TRICARE Philippine demonstration ends, new preferred-provider network begins

by TRICARE.MIL
Stripes Korea

Beginning Jan. 1, 2018, a preferred-provider network (PPN) will be available in the Philippines. The establishment of the PPN by the Defense Health Agency marks the end of the Philippine Demonstration. Any provider currently approved in the Philippine Demonstration will be available as part of the PPN.

The Philippine Demonstration began Jan. 1, 2013 as a way to offer high-quality health care for eligible TRICARE Overseas Program (TOP) Standard beneficiaries who live in the Philippines and receive care in designated demonstration areas. The demonstration project will conclude at midnight on Dec. 31, 2017. Beginning Jan. 1, 2018, your copayments, cost-shares deductibles and catastrophic caps will be the same as those enrolled in the TRICARE Select health plan. Keep in mind your out-of-pocket costs may be lower when using a preferred provider.

If you live or travel in the Philippines, you’ll be required to see a certified provider for care. However, you’re encouraged to see a preferred provider. You should always check the certification for any provider from whom you seek care, even if that provider was previously approved. Visit the TOP website to find a network provider.

If you choose a provider that isn’t TRICARE certified or preferred, it may result in significant delays in processing your claim. Your claim may also be denied if the provider declines or can’t be certified by TRICARE.

Learn more about how to get care in the Philippines on the TOP website. For the costs, visit www.tricare.mil/costs.

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