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Show Page HILL Tt.l TIMES 8 March 12. 1976 CHAM PUS Revises Charge Formula A revised formula for to 75 per cent. IM A CHAMPUS setting prevailing medical charges has been put into officials emphasize that this is not an accurate statement. ' Uniformed are set by geographic area, they may vary from one area to another. effect by the Civilian Health and Medical Program of the Services (CHAMPUS.) These charges are in line with those of other Federal health care programs such as MEDICARE. A prevailing charge is one of three factors used by CHAMPUS in setting a reasonable charge for a health care service or supply. The others are the customary charge of the medical provider and the actual charge. The reasonable charge is the lowest of the three. It includes both the beneficiary's share and the Government's share. According to CHAMPUS officials, affect the change the amount could the program pays for any specific service or supply. Under the revised formula, the prevailing charge is now set at an amount that is high to cover the enough 75 for per customary charges cent of the bills from all doctors or other health care providers in an area during the year. preceding Previously, it had been set at an amount high enough to cover the customary charges for 90 per cent of the bills. customary charge is generally the one most A frequently made by a doctor or other health care provider for a service or supply. The change from the 90th percentile profile to the 75th percentile profile has created misunderstandings. Some beneficiaries believe that CHAMPUS benefits have been reduced from 90 per cent Are you in compliance with Before you answer AFR in pious course" of "yes, had better indignation, you check. make a quick Many people seem to get "telescopic vision" when it comes to grooming and dress standards, and only consider 35-1- Since prevailing charges CHAMPUS officials point out that other Federal health care programs have been provisions of the regulation concerned with the setting the prevailing charge at an amount which is high to cover the enough 75 for customary charges per cent of the bills. They say that the change in the CHAMPUS formula makes the program's more payment policy consistent with these other Federal programs. Because the change could affect the amount paid by the Government for a particular service or supply, CHAMPUS officials urge that all beneficiaries make a special effort to use a doctor or other health care provider who participates in the program. A medical participating provider agrees to accept the reasonable charge set by CHAMPUS as payment in full. Thus, a beneficiary is protected against responsibility for costs above his share of the reasonable charge. A doctor or other health care provider who does not participate in CHAMPUS does not agree to accept the reasonable as charge in full. The payment nonparticipating provider's fee may be more than the limit. CHAMPUS A HOW TO SPELL AFLC OFFICE OF .recent INFORMATION Social Actions Need Volunteers "Hot line" volunteers are needed to man the Social Actions Office's assistance telephone system hours. during after-dut- y Social Actions Office. All volunteers work out of their homes with "hotline" calls transferred to their home 24-ho- ur Social Actions Office, volunteers provide a valuable service to the Hill community. He said volunteers counsel, listen, sympathize or "just talk with callers" with problems ranging from drug abuse to family difficulties. Persons . The sergeant said volunteers are trained for the program by members of the interested in donating their time toward helping others should contact Sergeant Swain at ext. 3407 or 3516. IT IS a great happiness to be praised of them who are most praiseworthy. Sir Philip -- Sidney Bool polio, hepatitis, erican 393-103- For a FREE Home Market Analysis Contact any of the Century 21 Associates at mm INFORMATION u Y T O s CLEARFIELD fVVT. Dp SOUTH OME COMPLETE REAL ESTATE SERVICE FINANCING SPECIALISTS A FROERER CORP. II v, St. IJ A rOFFlC VA-FH- rVWe're j 2400 Blvd 621-212- 1 S3 3 2783 Washington Information, 81009. OFF - BASE RiGMTNQW: A salesperson in one of our Nationwide 1,800 offices could be selecting an inventory of homes that meet your specif icatidh in the area which you are moving. 1 fr yr cMit Pueblo, Colo. mlmM m n4 11:30 m m. Im 3:00 m.m. friov 11:30 m.tn. t 3.00 m.m. wetkrfayt 11:30 a.m. t midnight Svndaft t w ki parking Uft Consumer It Let Century 21 HELP OR 621-923- 35-1- and tuberculosis, combined. -- Vi picking," but if you are a supervisor, remember that you are under constant scrutiny by your people. They just cannot understand why you are hassling them on their haircuts when you yourself are not in compliance with some provisions of the f regulation. The standards of AFR 0 have one purpose to present a uniform, disciplined image to our friends as well as to our critics and potential enemies. If we abide by our regulations in small matters, we can be expected to do what we are called upon to do in carrying out the national objectives of our country. could happen to you. could get venereal disease. Yet "VA And You," a booklet every year hundreds of published by the Department thousands of people do. More of Health, Education and cases of syphilis and Welfare, tells how VD is its what gonorrhea, the most common transmitted, forms of venereal disease, are symptoms are and what effect reported each year than it can have on your health. For German measles, malaria, your copy, send 25 cents to The Unique Century 21 National referral system can save you time money and headaches. We offer services on an out of area move that no other real estate company can At .No Extra CoiLlaJCflu EXOTIC ATMOSPHERE Washington Blvd. 621-212- Sorry, Classifieds By Ma Only P.O. Box 186 Kaysville, 84037 mm Ogden 1 National, but we're Neighborly. ftOWERTlSE: "nit! No one likes to think they One of our 20,000 salespersons across the country could be selling your home. T these discrepancies Information Available TRANSFERRING? that reasonable 1 observed discrepancies were objects protruding froni pockets. Does your checkboo! extend above the top of you back pocket? Did vo remember to rebutton yout shirt pocket when yoy replaced your pen? You may consider many of A AND CALL nt VD telephone. According to Sgt. Joe Swain, was discrepancies. No grade was exempt; they ranged from colonel to airman basic. The discrepancies ranged from the haircut violations to unbuttoned pockets, jackets not zipped at least halfway up, and pants too short. most The frequently ever-prese- charge and the actual fee. mm survey conducted by students in the NCO Leadership School and in a short time they observed 126 PContact Your Base Education Officer for Available Courses beneficiary is then responsible for his share of the reasonable charge plus any difference between hair. While these provisions are probably talked about more among the younger members of our force, they are by no means of what is expected of us. EDUCATION TEACH YOU care health WJlllTj ENJOY OUR EXCELLENT CUISINE Uniform Board Approves Changes RUT? OGDEN HILL FIELD OGDEN BRANCH OFFICE SOUTH GATE MAIN OFFICE 2580 773 4628 -39- ECCLES 421 4-9655 LAYTON-KAYSVIL- LE SALT LAKE CITY 376-506- 5 277-465- 0 520 |