Naval Medical Center Portsmouth Orthopedics & Sports Medicine
Orthopedic Supplies & Equipment
Durable Medical Equipment (DME). For the Costs & Charges. Depending on the piece of equipment,
convenience of our patients, NMCP Orthopedics and and on the beneficiary status of the patient, there may be
Sports Medicine carries a wide selection of orthopedic a cost involved for DME that is issued at NMCP. Some
supplies and equipment, including braces, splints, boots, items, such as crutches and casts, are provided at no
slings, cold therapy units, immobilizers and walkers. cost. Others, such as cold therapy coolers, are provided
Having this material readily available allows our patients to on loan and must be returned when the patient is done
get what they need before leaving the hospital, eliminating using them. However, vendor-supplied items may result
the burden of an extra trip to an outside supplier. in a co-pay for some of our patients.
Vendors. On-hand stocks of many of these items are Active duty personnel will not have a co-pay.
maintained by a select group of health care suppliers, who Active duty family members who are enrolled in TRICARE
provide only the highest quality products to meet our Prime will not have a co-pay.
Active duty family members who are not enrolled in
patients’ needs. These vendors and their local phone TRICARE Prime will have a 15% co-pay of the contracted
numbers are: reimbursement rate for the item(s) they receive, plus their
EBI Medical, Inc. (757) 478-4900 Retirees and retiree family members who are enrolled in
SME, Inc. (757) 270-0392 TRICARE Prime will have a 20% co-pay of the contracted
S.O.S. Specialized Ortho Services (757) 557-0050 reimbursement rate for the item(s) they receive.
Ortho Care Solutions (757) 622-4630 Retirees and retiree family members who are not enrolled in
TRICARE Prime, and other eligible beneficiaries, will have a
Receiving Your DME. Specialized DME that is supplied 20% co-pay of the contracted reimbursement rate for the
by one of the above vendors is issued according to item(s) they receive, plus their annual deductible.*
specific protocol. If you need one of these items, the
following applies: * Note: The following annual deductibles apply to
beneficiaries who are not enrolled in Prime:
Your NMCP provider will write a referral order.
A staff member will go to the orthopedic storage closet to Active duty family members (E-1 – E-4):
get your item. $50/individual; $100/family
The supply clerk will issue the item and submit the Active duty family members (E-5 & above):
necessary paperwork to the vendor. $150/individual; $300/family
The vendor will file a claim with the TRICARE claims Retirees & retiree family members:
processor (PGBA). $150/individual; $300/family
PGBA will send you an Explanation of Benefits (EOB).
Please note that an EOB is not a bill.
Resources for Help and Information
Health Net Federal Services (HNFS)
o TRICARE Service Center, NMCP Portsmouth
o 1-877-TRICARE (1-877-874-2273)
Hampton Roads Appointment Center (HRAC)
o 1-866-MIL-HLTH (1-866-645-4584)
Health Benefits Advisors/Beneficiary Counseling and
Problems With Your Equipment. If you experience Assistance Coordinators (HBAs/BCACs)
problems with the material or workmanship of your DME, o NMCP – (757) 953-2610/2611
you may need to contact the vendor directly for o Located at NMCP and at each branch clinic
assistance, repair, or replacement.
NMCP Marketing Department –September 2008 – (757) 953-6153/6048