Category Archives: CMAC Table

CHAMPUS Maximum Allowable Charge Table.

TRICARE Fleeced Again But There Are Differences

For ten years (1998 – 2004) a company that went under the name of Health Visions Corporation (VHC) fleeced TRICARE. The claimed amount lost was $100 million. We know from DODIG reports that TRICARE knew they were being fleeced but … Continue reading

Posted in Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 21 Comments

DHA and ISOS Continue to Put Out False Information About the TRICARE Overseas Standard Benefit in the Philippines

Today we received an email from TRICARE Subject: TRICARE Overseas Program Standard Health Matters Newsletter: 2015—Issue 1. In the email there was a link to the subject newsletter. We read through the newsletter and were amazed to see the following … Continue reading

Posted in Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, Embassy, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | 2 Comments

TRICARE Philippines Newsletter, The Demo Survey, Billed Charges, DHA on Access to Care & ISOS Customer Support

In our latest newsletter we address how beneficiaries were eliminated from participation in the Demo Survey, the change in policy that now allows billed charges to be paid for hospital based outpatient care, DHA’s admission that their actions have seriously … Continue reading

Posted in Certified Provider List, Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | Tagged | 2 Comments

U.S. vs Overseas TRICARE Fraud; Believe it or Not There is a Difference

It becomes clear what constitutes fraud in the United States is not considered fraud overseas by the Defense Health Agency (DHA) when comparing the following instances of fraud. Or maybe the overseas fraud is not called fraud when DHA’s contractor … Continue reading

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

Update: Proof We are Treated as Second Class TRICARE Beneficiaries

We will not repeat what we previously discussed in the original post, Proof We are Treated as Second Class TRICARE Beneficiaries Using DHA’s Own Data from 29 December 2013. If you have not read it, click on the title and … Continue reading

Posted in Certified Provider List, Closed Network, CMAC Table, Demonstration, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | Tagged | 8 Comments

Army Times Offers Assistance to a Philippine TRICARE Beneficiary

We posted this subject with tongue in cheek which will become clear once you read this article and the actual Army Times TRICARE Help column. You can post a comment on their link or send an email as I did. … Continue reading

Posted in Certified Provider List, Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | Tagged , , | 4 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 … 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

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 … Continue reading

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