ADMINISTRATIVE MESSAGE ROUTINE R 140100Z NOV 03 ZYB MIN PSN 384496J34 FM CNO WASHINGTON DC//N09// TO NAVADMIN UNCLAS //N06000// NAVADMIN 295/03 MSGID/GENADMIN/CNO WASHINGTON DC/N09/-/NOV// SUBJ/OCONUS URGENT AND EMERGENT HEALTH CARE FOR DEPLOYED USN AND USMC/ACTIVE DUTY MEMBERS// REF/A/LTR/ASD(HA)/09DEC2002// REF/B/GENADMIN/CINCPACFLT PEARL HARBOR HI/210357ZMAY2002// REF/C/GENADMIN/BUMED/21FEB1996// NARR/REF A IS ASD(HA) LTR TO NAVY SURGEON GENERAL ADVISING OF CONTRACT AWARD FOR TRICARE GLOBAL REMOTE OVERSEAS HEALTHCARE CONTRACT. REF B IS PACADMIN 015/02, TRICARE-FLEET PROCEDURES. REF C IS BUMEDINST 6320.72 WHICH PROVIDES GUIDANCE AND POLICY FOR OBTAINING AND FUNDING NON-NAVAL HEALTHCARE.// RMKS/1. REF A ADVISED THAT THE TRICARE MANAGEMENT ACTIVITY (TMA) AWARDED THE TRICARE GLOBAL REMOTE OVERSEAS HEALTH CARE CONTRACT (TGRO) TO INTERNATIONAL SOS ASSISTANCE, INC., (INTERNATIONAL SOS) FULL DON COVERAGE UNDER TGRO COMMENCED 01 OCTOBER 2003, AND THE CONTRACT REPLACES PREVIOUS CONTRACTS HELD INDIVIDUALLY BY THE TRICARE OVERERSEAS REGIONS. THE CONTRACT PERIOD IS ONE YEAR, PLUS FOUR OPTION YEARS. 2. THIS MESSAGE PROVIDES AN INTRODUCTION TO THE TGRO PROGRAM AND AVENUES FOR HEALTHCARE PROFESSIONALS, HEALTHCARE COORDINATORS AND INDIVIDUAL COMMANDERS TO OBTAIN ADDITIONAL, DETAILED INFORMATION. ALL COMMANDS AND MEDICAL PROFESSIONALS ARE HIGHLY ENCOURAGED TO VISIT THE WEBSITES IDENTIFIED BELOW TO OBTAIN PERTINENT PROGRAM INFORMATION RELATING TO PROGRAM ELIGIBILITY, OVERSIGHT RESPONSIBILITIES, COVERAGE AREAS AND PROCEDURES FOR ACCESSING CARE UNDER THE TGRO. DISSEMINATION OF THIS INFORMATION IS CRITICAL TO ENSURING THE PROPER CARE IS PROVIDED FOR THOSE AFFECTED. 3. THE TGRO PROVIDES FOR URGENT AND EMERGENT HEALTH CARE FOR ACTIVE DUTY SERVICE MEMBERS WHO ARE DEPLOYED, TAD/TDY OR IN AN AUTHORIZED LEAVE STATUS IN REMOTE OVERSEAS LOCATIONS, I.E., COUNTRIES IN WHICH THERE IS NO DOD MEDICAL TREATMENT THERE IS NO DOD MEDICAL TREATMENT FACILITY. ADDITIONALLY, TGRO PROVIDES FOR A HIGH-QUALITY HEALTH CARE BENEFIT TO ACTIVE DUTY SERVICE MEMBERS AND THEIR ACCOMPANYING FAMILY MEMBERS ENROLLED IN THE TRICARE OVERSEAS PROGRAM PRIME IN REMOTE OVERSEAS LOCATIONS. 4. THE TGRO IS ADMINISTERED BY THE THREE TRICARE OVERSEAS PROGRAM (TOP) REGIONAL OFFICES: TRICARE PACIFIC, TRICARE EUROPE, AND TRICARE LATIN AMERICA/CANADA. REGION-SPECIFIC QUESTIONS SHOULD BE DIRECTED TO THE APPROPRIATE TRICARE OVERSEAS PROGRAM REGIONAL OFFICE, WHICH MAY BE REACHED BY CALLING (888) 777-8343 AND SELECTING THE APPROPRIATE REGION FROM THE MENU PROVIDED. THE TOP REGIONS, TRICARE MANAGEMENT ACTIVITY (TMA), AND INTERNATIONAL SOS ALSO HAVE WEBSITES AND INTERNATIONAL SOS OPERATIONS CENTERS AVAILABLE FOR ADDITIONAL INFORMATION: A. TRICARE PACIFIC: HTTP: (DOUBLE SLASH) TRICARE-AC.TAMC.AMEDD.ARMY.MIL, OR DIRECT OR COLLECT AT (65) 6338-9277. ALTERNATIVELY, WITHIN TRICARE PACIFIC REGION, THE SYDNEY, AUSTRALIA OPERATIONS CENTER IS AVAILABLE DIRECT OR COLLECT AT 61-2-9372-2468. B. TRICARE EUROPE: HTTP: (DOUBLE SLASH)WWW.EUROPE.TRICARE.OSD.MIL, OR LONDON DIRECT OR COLLECT AT (44) 20-8762-8133. C. TRICARE LATIN AMERICA/CANADA: HTTP: DOUBLE SLASH)TRICARE15.ARMY.MIL, OR PHILADELPHIA DIRECT (800)-834-5514 OR COLLECT AT (011) 215-701-2800 D. TMA: HTTP: (DOUBLE SLASH)WWW.TRICARE.OSD.MIL E. INTERNATIONAL SOS HTTP: DOUBLE.INTERNATIONALSOS.COM/PRIVATE/ TRICARE 6. THE NAVY AND MARINE CORPS ARE JOINING THE OTHER SERVICES IN MAKING THIS BENEFIT AVAILABLE GLOBALLY ON A CASHLESS, CLAIMLESS BASIS TO THOSE DEPLOYED/TAD/TDY/ON LEAVE ACTIVE DUTY SERVICE MEMBERS REQUIRING URGENT/EMERGENT HEALTH CARE IN REMOTE OCONUS LOCATIONS. A REVISED FUNDING MECHANISM FOR CARE RENDERED UNDER THE CONTRACT HAS BEEN IMPLEMENTED THAT WILL ENABLE CLAIMS PAYMENT FOR SERVICES PROVIDED UNDER THE TGRO ON THE TMA/SERVICE LEVEL, AFFORDING CENTRALIZED FUNDING AND OVERSIGHT STRUCTURE ALONG WITH THE SIGNIFICANTLY ENHANCED ACCESS TO CARE AVAILABLE VIA TGRO IN REMOTE OCONUS LOCALES. 7. OPERATIONAL COMMANDERS RESPONSIBILITIES. FLEET AND MARFOR COMMANDERS ARE ENCOURAGED, AS THEY DEEM APPROPRIATE, TO PUBLISH COMMAND-SPECIFIC GUIDANCE (E.G., REF B) RELATIVE TO THE 01 OCTOBER 2003 COMMENCEMENT OF GLOBAL NAVY AND MARINE CORPS ELIGIBILITY FOR URGENT/EMERGENT CARE UNDER THE TGRO. CARE AVAILABLE FROM INTERNATIONAL SOS VIA THE TGRO IS INTENDED TO SERVE DEPLOYED UNITS BY SUPPLEMENTING MEDICAL ASSETS WHEN URGENT OR EMERGENT PATIENT NEEDS EXCEED THE LEVEL OF CARE AVAILABLE FROM THE UNITS' OWN ORGANIC MEDICAL CAPABILITIES, AND COMMANDERS MUST ENSURE THAT ANY CONTINGENCY PLANNING FOR UNITS IN THEIR RESPECTIVE AORS REFLECTS THAT THE TGRO IS NOT REPEAT NOT A SUBSTITUTE FOR PROVIDING APPROPRIATE ORGANIC MEDICAL ASSETS FOR DEPLOYING UNITS. COMMANDERS SHOULD ENSURE THAT DEERS REGISTRATION IS CURRENT FOR ALL THEIR PERSONNEL TO ENSURE VERIFICATION OF ELIGIBILITY FOR TGRO. REFERRAL OF PATIENTS FOR CARE UNDER TGRO DOES NOT OVERCOME COMMANDERS STANDING REQUIREMENTS FOR SATISFYING CASUALTY REPORTING PROTOCOLS, AND COMMANDERS SHOULD ENSURE AS WELL THAT PATIENTS-AND ANY ACCOMPANYING MEDICAL OR NON-MEDICAL ATTENDANTS REQUIRING TRANSPORTATION/BERTHING PURSUANT TO ACQUIRING CARE UNDER THE TGRO-ARE PROVIDED FULLY FUNDED ORDERS BY THEIR PARENT COMMANDS IAW JFTR AND OTHER APPROPRIATE TRAVEL FUNDING GUIDANCE. 8. THE INFORMATION IN THIS MESSAGE WILL BE REFLECTED IN THE NEXT REVISION OF REFERENCE C. 9. RELEASED BY ADM M. G. MULLEN, VCNO.// BT NNNN