Exceptional Family Member Program

Health Care/Special Needs

Exceptional Family Member Program Health Care/Special Needs Education Directory Special Education/EIS Preparing for Your Move

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Navy
Health Benefit Advisors
Naval Medical Center San Diego
34800 Bob Wilson Drive
Building 26. 3B
San Diego, CA 92134
COMM phone number for Naval Base Point Loma Health Benefit Advisors
619-532-6418
Patient Relations
COMM phone number for Naval Base Point Loma Health Benefit Advisors
619-532-8328
Health Benefits Advisors
DSN phone number for Naval Base Point Loma Health Benefit Advisors
312-522-6418
EMAILEmail: https://apps.militaryonesource.mil/MOS/f?p=AMS:5:0::::P5_APP_NAME,P5_MSG_TYPE,P5_EID:MilitaryINSTALLATIONS,Installation Address,1000001919
WEBSITEWebsite: www.med.navy.mil/sites/nmcsd/Pages/patientrelations.aspx
**Due to COVID-19, services are being conducted via phone. Please call for more information about appointments** Mon - Fri 7:00 a.m. - 4:30 p.m. Sat - Sun - closed HBAs at NMCSD also functions as DCAO and BCACS:  Explanation of medical benefits and options  Assist with TRICARE enrollment process  Assist Resolve Debt Collection issues  Medicare, Medi-Cal, FEHBP and alternative health care plans  Access to care issues  Referral and specialty care issues  Determine eligibility for medical and dental benefits  Prime Travel Benefits Program  SECNAV Designee Program  Claims appeal process  Incapacitated Child Program  TRICARE Plus  Deductible and Costshares
MAPMap: http://maps.google.com/maps?q=+Naval+Medical+Center+San+Diego,+34800+Bob+Wilson+Drive,+Building+26%2E+3B,+San+Diego+CA+92134

Contact information for key programs and services at this installation.

Health Care/Special Needs Overview

Health care and other services for families with special needs are available and accessible to military families across all installations. It’s important to know that programs and services may vary from installation to installation. Make sure to contact your health care provider(s) before your move. Also make sure you know how to reach them during and after your move in case of emergencies.

Moving To a New TRICARE Region

Whether this is your first move, or you’re a seasoned professional, moving can be a challenge. A little planning and preparation can help make your move as easy as possible. Try the following Defense Department resources to help you get organized:

PCS & Military Moves on Military OneSource.mil provides comprehensive moving resources, information and services all in one simple location
Plan My Move, an online tool that helps break down the moving process into clear, customizable steps, with checklists to help keep you organized and on track
EFMP & Me, an online tool to help you plan for transition and continuity of support services for your family member(s) with special needs

Make sure your transition is as smooth as possible by visiting Moving on the TRICARE website. Talk to your medical case manager before you move. They can help you find a new doctor and other resources to avoid any interruptions in coverage.

On arrival at your new duty location, you or your sponsor can contact the Beneficiary Counseling and Assistance Coordinator at the military treatment facility. They can help if you have questions or need assistance with authorizations for TRICARE Extended Care Health Option, or ECHO, services.

Beneficiary Counseling and Assistance Coordinators and Debt Collection Assistance Officers

All TRICARE regional offices and most military treatment facilities are staffed with beneficiary counseling and assistance coordinators who educate beneficiaries and help with TRICARE-related eligibility, enrollment, referrals/authorizations and claims processing questions. If you or your family has more complex needs, contact your TRICARE case manager.

TRICARE debt collection assistance officers are assigned to regional offices and military treatment facilities worldwide. DCAOs assist with confirmed debt collection due to unpaid TRICARE claims. Please note, the debt must be in collections or listed on your credit report.

Federal and State Health Care Programs

Medicaid provides health coverage for eligible individuals and families with low incomes or with special needs. The department of social services or the department of medical assistance may administer the Medicaid program in your state. Supplemental Security Income is a cash assistance program intended to assist adults and children with special needs who have limited resources. Families must reapply after moving to a new state.

Medicaid waivers are state-specific Medicaid programs that provide funding for long-term care services to be provided in the community instead of in nursing homes or hospitals. There may be waitlists for waivers, however many states have agreed to the policy of allowing active-duty military families to enroll in their state of legal residence to get on the wait list.

Learn more about Benefits for Families With Special Needs, or review the Government Assistance Programs course on MilLife Learning.

TRICARE Extended Care Health Option, or ECHO

The TRICARE Extended Care Health Option provides supplemental services to:

Family members of active-duty service personnel (this includes activated National Guard and reserve service personnel)
Family members who are covered under the Transitional Assistance Management Program
Children or spouses of former service members who are victims of abuse and qualify for the Transitional Compensation Program
Family members of deceased active-duty sponsors while they are considered transitional survivors.

The qualifying family member’s disability must be entered properly in the Defense Eligibility Enrollment Reporting System to have access to TRICARE ECHO services.

For qualifying medical and/or educational special needs, TRICARE ECHO offers integrated services and supplies beyond those offered by your TRICARE program option (such as TRICARE Prime and TRICARE Select). See this TRICARE ECHO factsheet for more information, or listen to this TRICARE ECHO webinar on Military OneSource.

Military Treatment Facilities

Military hospitals and clinics are found at military bases and posts around the world. They are also referred to as military treatment facilities. Before you move, find out your new military treatment facility and contact them for local information.

Medical Case Management

Medical case management involves a team of health care professionals who help you and your family find solutions to complex health problems. It is important to let your medical case manager know if you are moving. They can help you connect with a medical case manager at your new location. Learn more about TRICARE case management services.

Transporting Medical Equipment

If your family member has special transportation needs for the move, such as oxygen or a special bed or wheelchair, contact your TRICARE medical case manager. They can advise you on equipment and transportation.

You can also contact your current installation’s household goods/transportation office (outbound) for information on special procedures for transporting medical equipment.

Other

Exceptional Family Member Program (EFMP)

The Navy's Exceptional Family Member Program (EFMP) serves military families with special needs. The EFMP is a mandatory enrollment program for sponsors with qualifying family members. Enrollment in the EFMP ensures maximum provision of services to the family throughout the sponsor’s career.

The EFMP includes identification of the family member's special needs, enrollment in the program, assignment coordination, and family support. The Program assists Sailors during the assignment process by addressing the special needs of their Exceptional Family Members (EFM), and ensures they are assigned to areas where they can access necessary resources.

Qualifying conditions include medical (physical, mental, developmental), and/or educational requirements that are chronic (expected to last six months or longer); requirements for adaptive equipment, assistive technology devices and services, and/or wheelchair accessibility.

If you are an active duty family and are enrolled in the EFM Program or need assistance with enrollment, please contact the EFMP Coordinator at Naval Medical Center San Diego (Balboa). For more information, please visit the Exceptional Family Member Program website.

Beneficiary Counseling Assistance Coordinator

A BCAC educates beneficiaries, and enhances a thorough understanding of TRICARE programs.

TRICARE

Find out everything you need to know about your medical benefits.

Naval Base Point Loma

Topic

Health Care/Special Needs

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Health Care/Special Needs Overview

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