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AFSAPublication
300-2 December 9, 2005
CALL TO ACTION – STOP DOD PLANS TO SAVAGE THE MILITARY RETIREE HEALTH CARE BENEFIT !
As AFSA has been warning for several months, we have learned that the Administration, through the Department of Defense, is going to propose to Congress drastic increases in the cost of health care for military beneficiaries—with military retirees as the prime target. If DoD has its way, prescriptions would significantly increase for all beneficiaries, and the annual cost of TRICARE Prime would be increased by several hundred percent. Although the TRICARE for Life program would remain intact, the increased cost of prescriptions would significantly reduce the financial well-being and quality-of-life of our oldest retirees, their family members, and survivors. Should these changes succeed, we believe further draconian, anti-retiree proposals will be made by DoD.
In a strongly worded message to Congress and the Administration, AFSA Executive Director Richard M. Dean said, “The impending DoD plans are an unconscionable focus on the bottom line and an unequivocal expression of the current DoD leaders’ utter disregard of the contributions and sacrifices made by those who fight and die for this nation. Frankly, this Administration ought to be ashamed that it would allow the current DoD leadership to show such blatant disregard for those who make the livelihoods of the DoD budgeters possible. We have repeatedly heard disingenuous, orchestrated rhetoric from these DoD officials and their supporters in Congress that military retirees are a burden on this nation and that they are too generously overcompensated. We absolutely disagree with this notion, and urge every AFSA member to immediately call and write to the members of the Senate, the House, and the Administration and tell them to stop these proposed increases in health care and in the pharmacy benefit – if they expect electoral support.” Below is an article recently published by free-lance supporter and AFSA friend, Tom Philpott. His article clearly summarizes what is known to this point about the Administration’s DoD plans to change the military health care system.
Column 49-05 December 8, 2005
HIGHER TRICARE FEES PLANNED FOR UNDER-65 RETIREES by Tom Philpott
Defense Department officials have drafted plans to raise TRICARE enrollment fees and deductibles sharply over the next three years for military retirees under age 65 and their families, about three million beneficiaries.
If the changes touted by senior Defense officials are adopted, annual enrollment fees for TRICARE Prime, the military’s managed care option, would triple by October 2008 for working-age retired officers and double for enlisted retirees.
Yearly deductibles for retirees using TRICARE Standard, the fee-for-service health insurance option, would double for officers and rise by a third for enlisted. Also, for the first time retirees who use TRICARE Standard would pay an enrollment fee in addition to their deductible.
Pharmacy co-payments also would be raised but for all retirees and their families, regardless of age, if they use the retail drug network or the TRICARE mail order program to buy brand name drugs on the military formulary.
The aim of these initiatives is to slow the projected rise in military healthcare costs by as much as $12 billion over five years and $32 billion through fiscal 2015. This would occur, proponents argue, by having working-age retirees pay a greater share of TRICARE costs and by encouraging others to switch to their employer-provided health insurance.
One assumption being used to estimate cost savings is that for every 10 percent increase in out-of-pocket costs, the number of beneficiaries using TRICARE Prime or Standard will fall by one percent. If accurate, 600,000 beneficiaries would drop out of TRICARE plans by 2015.
Defense officials have expressed alarm over a recent migration of retirees into TRICARE and away from employer-provided health insurance. Dr. William Winkenwerder, assistant secretary of defense for health affairs, has said that some civilian employers are offering their retired military workers cash incentives to use TRICARE instead of company insurance.
Bryan Whitman, deputy assistant secretary of Defense for Public Affairs, said defense healthcare spending, if left unchecked, could reach $64 billion by 2015, or 12 percent of total defense spending, endangering a prized benefit. In fiscal 1995, he said, healthcare was only five percent of the defense budget.
TRICARE Prime enrollment fees of $230 a year for individual coverage and $460 for family coverage, and the TRICARE Standard deductible of $150 (single) and $300 (family) haven’t been raised since they were set more than a decade ago. Whitman said this contributes to growth in department costs.
Budget documents contend the TRICARE fee structure in only one-third as costly to users as equivalent civilian plans. Defense officials not only want fees and deductibles raised for retirees and their families, in three hefty annual increments, but also want fees after that indexed to inflation so they climb in lockstep each year with growth in medical costs nationwide.
Some of the planned TRICARE increases won’t require a change in law, only in regulation, although department plans for fees are sure to be the subject of congressional hearings in 2006. Lawmakers could step in to block or amend the plan if the planned increases seem unreasonable.
Draft budget papers predict a “pushback” from retiree organizations. The first shot was fired Dec. 8 when the Military Coalition, a consortium of 36 service associations and veterans’ groups, sent a letter to members of the House and Senate armed service committees urging that they oppose department plans to shift a larger share of medical costs to retirees.
Congress gave military retirees better health benefits as an “offset to the unique demands and sacrifices inherent in a military career,” the coalition said. Requiring them to pay more for health care, the letter argues, “is not a prudent course of action, especially when the nation is at war.”
The “benefit adjustment” scenario being discussed, both in the fiscal 2007 budget formulation process and resource-sharing debate for the Quadrennial Defense Review, calls for all under-65 retirees to pay more to use TRICARE Prime, Standard and Extra, the preferred provider network option, but retired officers also would pay more than enlisted retirees.
Prime enrollment fees (now $230/$460) would be raised for retired officers to $400/$800 (individual/family) next October, to $600/$1200 a year later and to $750/$1500 by October 2008, the start of fiscal 2009. Enlisted retirees under 65 would see Prime enrollment fees climb to $300/$600 next October, to $375/$750 a year later and to $450/$900 in October 2008.
First-ever enrollment fees for TRICARE Standard would start for officers at $150/$300 (individual/family) and rise to $225/$450 by October 2007 and to $300/$600 in 2008. Enlisted retirees would pay $100/$200 next October, rising to $150/$300 the next year and to $200/$400 in 2008.
Annual deductibles under TRICARE Standard and Extra, now $150/$300, would climb for retired officers to $200/$400 next fall, to $250/$500 in October 2007 and to $300/$600 in 2008. Enlisted retirees would see their Standard deductible rise to $175/$350 next October, remain there for two years and rise to $200/400 in October 2008.
Co-payments under the TRICARE pharmacy program would be reshaped to discourage purchase of maintenance medicines in the more expensive retail network. The $3 co-payment for generic drugs will rise to $5 in the retail network but would be free if order by mail. The current $9 co-pay for brand drugs would rise to $15 in retail network and $10 by mail.
To comment, write Military Update, P.O. Box 23111 1, Centreville, VA, 20120-1111, e-mail [email protected] or visit www.militaryupdate.com
We have repeatedly told our members that benefits are gained through great effort, and that benefits can go away if they are not protected. Despite that, following our great victory on TRICARE for Life, thousand of members dropped their AFSA memberships. When we made great historical strides in the area of Concurrent Receipt, many more dropped their association memberships. Despite the fact that AFSA helped significantly increase their income, the view of these former AFSA members must have been that AFSA was no longer needed since these former AFSA members got what they individually wanted. We view this as a selfish, ungrateful, and patently shortsighted view.
For some reason, many of those whose lives we strive to protect cannot grasp the reality that membership size and strong advocacy are not forces to be taken for granted. AFSA’s membership strength translates into influence and access. As we grow smaller, current and past enlisted members will eventually pay a price. The time to pay that price may well have now arrived. Accordingly, this is not time for procrastination—ACT NOW if you care about the military health care benefit for current and past military members, their family members, and survivors.
This latest challenge in the area of health care will require the active intervention of every AFSA member. It is time now to send a very clear message to your elected officials that they must not only oppose any DoD proposals to significantly increase the military health care benefit, but that they (elected officials) must publicly make a declarative statement in opposition to the proposed increases. Remind them that you are aware that every seat in the House of Representatives and one-third of the Senate seats will face reelection next fall, and that your vote will depend on their overt response at this time. To be successful in stopping these onerous DoD plans, our members must tell Congress that in order to gain the support of the military electorate, these current and potential elected officials need to speak out against increases in the cost of military health care and the pharmacy benefit.
AFSA members have a great deal of power, if they care to get engaged and exercise their franchise as voting citizens. Please help AFSA Headquarters stop DoD plans to savage the military retiree, family member, and survivor health care benefit. Contact Congress and the Administration now.
To get contact information for your two senators and representative, you can go to the AFSA Web Site at www.afsahq.org, click on “Capitol Hill Update,” then follow the prompts for your House and Senate members. Or AFSA members may call AFSA’s directorate of military and government relations to get that congressional contact information. A sample letter to help shape your thoughts will soon be posted in the Legislative area of the AFSA Web site.
Don’t delay. The future of your benefits is in your hands. Act now!
(Signed)
RICHARD M. DEAN
Executive Director
Our value system is warped!
Originally posted by dawnstar
Marg.......
.....that kind of seem to suggest that the new regulations dealing with credit might have a more international origin, ....
Originally posted by marg6043
Actually we have been warn for a year already ... .
Originally posted by Esoteric Teacher
Let's you know how busy my work-related duties have kept me the past year+, this was the first i had heard about it.
Thanks Marge.
Originally posted by marg6043
It's like trying to squeeze money from somewhere to keep financing the war.
You know I think I am going to start posting news from their newsletters to keep the information available for those that needed.
Originally posted by Esoteric Teacher
After completing some outprocessing checklist requirements for my upcoming third deployment to Iraq, I received an email from one of my superiors. Thought I would share this, and I know there will be mixed reactions about it, but thought Americans would like to know how their current elected administration takes care of the military they both rely on and claim to appreciate so much:
We have repeatedly told our members that benefits are gained through great effort, and that benefits can go away if they are not protected. Despite that, following our great victory on TRICARE for Life, thousand of members dropped their AFSA memberships. When we made great historical strides in the area of Concurrent Receipt, many more dropped their association memberships. Despite the fact that AFSA helped significantly increase their income, the view of these former AFSA members must have been that AFSA was no longer needed since these former AFSA members got what they individually wanted. We view this as a selfish, ungrateful, and patently shortsighted view.
For some reason, many of those whose lives we strive to protect cannot grasp the reality that membership size and strong advocacy are not forces to be taken for granted. AFSA’s membership strength translates into influence and access. As we grow smaller, current and past enlisted members will eventually pay a price. The time to pay that price may well have now arrived. Accordingly, this is not time for procrastination—ACT NOW if you care about the military health care benefit for current and past military members, their family members, and survivors.
Originally posted by Esoteric Teacher
Makes one think. No one could possibly be this evil. I can not envision that greed and the need for domination is the root and seed for the justification for these actions. I compare everything i observe to what it is i know for sure, my opinions, my accepted truths. And, i simply cannot accept foul intentions are the cause for such effects. There must be underlining circumstances, alien influences perhaps? My point? We are are not seeing the whole picture. Everything that is happening must be someway, somehow inter-connected. Chance is an illusionary variable, cause and effect of actions and behaviors are measurable.