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Federal Register / Vol. 86, No. 180 / Tuesday, September 21, 2021 / Notices Defense Health Agency, TRICARE Health Plan, 7700 Arlington Boulevard, Suite 5101, Falls Church, Virginia 220425101.
FOR FURTHER INFORMATION CONTACT: Ms.
Elan P. Green, Defense Health Agency, TRICARE Health Plan, email:
elan.p.green.civ@mail.mil, phone: 303
6763907.
SUPPLEMENTARY INFORMATION: An interim final rule published in the Federal Register FR on September 29, 2017 82 FR 4543845461 established the requirement for the Director, Defense Health Agency, to provide a public notice to TRICARE program beneficiaries with a summary of changes to the TRICARE program each calendar year in connection with the open season enrollment period.
The following changes or improvements to the TRICARE program benefits apply for calendar year 2022:
ADDRESSES:

Announcement of Open Season Open Season is an annual period when you can enroll in or make changes to your coverage for the next year.
TRICARE and Federal Employee Dental and Vision Insurance Program FEDVIP
Open Season for Calendar Year CY
2021 occurs November 8December 13, 2021.
TRICARE Open Season: During TRICARE Open Season you can enroll in or change your TRICARE Prime or TRICARE Select plan.
FEDVIP Open Season: FEDVIP Open Season is to enroll in or make changes to your dental and vision plans. Dental plans are offered by ten different carriers to eligible retirees and their family members and vision plans are offered by four different carriers to beneficiaries who have TRICARE
coverage, including TRICARE for Life.
Any changes you make will take effect on January 1, 2022. If you remain eligible and do not make any changes during Open Season, then you will stay in the same plan for 2022. Improving whats covered:

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Coronavirus Disease 2022 COVID19
Response In regards to COVID19 vaccination, although there is no separate copayment or cost-share for clinical preventive services, there may be a copayment, cost-share, or point of service POS
charge if the vaccine is administered as part of a primary or specialty care visit for a reason other than preventive care or for other services received during the office visit.
Due to the widespread need for COVID19 vaccines and the possibility that one day these vaccines may not be
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free-of-charge, on February 23, 2021, a notice was published in the Federal Register 86 FR 10942 advising TRICARE Prime enrollees, not including Active Duty Service Members ADSMs, of a temporary waiver to the referral requirement so they may receive COVID19 vaccines, a clinical preventive service, from any TRICARE
Basic medical program authorized non-network provider without incurring POS charges where applicable. The effective date of the waiver was December 13, 2020. This waiver will expire when the President of the United States US declares the national emergency is terminated.
The following three temporary changes for care and treatment continue to be effective as of May 12, 2020, for care and treatment within the US and effective March 10, 2020, for the TRICARE Overseas Program: Temporary audio-only telephonic office visits;
temporary waiver of cost-shares, co-pays and deductibles for all covered innetwork telehealth services for Prime and Select beneficiaries; and temporary interstate and international licensing.
These changes will expire when the President of the US declares the national emergency is terminated, unless terminated, extended, or otherwise modified in a final rule published to the Federal Register.
Overseas termination date may vary from the US date and will be determined by the Assistant Secretary of Defense for Health Affairs.
The following temporary changes were made and continue to be effective as of September 3, 2020, for care and treatment in the US and effective March 10, 2020, for the TRICARE Overseas Program: Temporary coverage of the treatment use of investigational drugs under expanded access for the treatment of COVID19 and temporary coverage of temporary hospitals. This change will expire when the President of the US
declares the national emergency is terminated, unless terminated, extended, or otherwise modified in a final rule published to the Federal Register.
Effective October 30, 2020, TRICARE
temporarily covers National Institute for Allergy and Infectious Disease NIAID
sponsored clinical trials when for the treatment or prevention of COVID19.
This change will expire when the President of the US declares the national emergency has terminated, unless terminated, extended, or otherwise modified in a final rule published to the Federal Register. A
TRICARE beneficiary who is already enrolled in a NIAID-sponsored clinical trial prior to the end of the Presidents
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national emergency for COVID19 will continue to have their care cost-shared through the end of the clinical trial.
Effective January 1, 2021, Transitional Assistant Management Program benefits are extended to National Guard members who have served more than thirty continuous days in support of the COVID19 mission.
Screenings Effective March 9, 2021, the United States Preventive Services Task Force USPSTF updated its annual screening recommendation for lung cancer performed through low-dose computer tomography so it is now covered for adults beginning at age fifty to eighty who have a 20 pack-per year smoking history and currently smoke or have quit within the past fifteen years instead of beginning at age fifty-five and only for those with a 30 pack per year smoking history.
Effective May 18, 2021, the USPSTF
updated its annual screening recommendation for colorectal cancer for adults at average risk so they may now begin screening at age forty-five instead of beginning at age fifty.
Demonstrations, Programs & Pilots Buckley Prime Service Area PSA
Pilot. Health Net Federal Services launched a new value-based care pilot beginning January 1, 2021. Beneficiaries who live in the Buckley PSA and are enrolled in TRICARE Prime with a civilian primary care manager are automatically part of the pilot. The Buckley PSA Pilot is expected to run through December 31, 2022.
Childbirth and Breastfeeding Support Demonstration. Congress required the Department of Defense DoD to conduct a demonstration project beginning no later than January 1, 2022, to cover the services of doulas and lactation consultants/counselors not otherwise authorized under TRICARE. This demonstration project will run for five years, through December 31, 2026.
Planned Changes Urgent Care Referrals: There is no limit to the number of urgent care visits that a Prime beneficiary except for most Active Duty members may receive without a referral. You can receive urgent care from any TRICARE
authorized urgent care center UCC or network provider. If the enrollee seeks care from a non-network provider except a TRICARE-authorized UCC, the usual POS deductible and costshares shall apply. The Department has no current plans to change this policy but in order to evaluate its ongoing
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