Years list. This means beneficiaries used these providers during the last 2 years yet they secretly disappeared if you believe the notice in their webpage. While it is possible that they died or retired we find that is not the case with most of the ones we researched. So the removals are extremely suspicious and appear to involve the secret sanctioning process that is only conducted against providers in the Philippines; every other beneficiary anywhere in the world can access a list of sanctioned providers in their area. In the Philippines the Defense Health Agency (DHA) prefers beneficiaries play their game of Russian Roulette! Continue reading

Posted in Certified Provider List, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | Tagged , | 3 Comments

Adequate? At Best!

TRICARE Overseas Philippines:

We thought our members might enjoy reading how those in the states feel about their benefit and how the word “adequate” is used while “high-quality medical care” is used by DHA for our limited benefit when they know it is not even “adequate” due to a lack of quality checks on the providers. You maybe interested in our comment at the end of the article as well.

Originally posted on Military Special Needs Network:

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SOS: Our healthcare benefit needs serious help.

You have to hand it to Tricare. They tell you right up front what you’re entitled to as a military family member. The word “adequate” is frequently used to describe our healthcare benefit: “adequate” access to services and “adequate” care to “adequately” meet the family’s needs, just to give a few examples. “Adequate” can be defined as “barely suitable or sufficient” – certainly nothing like the healthcare benefit I imagined.

I haven’t always been so passionate about the healthcare of my family. I haven’t always been concerned about laboratory test coverage, prescription co-pays or compounding, or access to mental healthcare providers. Seven years ago that all changed when we adopted our sons. Our sons, we would discover, would have chronic medical and mental health needs which would need constant monitoring, working with therapists, and necessitating pharmacological assistance. It was then I learned exactly…

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Posted in Tricare Overseas Program Philippines | 2 Comments

Tricare Philippines Newsletter 14004

See our latest Newsletter, DODIG: Contractor Driven Price Increases in the Philippines are Not Worthy of Review

Many would think the DODIG is unbiased. Their webpage states, “Our mission is to provide independent, relevant, and timely oversight of the Department of Defense that:

  • Supports the warfighter.
  • Promotes accountability, integrity and efficiency.
  • Advises the secretary of defense and Congress.
  • Informs the public.”

Once you read the Newsletter you may have a different prospective on their goals and objectives; we do!

Posted in Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | Tagged , , | 1 Comment