(BUSINESS WIRE)--Humana Military Healthcare Services, a wholly-owned subsidiary of Humana Inc. (NYSE: HUM), encourages TRICARE South Region beneficiaries to get their H1N1 influenza vaccinations in an effort to reduce the spread of the virus. Anticipating a greater need for the shots, the Department of Defense (DoD) is encouraging all military personnel to obtain the vaccines.
The DoD waived the deductible, cost shares and co-payments accompanied with acquiring this particular vaccine, therefore TRICARE Prime, Standard and Extra beneficiaries may get the vaccine from either a network or non-network provider. Prime enrollees may also obtain this shot without the referrals and authorizations normally required for immunizations. This temporary waiver is in effect from October 1, 2009 – May 1, 2010.
“We believe the H1N1 virus is on the minds of everyone this flu season,” said John Crum, MD, chief medical officer of Humana Military. “It is important our beneficiaries know the steps they need to take to acquire the vaccine and how to reduce the spread of the virus,” said Crum.
Tips for preventing the seasonal flu and H1N1 virus include:
* Washing your hands with soap and warm/hot water
* Using an alcohol-based sanitizer when hand washing is not possible
* Covering your mouth and nose when coughing and sneezing
* Avoiding contact with your nose, eyes and mouth
* Avoiding contact with people who are sick
* Staying home if you have flu-like symptoms.
TRICARE covers the Centers for Disease Control and Prevention’s approved immunizations and vaccines according to age and frequency guidelines from birth through adulthood.
Along with getting vaccinations at a Primary Care Manager (PCM) office or Military Treatment Facility (MTF), the addition of select MinuteClinic locations to the Humana Military provider network offers beneficiaries a convenient alternative for preventive services, including the H1N1 shots. MinuteClinics are open seven-days-a-week and there is no appointment necessary. Active duty and reserve personnel should check with their MTF on where to receive their vaccinations.
The target population receiving priority in obtaining the H1N1 vaccine includes:
* Pregnant women
* People who live with or care for children younger than six months of age
* Healthcare and emergency medical services personnel
* People between the ages of six months and 24 years
* People between the ages of 25 – 64 at higher risk for H1N1 because of chronic health disorders or compromised immune system.
Beneficiaries should contact their provider ahead of time to find out if the vaccine is available. To find a provider near you, please visit Humana Military’s web-based provider locator at www.humana-military.com or call 1-800-444-5445.
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10 November 2009
16 October 2009
Humana Military Healthcare Services Promotes Flu Vaccinations for South Region TRICARE Beneficiaries
(BUSINESS WIRE)--Humana Military Healthcare Services, a wholly owned subsidiary of Humana Inc. (NYSE: HUM), encourages TRICARE South Region beneficiaries to get their influenza vaccination in an effort to reduce the spread of flu this season. Beneficiaries may receive the flu vaccination at no cost from their local Military Treatment Facility (MTF), Primary Care Manager (PCM) or a MinuteClinic located in select CVS Pharmacies.
“The flu affects an estimated 25-50 million people annually across the country, yet nearly two-thirds of adults choose not to receive their flu vaccination each year,” said John Crum, MD, chief medical officer of Humana Military. “While practicing healthy habits will help stop spreading the illness, the best way to prevent the flu is by receiving a vaccination. We want to make sure our beneficiaries know where they can go to receive this shot,” said Crum.
Along with getting shots at a PCM office or MTF, the addition of select MinuteClinic locations to the Humana Military provider network offers beneficiaries a convenient alternative for preventive services, including flu shots. MinuteClinics are open seven-days-a-week and there is no appointment necessary. Active duty and reserve personnel should check with their MTF on where to receive their vaccinations.
To find the MinuteClinic location nearest you, please visit Humana Military’s web-based provider locator at www.humana-military.com and choose “Limited Services Medical Clinic,” or call 1-800-444-5445.
TRICARE covers the Centers for Disease Control and Prevention’s (CDC) approved immunizations and vaccines according to age and frequency guidelines from birth through adulthood. For more information from the CDC regarding the seasonal flu, please visit http://www.cdc.gov/flu/flu_vaccine_updates.htm.
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“The flu affects an estimated 25-50 million people annually across the country, yet nearly two-thirds of adults choose not to receive their flu vaccination each year,” said John Crum, MD, chief medical officer of Humana Military. “While practicing healthy habits will help stop spreading the illness, the best way to prevent the flu is by receiving a vaccination. We want to make sure our beneficiaries know where they can go to receive this shot,” said Crum.
Along with getting shots at a PCM office or MTF, the addition of select MinuteClinic locations to the Humana Military provider network offers beneficiaries a convenient alternative for preventive services, including flu shots. MinuteClinics are open seven-days-a-week and there is no appointment necessary. Active duty and reserve personnel should check with their MTF on where to receive their vaccinations.
To find the MinuteClinic location nearest you, please visit Humana Military’s web-based provider locator at www.humana-military.com and choose “Limited Services Medical Clinic,” or call 1-800-444-5445.
TRICARE covers the Centers for Disease Control and Prevention’s (CDC) approved immunizations and vaccines according to age and frequency guidelines from birth through adulthood. For more information from the CDC regarding the seasonal flu, please visit http://www.cdc.gov/flu/flu_vaccine_updates.htm.
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08 September 2009
TRICARE Standard Pays to be Preventive
Obtaining clinical preventive services helps prevent illness before major health problems occur. Section 711 of the National Defense Authorization Act of 2009 encourages eligible TRICARE Standard beneficiaries to use preventive health services by waiving all cost shares for certain types of these services starting Sept. 1. These services include screenings for colorectal cancer, breast cancer, cervical cancer and prostate cancer; immunizations; and well-child visits for children under 6 years of age.
Also, for all beneficiaries over age 6, when a visit to a health care provider includes one or more of the benefits listed above, the cost share for the visit is waived. However, other services provided during the same visit are subject to cost shares and deductibles.
“Early disease detection and chronic condition management programs result in the prevention of long term health conditions and add savings for beneficiaries and the government in the long term,” said Navy Rear Adm. Christine S. Hunter, deputy director of the TRICARE Management Activity. “It’s a great new benefit under TRICARE Standard.”
The cost share waiver applies to non-Medicare eligible, TRICARE Standard or Extra beneficiaries; even if the beneficiary hasn’t met the annual deductible. Beneficiaries enrolled in TRICARE Prime are unaffected, since they do not have copayments for preventive services.
Medicare-eligible beneficiaries are covered by TRICARE For Life (TFL), which generally pays the remainder of any costs not paid under Medicare, including amounts for the listed preventive services. However, preventive services and all immunizations not covered by Medicare require TRICARE Standard cost shares and deductibles for TFL beneficiaries.
Criteria such as age, frequency of care and family history have to be met in order to waive cost shares for the six clinical preventive services. All other preventive services not included in the services listed in Section 711 are subject to cost shares and deductibles. This benefit can be applied to any services received on or after Oct. 14, 2008. Beneficiaries can request reimbursement for services received after Oct. 14, 2008, and before the implementation date of Sept. 1, 2009.
Reimbursement requests can be made by phone or in writing to the region where the beneficiary lives.
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Also, for all beneficiaries over age 6, when a visit to a health care provider includes one or more of the benefits listed above, the cost share for the visit is waived. However, other services provided during the same visit are subject to cost shares and deductibles.
“Early disease detection and chronic condition management programs result in the prevention of long term health conditions and add savings for beneficiaries and the government in the long term,” said Navy Rear Adm. Christine S. Hunter, deputy director of the TRICARE Management Activity. “It’s a great new benefit under TRICARE Standard.”
The cost share waiver applies to non-Medicare eligible, TRICARE Standard or Extra beneficiaries; even if the beneficiary hasn’t met the annual deductible. Beneficiaries enrolled in TRICARE Prime are unaffected, since they do not have copayments for preventive services.
Medicare-eligible beneficiaries are covered by TRICARE For Life (TFL), which generally pays the remainder of any costs not paid under Medicare, including amounts for the listed preventive services. However, preventive services and all immunizations not covered by Medicare require TRICARE Standard cost shares and deductibles for TFL beneficiaries.
Criteria such as age, frequency of care and family history have to be met in order to waive cost shares for the six clinical preventive services. All other preventive services not included in the services listed in Section 711 are subject to cost shares and deductibles. This benefit can be applied to any services received on or after Oct. 14, 2008. Beneficiaries can request reimbursement for services received after Oct. 14, 2008, and before the implementation date of Sept. 1, 2009.
Reimbursement requests can be made by phone or in writing to the region where the beneficiary lives.
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03 August 2009
New Active Duty Dental Plan Launched August 1
Active duty service members now have a new dental program that started Aug.1, 2009.
The new Active Duty Dental Program (ADDP) becomes the dental care plan for active duty service members (ADSMs) assigned to locations with no access to a military dental facility. ADDP is also for service members referred by their dental treatment facility (DTF) to the civilian network for specialty care or due to unavailability of timely DTF appointments.
TRICARE Prime Remote enrollees–ADSMs with duty stations and residences more than 50 miles from a military dental facility–are eligible for ADDP. Reserve and National Guard members activated for more than 30 consecutive days on federal orders and who live more than 50 miles from a military dental facility are also eligible for ADDP on their activation date.
ADSMs who live in remote locations, but work within 50 miles of a dental treatment facility will continue to be seen at a DTF.
Of the more than 81,000 dental claims filed each year by ADSMs, approximately 31 percent of them come from service members living and working in remote locations. In the past, the Military Medical Support Office of the TRICARE Management Activity handled remote dental claims and referrals from DTFs. United Concordia, Inc., will now handle these claims and referrals through the new ADDP under a contract awarded in September 2008.
ADSMs using the ADDP will be able to take advantage of United Concordia’s network of dentists and specialists. No enrollment is required.
“United Concordia will establish an extensive dental provider network covering the United States, U.S. Virgin Islands, Guam, Puerto Rico, American Samoa and the Northern Mariana Islands,” said Navy Capt. Robert Mitton, TMA dental program director. “TRICARE wants to ensure a high level of beneficiary satisfaction as well as controlling costs.”
Letters and brochures are being mailed to ADSMs in remote locations to inform them of the new ADDP program. To download the brochure, click the dental section under the appropiate region on the TRICARE Smart site at http://www.tricare.mil/tricaresmart.
Learn more about dental plans and getting care at http://www.addp-ucci.com and http://www.tricare.mil/dental.
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The new Active Duty Dental Program (ADDP) becomes the dental care plan for active duty service members (ADSMs) assigned to locations with no access to a military dental facility. ADDP is also for service members referred by their dental treatment facility (DTF) to the civilian network for specialty care or due to unavailability of timely DTF appointments.
TRICARE Prime Remote enrollees–ADSMs with duty stations and residences more than 50 miles from a military dental facility–are eligible for ADDP. Reserve and National Guard members activated for more than 30 consecutive days on federal orders and who live more than 50 miles from a military dental facility are also eligible for ADDP on their activation date.
ADSMs who live in remote locations, but work within 50 miles of a dental treatment facility will continue to be seen at a DTF.
Of the more than 81,000 dental claims filed each year by ADSMs, approximately 31 percent of them come from service members living and working in remote locations. In the past, the Military Medical Support Office of the TRICARE Management Activity handled remote dental claims and referrals from DTFs. United Concordia, Inc., will now handle these claims and referrals through the new ADDP under a contract awarded in September 2008.
ADSMs using the ADDP will be able to take advantage of United Concordia’s network of dentists and specialists. No enrollment is required.
“United Concordia will establish an extensive dental provider network covering the United States, U.S. Virgin Islands, Guam, Puerto Rico, American Samoa and the Northern Mariana Islands,” said Navy Capt. Robert Mitton, TMA dental program director. “TRICARE wants to ensure a high level of beneficiary satisfaction as well as controlling costs.”
Letters and brochures are being mailed to ADSMs in remote locations to inform them of the new ADDP program. To download the brochure, click the dental section under the appropiate region on the TRICARE Smart site at http://www.tricare.mil/tricaresmart.
Learn more about dental plans and getting care at http://www.addp-ucci.com and http://www.tricare.mil/dental.
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14 July 2009
TriServ Likely to Protest Decision
/PRNewswire/ -- The Department of Defense has selected United Health Military & Veterans Services, LLC to serve as the TRICARE provider for the South Region. This decision comes at the completion of a process that has gone on for well over a year.
After a Wednesday debriefing from the TRICARE Management Activity, TriServ will review all available information and likely file a formal bid protest with the government in an effort to reverse the Defense Department's decision.
"It is difficult to understand the logic of the process that brought the Department of Defense to this conclusion." Charlie Abell, TriServ's CEO said, "The robustness of our provider network and our competitive pricing proposal, combined with the excellent past performance of our owner companies makes our loss very hard to accept. We remain hopeful that the decision will be reversed and the contract awarded to TriServ, thereby protecting the military beneficiary's access to the highest quality, most affordable health care."
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After a Wednesday debriefing from the TRICARE Management Activity, TriServ will review all available information and likely file a formal bid protest with the government in an effort to reverse the Defense Department's decision.
"It is difficult to understand the logic of the process that brought the Department of Defense to this conclusion." Charlie Abell, TriServ's CEO said, "The robustness of our provider network and our competitive pricing proposal, combined with the excellent past performance of our owner companies makes our loss very hard to accept. We remain hopeful that the decision will be reversed and the contract awarded to TriServ, thereby protecting the military beneficiary's access to the highest quality, most affordable health care."
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Department of Defense Announces Awards for Third Generation of TRICARE Contracts
(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) announced today that it has received word from the Department of Defense (DoD) that the company’s wholly-owned subsidiary, Humana Military Healthcare Services was not awarded the third generation TRICARE program contract for the South Region.
Under its existing TRICARE contract, Humana Military provides managed care services supporting the DoD’s delivery of health benefits to approximately 2.9 million active duty service men and women, their dependents, as well as retired service members and their families in Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee, and Texas. That contract is currently set to expire on March 31, 2010.
“Humana Military is disappointed with the decision by the Department of Defense and looks forward to obtaining further clarity via a debriefing on the bidding process,” said Dave Baker, president and CEO of Humana Military. “Our company will evaluate its strategic options with respect to the government’s decision, including protesting the award, and will act expeditiously to best position Humana for continued success.”
Due to the complexities of the bid award and protest processes, the company can not yet anticipate what impact, if any, the loss of the TRICARE contract may have upon its earnings for the year ended December 31, 2009.
Cautionary Statement
This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of our executive officers, the words or phrases like “expects,” “anticipates,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward-looking statements. These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the “Risk Factors” section of our SEC filings, a summary of which includes but is not limited to the following:
* If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefits payable or future policy benefits payable based upon its estimates of future benefit claims are inadequate, Humana’s profitability could be materially adversely affected. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends.
* If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the company’s business could be materially adversely affected.
* If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, or to protect Humana’s proprietary rights to its systems, the company’s business could be materially adversely affected.
* Humana is involved in various legal actions, which, if resolved unfavorably to Humana, could result in substantial monetary damages. Increased litigation and negative publicity could increase the company’s cost of doing business.
* As a government contractor, Humana is exposed to additional risks including reimbursement and payment changes that could adversely affect its business or its willingness to participate in government health care programs.
* Humana’s industry is currently subject to substantial government regulation, which along with possible increased governmental regulation or legislative change, could increase Humana’s cost of doing business and could adversely affect the company’s profitability.
* Humana is also subject to potential changes in the political environment that can affect public policy and can adversely affect the markets for its products.
* Any failure to manage administrative costs could hamper Humana’s profitability.
* Any failure by Humana to manage acquisitions and other significant transactions successfully could have a material adverse effect on its financial results, business and prospects.
* If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the company’s business could be adversely affected.
* Humana’s mail order pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses.
* Humana’s ability to obtain funds from its subsidiaries is restricted by state insurance regulations.
* Downgrades in Humana’s debt ratings, should they occur, may adversely affect its cost and availability of funds.
* Extreme volatility and disruption in the securities and credit markets may adversely affect Humana’s business, results of operations and financial condition.
* Changes in economic conditions could adversely affect Humana’s business and results of operations.
* Given the current economic climate, Humana’s stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility.
In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that we are unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
* Form 10-K for the year ended December 31, 2008;
* Form 10-Q for the quarter ended March 31, 2009;
* Form 8-Ks filed during 2009.
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Under its existing TRICARE contract, Humana Military provides managed care services supporting the DoD’s delivery of health benefits to approximately 2.9 million active duty service men and women, their dependents, as well as retired service members and their families in Alabama, Arkansas, Florida, Georgia, Louisiana, Mississippi, Oklahoma, South Carolina, Tennessee, and Texas. That contract is currently set to expire on March 31, 2010.
“Humana Military is disappointed with the decision by the Department of Defense and looks forward to obtaining further clarity via a debriefing on the bidding process,” said Dave Baker, president and CEO of Humana Military. “Our company will evaluate its strategic options with respect to the government’s decision, including protesting the award, and will act expeditiously to best position Humana for continued success.”
Due to the complexities of the bid award and protest processes, the company can not yet anticipate what impact, if any, the loss of the TRICARE contract may have upon its earnings for the year ended December 31, 2009.
Cautionary Statement
This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of our executive officers, the words or phrases like “expects,” “anticipates,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward-looking statements. These forward-looking statements are not guarantees of future performance and are subject to risks, uncertainties, and assumptions, including, among other things, information set forth in the “Risk Factors” section of our SEC filings, a summary of which includes but is not limited to the following:
* If Humana does not design and price its products properly and competitively, if the premiums Humana charges are insufficient to cover the cost of health care services delivered to its members, or if its estimates of benefits payable or future policy benefits payable based upon its estimates of future benefit claims are inadequate, Humana’s profitability could be materially adversely affected. Humana estimates the costs of its benefit expense payments, and designs and prices its products accordingly, using actuarial methods and assumptions based upon, among other relevant factors, claim payment patterns, medical cost inflation, and historical developments such as claim inventory levels and claim receipt patterns. These estimates, however, involve extensive judgment, and have considerable inherent variability that is extremely sensitive to payment patterns and medical cost trends.
* If Humana fails to effectively implement its operational and strategic initiatives, including its Medicare initiatives, the company’s business could be materially adversely affected.
* If Humana fails to properly maintain the integrity of its data, to strategically implement new information systems, or to protect Humana’s proprietary rights to its systems, the company’s business could be materially adversely affected.
* Humana is involved in various legal actions, which, if resolved unfavorably to Humana, could result in substantial monetary damages. Increased litigation and negative publicity could increase the company’s cost of doing business.
* As a government contractor, Humana is exposed to additional risks including reimbursement and payment changes that could adversely affect its business or its willingness to participate in government health care programs.
* Humana’s industry is currently subject to substantial government regulation, which along with possible increased governmental regulation or legislative change, could increase Humana’s cost of doing business and could adversely affect the company’s profitability.
* Humana is also subject to potential changes in the political environment that can affect public policy and can adversely affect the markets for its products.
* Any failure to manage administrative costs could hamper Humana’s profitability.
* Any failure by Humana to manage acquisitions and other significant transactions successfully could have a material adverse effect on its financial results, business and prospects.
* If Humana fails to develop and maintain satisfactory relationships with the providers of care to its members, the company’s business could be adversely affected.
* Humana’s mail order pharmacy business is highly competitive and subjects it to regulations in addition to those the company faces with its core health benefits businesses.
* Humana’s ability to obtain funds from its subsidiaries is restricted by state insurance regulations.
* Downgrades in Humana’s debt ratings, should they occur, may adversely affect its cost and availability of funds.
* Extreme volatility and disruption in the securities and credit markets may adversely affect Humana’s business, results of operations and financial condition.
* Changes in economic conditions could adversely affect Humana’s business and results of operations.
* Given the current economic climate, Humana’s stock and the stock of other companies in the insurance industry may be increasingly subject to stock price and trading volume volatility.
In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that we are unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward-looking statements.
Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:
* Form 10-K for the year ended December 31, 2008;
* Form 10-Q for the quarter ended March 31, 2009;
* Form 8-Ks filed during 2009.
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18 February 2009
Humana Military Healthcare Services’ Commitment to Ethics and Compliance Recognized by Defense Industry Initiative
(BUSINESS WIRE)--Humana Military Healthcare Services (HMHS), a wholly owned subsidiary of Humana Inc. (NYSE: HUM), has announced their new designation as a signatory member to the Defense Industry Initiative on Business Ethics and Conduct (DII). The DII is a voluntary, non-profit organization seeking to ensure that its members conduct business with the highest degree of integrity and honesty, while meeting special compliance risks established in contracting with the Department of Defense (DoD). Humana Military joins more than 80 defense contractors as a signatory.
“We are proud to be accepted into the Defense Industry Initiative as it is another measure to ensure our military customer, Congress and the Department of Defense that we conduct business with a high level of integrity,” said Dave Baker, president and CEO of Humana Military. “It is our responsibility to do business ethically.”
DII ensures consistent compliance with their principles of business ethics and conduct of signatory companies by requiring them to respond to an annual questionnaire and attending a best practices forum.
About HMHS
HMHS, headquartered in Louisville, KY., has been a Department of Defense contractor for the administration of the TRICARE program since July 1, 1996. In August 2003, HMHS was awarded the contract to provide health benefits support and services to approximately 2.8 million active duty and retired military and their eligible family members in the 10-state South Region. HMHS was also awarded the Department of Defense’s contract to provide health care services and support for active duty service members and their families located in the Commonwealth of Puerto Rico, in February 2004.
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“We are proud to be accepted into the Defense Industry Initiative as it is another measure to ensure our military customer, Congress and the Department of Defense that we conduct business with a high level of integrity,” said Dave Baker, president and CEO of Humana Military. “It is our responsibility to do business ethically.”
DII ensures consistent compliance with their principles of business ethics and conduct of signatory companies by requiring them to respond to an annual questionnaire and attending a best practices forum.
About HMHS
HMHS, headquartered in Louisville, KY., has been a Department of Defense contractor for the administration of the TRICARE program since July 1, 1996. In August 2003, HMHS was awarded the contract to provide health benefits support and services to approximately 2.8 million active duty and retired military and their eligible family members in the 10-state South Region. HMHS was also awarded the Department of Defense’s contract to provide health care services and support for active duty service members and their families located in the Commonwealth of Puerto Rico, in February 2004.
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