Latest news with #JacobSanchez
Associated Press
31-01-2025
- Health
- Associated Press
Get Refreshed: Miami's Only Medical Spa Supporting Cancer Survivors
Get Refreshed empowers cancer survivors in Miami with lifelong aesthetic care and 50% discounts on transformative treatments. 'Looking good can be the first step to feeling good, and we're here to support survivors every step of the way.' — Jacob Sanchez, CEO of Get Refreshed MIAMI, FL, UNITED STATES, January 31, 2025 / / -- In a groundbreaking move in the wellness industry, Get Refreshed, led by its CEO Jacob Sanchez, stands out as the only Medical Spa in Miami dedicated to supporting individuals who have faced traumatic experiences such as surviving cancer. To ensure the safety and effectiveness of aesthetic procedures, this initiative is exclusively available to cancer survivors who are no longer undergoing active treatment or taking medications that could interfere with the results. With an exclusive 50% discount on any procedure, this initiative provides survivors with a unique opportunity to regain their confidence. This benefit is not just a one-time offer; it remains valid for life, ensuring that eligible individuals can access ongoing transformative care safely and effectively. 'At Get Refreshed, we believe that looking good can be the first step to feeling good,' says Jacob Sanchez. 'Our mission is to provide a safe space where survivors can rebuild their self-esteem and feel supported, not just once, but throughout their journey.' Transforming Wellness in Miami Since its inception, Get Refreshed has excelled in medical aesthetics, offering innovative treatments and personalized experiences for each client. With this new initiative, the spa reaffirms its leadership as a pioneer in providing meaningful support to those who need it most. Services include facial balancing to rejuvenate the face, non-surgical nose jobs, permanent threads, and classic treatments such as Botox, laser hair removal, and Hyperbaric Oxygen Therapy to accelerate recovery after procedures. Each procedure is performed by experts using cutting-edge technology to ensure safety and exceptional results. Unique Support for the Community The support program at Get Refreshed not only enhances external appearance but also strengthens confidence and emotional well-being for its beneficiaries. How to participate? Interested individuals can contact the spa to assess their eligibility and schedule a personalized consultation. Each case is handled with the utmost care and attention. Leadership with Purpose Jacob Sanchez, CEO of Get Refreshed, leads this project with empathy and vision, making the spa a beacon of hope in the Miami community. 'Our goal is to show that aesthetics can also be a way to heal and start anew,' adds Sanchez. 'We hope to inspire other businesses to adopt similar initiatives.' About Get Refreshed Get Refreshed is a leading Medical Spa in Miami, recognized for its advanced technology and personalized approach to aesthetic treatments and wellness therapies. Founded by Jacob Sanchez, the spa combines professionalism and community commitment, transforming both appearances and lives. For more information, visit or call (305) 988-9504. Liz Simon Get Refreshed +1 (305) 988-9504
Yahoo
29-01-2025
- Health
- Yahoo
Tricare to Allow Patients in Tricare West Region to Receive Specialty Care Without Preapproval
The Defense Health Agency has suspended a requirement for Tricare Prime patients in the West Region to get pre-authorization from their Tricare contract manager for specialty care. Defense Department health program officials announced Monday that the beneficiaries still are required to get a referral before seeking specialty care, but pre-authorization from TriWest Healthcare Alliance, the company that manages the Tricare program in the western U.S., will not be required through March 31. The process is retroactive to Jan. 1. Read Next: Video Shows Air Force F-35 Fighter Exploding in Fireball at Eielson Base in Alaska The waiver announcement is directly tied to problems with TriWest's referral portal that have affected processing, said Jacob Sanchez, referral management subject-matter expert for Tricare at the DHA. "If you have Tricare Prime and are in the West Region, this waiver will allow you to access specialty services without interruption to your care," Sanchez said in an announcement of the change. TriWest was awarded the contract to manage the Tricare West Region in late 2022 and began efforts to assume the contract in earnest last February after a federal court ruled it had rightfully won its bid. Issues with the transition began to emerge in December when participating providers began voicing concerns that they had not received communications from TriWest on joining its network. Then, customers who were required to update their payment information with TriWest found themselves unable to do so because of troubles with TriWest's online portal and call center. Patients have written saying that they have experienced lost referrals; been referred to the wrong type of doctor -- for example, a brain surgeon when a spine surgeon was needed; and endured delayed or canceled referrals. "These are not just administrative failures -- they are directly impacting military readiness and the well-being of those who serve," wrote an Air Force airman. "This is a national problem affecting thousands of service members and their families, and yet it seems to be slipping under the radar." According to the waiver announcement, Tricare Prime enrollees may receive care from any Tricare-authorized specialist if they have a copy of an unexpired referral authorized by Humana Military or Health Net Federal Services before Jan. 1 or a referral dated Jan. 1 through March 31 from their primary care provider; and a copy of the waiver letter, which can be found on the Tricare West Region website. The announcement also allows Prime patients in the region to see both network and non-network providers, as long as they are authorized by Tricare. They can ask the providers directly whether they are Tricare-authorized. The waiver does not apply to: inpatient care; applied behavior analysis or other services under Tricare's Autism Care Demonstration; laboratory developed tests; or service under the Extended Care Health Option program. Those services still will require pre-authorization, according to the announcement. Tricare officials said that, beginning April 1, beneficiaries who see a non-network provider will start paying point-of-service fees, and they will be required to get preapproval from TriWest for any specialty care they were referred to by their primary care physician. Related: Problems with Tricare Contract Transition 'Actively Harming' Military, Lawmaker Tells Pentagon
Yahoo
27-01-2025
- Health
- Yahoo
Tricare lets patients bypass TriWest problems slowing specialty care
Amid continuing problems with the transition to a new West Region contractor, Tricare officials have temporarily suspended a rule requiring policyholders to get their referrals to specialists approved — essentially allowing Tricare West Prime beneficiaries to bypass that contractor, TriWest, in order to get specialty care. The waiver process allows beneficiaries to take their referral from a primary care manager directly to their specialist without waiting for approval from TriWest. It's in place through March 31 and is retroactive to Jan. 1, the start of the new contract and transition to TriWest Healthcare Alliance in the West region. Beneficiaries and medical providers alike have experienced a number of problems during the transition prompting lawmakers to seek answers. 'TriWest's referrals portal has experienced issues that have affected the processing of new referrals,' said Jacob Sanchez, referral management subject matter expert for the Tricare Health Plan at Defense Health Agency, in the announcement of the waiver. 'If you have Tricare Prime and are in the West region, this waiver will allow you to access specialty services without interruption to your care.' Beneficiaries must still get referrals from their primary care manager. In addition, TriWest will accept all referrals and authorizations approved by the previous contractor — Health Net Federal Services or Humana Military — that are dated before Jan. 1. TriWest will accept those until the referral expires or until June 30, whichever comes first. Tricare West Region beneficiaries get second payment update extension Meanwhile, some beneficiaries have told Military Times their specialists can't get access to their approvals in the TriWest system. Information was not immediately available about what action beneficiaries should take if their referrals dated before Jan. 1 were lost in the system. Some are being told to go back to that primary care manager for another referral. 'This specialty care referral waiver is really just a partial fix. It fixes things for those with a primary care manager' who can get an appointment with that PCM, said Karen Ruedisueli, director of government relations for health affairs for the nonprofit Military Officers Association of America. 'But if you're someone in the West region who lost your primary care manager as a result of this transition and you've been assigned somebody new and can't get a new patient appointment for the next seven weeks ... it doesn't really help you if you don't have access to a PCM.' This waiver allows people to see non-network providers, Ruedisueli said. It also allows TriWest more time to build up their network of medical providers, and it gives beneficiaries until April to find another provider if needed. Lawmaker: Tricare West problems actively harming military readiness With the new contract, six states were moved to West region coverage from the East region, bringing the total to 26 states. Here's what Tricare beneficiaries in the West need to know about the temporary suspension of the requirement for TriWest to approve referrals, according to officials: They can continue to see their primary care manager to get referrals for specialty care, even if their PCM is not currently in TriWest's network. They don't have to wait for TriWest to process the approval to seek specialty care, and they should ask the PCM for a copy of the referral. They should ask the PCM to recommend a local Tricare-authorized specialist. They can also see a specialist they've gone to before, if that specialist is Tricare-authorized. 'Tricare-authorized' means the provider is licensed by a state, accredited by a national organization or meets other standards of the medical community, and is certified to provide benefits under Tricare. The specialist doesn't have to be in the Tricare network, but beneficiaries should ask the specialist if they're Tricare-authorized before getting care. If the Tricare provider is no longer a Tricare network provider in the West region (or hasn't been approved by TriWest), beneficiaries can still keep seeing them and pay Tricare Prime copayments. However, the provider must be Tricare-authorized. Beginning April 1, for future services, if the provider is still a non-network provider and isn't named on the pre-authorization, the beneficiary will have to pay point-of-service fees. Also beginning April 1, beneficiaries will need a referral from their primary care manager that is approved by TriWest before seeing a specialist. There are some exclusions to the waiver, such as Applied Behavior Analysis and Autism Care Demonstration, as well as Extended Care Health Option services, which affects those who depend on home health services for medically fragile children. 'It's interesting that they purposely excluded a very disabled portion of the military community,' said Dr. Kristi Cabiao, CEO and president of Mission Alpha Advocacy, an organization that works to improve quality of life for military families within the Exceptional Family Member Program. The waiver also excludes inpatient care and laboratory developed tests. The broad issues surrounding the recent Tricare contract changes include problems with payments, authorizations and referrals and errors in provider and beneficiary information, Cabiao said. Families have reached out to Military Times about a plethora of issues with TriWest, which are exacerbated by ongoing problems with reaching the contractor through their web portal or call center.
