Monthly Archives: December 2013

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 … Continue reading

Posted in Closed Network, CMAC Table, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 6 Comments

Latest Newsletter, Provider Certification; The Secret Paperwork Exercise Gone Bad

The latest USMRoP Newsletter covers a new and growing threat to access to care which is providers who have been decertified although they are legitimate licensed providers and which result in denial of payment of claims if used. Since DHA … Continue reading

Posted in Certified Provider List, Closed Network, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 1 Comment

PhilHealth and TRICARE Disaster Relief Compared

PhilHealth has announced that it will pay for care for Yolanda survivors even at hospitals that are not accredited by them. Philhealth to pay Yolanda survivors’ hospitalization costs, even in non-accredited facilities. What does the Defense Health Agency (DHA) and … Continue reading

Posted in Certified Provider List, Closed Network, CMAC Table, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 3 Comments

AUFMC and Some Providers are Back for More Punishment and Cebu Loses its Last Good Hospital

With the latest Approved provider list of 1 December 2013 it appears AUFMC and some of their providers have come back to see if they can lose some more money while increasing fees as directed by International SOS (ISOS). We … Continue reading

Posted in Certified Provider List, Closed Network, CMAC Table, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 6 Comments