Basics of medical care in Germany
Basics of medical care in Germany
When space-available health services at MTFs are not available for U.S. citizens living in Germany, patients may be referred to host-nation providers. A comprehensive “Your Guide to Host Nation Health Care” is available for each Army military community. Each guide provides practical information such as maps to host-nation facilities, driving directions and specific information about each facility.
However, unlike billing procedures at an MTF, patients may have to pay the entire bill prior to care and are reimbursed through their private insurance company. Utilizing host-nation providers who have joined the Host Nation Preferred Provider Network established by TRICARE can help alleviate some of the billing issues and communication barrier concerns.
Preferred Provider Network (PPN)
The TRICARE Area Office Eurasia-Africa Preferred Provider Network, or PPN, consists of host-nation health care providers who agree to provide care to TRICARE beneficiaries and assist them in filing TRICARE claims. In most cases, PPN providers will not require up-front payment from TRICARE Prime beneficiaries. At the end of your care, your results will be translated into English and added to your permanent electronic medical treatment record.
The PPN offers these benefits:
Comfort: To join the network, providers must demonstrate that they can communicate with TRICARE beneficiaries in English or provide translation services. They are also sensitive to cultural differences U.S. military personnel and their families may encounter in their facilities.
Confidence: A provider’s credentials and experience are verified before being approved to join the network.
Convenience: Preferred providers agree to file on a cashless, claimless basis, filing claims for patients. If you are a TRICARE Prime beneficiary, you will not have to file a claim or pay out of your pocket when you get authorized, covered care from a PPN provider.
Your local TSC staff will help you find a PPN provider or hospital when you are referred for host-nation care. You can also use the PPN provider search tool on the TRICARE Area Office Eurasia-Africa website.
TRICARE Area Office Eurasia-Africa
The TRICARE Area Office Eurasia-Africa offers a wealth of information for beneficiaries, including benefit information, forms, a handy downloadable “Passport” reference guide for getting care in the TRICARE Area Office Eurasia-Africa area, Preferred Provider Network contact information and much more.
Beneficiaries are entitled to the following appointment standards:
Once an appointment is made to be seen by a military medical provider, one common misunderstanding among overseas beneficiaries is the duration of time from when an appointment is made and when the patient is seen by a military healthcare provider. Below are descriptions of the various types of appointments and the guidelines for how long it should take to be seen by a provider after making an appointment.
Acute appointments are made within 24 hours
An urgent (acute) care appointment is reserved for non-emergent, urgent care that is typically delivered by an MTF or network provider. Acute care services for active duty and TRICARE Prime enrollees shall be scheduled no greater than 24 hours from the time the need for this appointment is determined.
Routine appointments are made within 7 calendar days
A routine primary care appointment is designated for patients who require a visit with their primary care manager for a new healthcare problem that is not considered urgent. Routine care for active duty and TRICARE Prime and TRICARE Plus enrollees shall be scheduled within seven calendar days from the time the need for this appointment is determined.
Wellness appointments are made within 28 calendar days
A wellness care appointment is designated for patients who require a visit for a wellness or preventive health concern, or with their primary care manager for an initial visit. This wellness care for active duty and TRICARE Prime enrollees shall be scheduled within 28 calendar days from the time the need for this appointment is determined.
Specialty appointments are made within 28 calendar days
A specialty care appointment is designated for patients who require an initial consult, referral or initial self-referral. Specialty care for active duty and TRICARE Prime enrollees shall be scheduled within 28 calendar days from the time the need for this appointment is determined. A specialty care appointment also includes procedures designated for patients in need of medical procedures.
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