By now, active duty family members living within a 30-minute drive from Madigan Army Medical Center, and who currently see a primary care provider in the TRICARE Prime Network, should have received a letter reassigning them to a Madigan clinic.
The pending transition has left many to wonder why they have to change providers and how they can be excused from the reassignment. Below are the most common questions asked, as well as answers provided by Julie Martin, Madigans Chief of TRICARE Operations.
I like my current doctor. Why do I have to change providers?
Because Madigan has the capacity and resources to accommodate more patients, it has become possible to provide medical services to those who qualify for care, namely TRICARE beneficiaries living in the area.
Does this mean I cant see my specialty care provider either?
The reassignment only changes primary care providers. If care cannot be provided by Madigan, the patient will be able to see his or her current specialty care provider.
Does road traffic factor in when calculating who lives within 30-minutes to a Madigan clinic?
Using the Google mapping program is the standard from residence to the nearest primary clinic, but we do not take traffic into account. However, many of the Madigan Patient-Centered Medical Homes are actually located off-base; Puyallup, South Sound and Lacey PCMHs see patients.
Will I be able to see the same provider at every appointment?
For the most part, you will be seen by the same provider at every appointment, barring any scheduled leave by that particular provider.
If I want to stay with my current provider, can I request a waiver?
Yes, waivers to be dismissed from reassignment may be granted for the following reasons: PCS orders moving the family this year; retirement orders this year, and if the plan members in the family decide to move out of the area; outside the 30-minute drive time; unique medical situations where it makes sense to keep the beneficiary with their current provider; or with ETS orders within six months
TRICARE Prime patients interested in switching their primary care provider to a Madigan PCMH can call United Healthcare Military and Veterans at 1-877-988-9378.