75th Medical Group needs your help with insurance compliance

  • Published
  • By The 75th Medical Group Source Management Office
HILL AIR FORCE BASE, Utah --  Under the Consolidated Omnibus Reconciliation Act of 1986, all military medical treatment facilities are mandated to bill health insurance carriers for the cost of medical care provided to active duty family members, retirees and family members who are covered by other health insurance. The 75th Medical Group Clinic must comply with this law and needs your help for continued program success.

You will be asked if you have other health insurance at every point of service when you use services at the 75th MDG. If you are covered by other health insurance or have a Medicare supplement, we need your insurance information.

The obligation to pay medical care costs applies only to the insurance carrier. Your insurance company will pay benefits directly to the 75th MDG and you will not be billed or responsible for any uncollected charges.

The benefits for the patient include no co-pay, deductible or any patient responsibility charges indicated in the Explanation of Benefits received from the insurance company. This means you may pay less out-of-pocket expense when later seeking health care through a civilian provider.

Monies collected under this program are deposited directly into the 75th MDG Operations and Maintenance account. In fiscal year 2010, $2.8 million was collected. This accounted for 10 percent of the 75th MDG operations and maintenance budget.

The $2.8 million was used to fund medical staff contracts, medical supplies, nonmedical supplies, staff training and patient travel. Our ultimate goal is to provide enhanced health care services for you -- the patient.

In most cases, the 75th MDG is no different than civilian health care providers who need insurance information at each clinic visit. To collect benefits covered by your other health insurance, we must have the information that appears on your other health insurance identification card.

Please have this card with you when you visit the 75th MDG Clinic. If you are a dependent of an active duty member, retiree or family member of a retiree, you will be asked to fill out a DD Form 2569, record of other health insurance, regardless of whether you have other health insurance. This form is scanned, updated and maintained in an electronic system. We appreciate your assistance in helping the 75th MDG Clinic keep up with these requirements and creating a healthcare environment we can all be proud of.

For further assistance with the Third Party Collections Program, please stop by the Third Party Collections office located on the 1st floor near the pharmacy or call our TPC representatives at (801) 586-9847 or (801) 777-6422.