Philippine hospital rejoins Tricare pilot program
A key Angeles City hospital has been reinstated as an approved provider in an experimental closed-network health insurance system for Tricare beneficiaries in the Philippines, according to the overseas insurance program’s website.
Military retirees and their dependents living in the Philippine city must seek care at the Angeles University Foundation Medical Center beginning Dec. 9 to make use of their military-sponsored insurance coverage, Tricare announced. Any beneficiary who was given a waiver and began treatment elsewhere can complete the care while still receiving Tricare coverage.
The Defense Health Agency kicked off a closed-network pilot program in the country at the beginning of the year with hopes of improving service, cutting costs and reducing fraud after years of problems. But AUFMC and the city’s other approved provider, Sacred Heart Medical Center, dropped out in October due to disputes over late reimbursements by the U.S. government and difficulties with filing claims.
A DHA contractor is still working with Sacred Heart to reach an agreement on rejoining the pilot network, according to Tricare’s website. The network saves retirees large out-of-pocket costs by allowing them to pay only their share of covered medical treatment while approved hospitals and doctors bill Tricare directly for their share.