TriWest
HSWL RP Kodiak
A TRICARE Service Center is located within the Rockmore-King Clinic. The TRICARE Service Center (TSC) provides beneficiary enrollment, access to and referral for care, information on TRICARE options, information (including on-line access to the claims processing system for information about the status of a claim), assist beneficiaries with claim problems, and continuity of care services to all Military Health System beneficiaries. The TRICARE Service Center is open to active duty, active duty family members, retired and retired family members of all services The TSC is co-located within the Clinic's Medical Administrative spaces and is open from 0800-1600 Monday -Friday
The TRICARE program continues to evolve and frequent changes have enhanced the benefits in TRICARE. To learn more about TRICARE or the latest changes visit TRICARE on-line.
You can also call 1 (877) 988-9378 to reach a Health Benefits Advisor.
It is important to talk to the people at the
TRICARE Service Centers, or to your Primary Care Manager before you try to get care from a civilian source.Enrollments: If you are an active duty member new to the area you must visit our TRIWEST Service Center (TSC) office to enroll in TRICARE Prime; Rockmore-King Clinic will be assigned as your Primary Care Manager (PCM). You may also bring in your dependents to enroll them in TRICARE Prime Remote (TPR), which is a TRICARE Prime-like benefit for our active duty family members in Alaska. If they are already enrolled in TRICARE Prime or TPR in another region they must complete an enrollment Change Form. Dependents that were in TRICARE Standard in another area and wish to remain TRICARE Standard do not need to complete any forms; they must only ensure that their Military Identification card is current and their address has been updated in DEERS. Our TSC Office has all the forms and brochures needed to provide you information on all your healthcare needs; the TRIWEST representative and HBA are knowledgeable of civilian medical and dental care in the area and have lists of authorized providers.
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If you want your newborn or newly adopted child to be covered by TRICARE Prime Remote, be aware that the timeframe for getting him or her registered in the Defense Enrollment Eligibility Reporting System (DEERS) database and enrolled in TRICARE Prime Remote has been changed. Effective January 1, 2005, the child will be covered as though enrolled in Prime for only the first 60 days (down from 120). If he or she is not enrolled by then, on the 61st day, your child’s claims will be paid as TRICARE Standard.
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TRICARE Service Center: Inside the Rockmore-King Clinic is a TRICARE Customer Service Center (TSC). The TRIWEST Customer Service Representative offers walk-in assistance to beneficiaries with questions regarding TRICARE benefits, enrollments, referrals and claims. Information can also be obtained by calling 1-888-TRIWEST. The TSC is open the same hours as the Rockmore-King Clinic. The TRIWEST representative located in the Rockmore-King Clinic can not be reached by telephone; her services are by walk-in only.
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Primary Care Manager Enrollment for Active Duty: Active duty service members enrolled to Rockmore-King Clinic are assigned to one of our medical officers as their Primary Care Manager (PCM). When calling to make an appointment the electronic scheduling system will identify the next available opening with that PCM; active duty members are not required to use their assigned PCM in each case but is highly encouraged for continuity of care. Active duty members may change their "default" PCM by completing an enrollment change form in the TRIWEST Service Center. Patients will not be required to see a medical provider that they do not want to see unless it has been determined by the Senior Medical Executive that a medical need exists that makes it necessary. Patients have the right to choose which medical provider they are appointed with. Contact CWO David Romero in medical administration if you have any questions about this policy.
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**Please note that Rockmore-King Clinic is NOT a Primary Care Manager for active duty family members (ADFM) or retirees; these beneficiaries are seen on a "space-available" basis at RKC. For this reason we recommend that ADFM’s and retirees with chronic medical conditions establish a relationship with a civilian provider for appropriate management of their medical conditions and continuity of care purposes.
Example:
A 25-year-old active duty Coast Guardsman is referred by a Rockmore-King Clinic medical officer to a civilian gastroenterlogist for evaluation to diagnose the cause of abdominal pain. After evaluation, the gastroenterlogist schedules an appointment for the member to undergo a gastroendoscopy to view the stomach lining. While this procedure is probably necessary to fully evaluate the patient, it was not requested by the referring medical officer and was not approved by TRICARE. The active duty member must return to the referring military medical officer to discuss further evaluation. In most cases, the military medical officer will request the test recommended by the specialist and TRICARE will authorize the care. If the military medical officer does not authorize the additional care, the member may be responsible for paying for it.
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