NB Kitsap Community

NB Kitsap
Naval Hospital Bremerton

Naval Hospital Bremerton

KITSAP Naval Hospital Bremerton


Naval Hospital Bremerton is a 25-Bed Military Community Hospital that services over 62,000 MHS beneficiaries.

On any given day, there are over 1400 medical and dental outpatient visits, 2,100 prescriptions filled, 80 Urgent Care Clinic visits, eight surgical cases, and two babies delivered. The average daily inpatient census is 14 patients (including Labor & Delivery and postpartum).

There are two ICU beds, four operating rooms including a dedicated C-Section and a multi-use endoscopy suite, and six Medical Home Ports (MHP), two of which are outlying Branch Health clinics.

Capabilities include a Family Medicine residency program, general surgery, orthopedics, urology, ophthalmology, ear, nose, and throat, audiology, gastroenterology, obstetrics, gynecology, podiatry, internal medicine, cardiology, pulmonology, neurology, nutrition, optometry, occupational health, dermatology, mental health, and the aforementioned 24-hour Urgent Care Center.

The hospital is located off Highway 3 in Kitsap County between Naval Base Kitsap (NBK) Bremerton and NBK Bangor. NHB is the parent command for three Branch Health Clinics at Puget Sound Naval Shipyard, NBK Bangor and Naval Station Everett. Also under the NHB umbrella are Occupational Health, Industrial Hygiene, Preventive Medicine and the Substance Abuse Rehabilitation Program (SARP).

NHB and the clinic staff consist of more than 1,400 dedicated military, civilian, contractor and American Red Cross volunteer personnel.

Naval Hospital Bremerton offers a variety of programs and services, providing our patients with the most effective and appropriate tools to maintain health and wellness for life. All services are centrally located at the main hospital with the exception of our health clinics and our drive-through satellite refill pharmacy, which is nearby in the Jackson Park Navy Family Housing area.

NHB will focus on offering timely outpatient services with increased inpatient and ambulatory surgery to support the enrolled population. The bottom line is that NHB will maximize resources to maintain mission readiness, provide value and continue quality patient-centered health care to all patients.

The Urgent Care Center handles a wide spectrum of medical ailments from mild cases of poison ivy to broken bones, stitching up cuts and caring for minor burns or bruises, and is available to beneficiaries 24/7, with acute care needs handled on a case-by-case basis.

In emergency cases, patients will be transferred via ambulance to the local emergency room at a community hospital such as Harrison Medical Center.

Patients are encouraged to use their Medical Home Port Team to schedule appointments for medical care for common illnesses such as flu and fever; minor injuries such as sprains and strains; and regular physicals, prescription refills, vaccinations and screenings.

Primary care services have transitioned these past several years from the individual patient/provider model to a standardized primary care team model to provide better access, continuity, wellness and disease management for patients.

By standardizing primary care services and enhancing access and continuity, NHB has improved the partnership between the patient, his/her primary care provider, their primary care team and where appropriate, the patient’s family. This partnership has focused on sustaining and enhancing wellness for patients as well as providing efficient delivery of comprehensive health care services, based on the needs of our patients. This effort aligns with civilian models of enhanced primary care and in Navy Medicine is known as “Medical Home Port.”

What is a Medical Home Port Team?

Medical Home Port Teams work together to assure every patient’s care is provided in a coordinated, comprehensive manner. This is “team-based” health care: A patient will have an entire team responsible for their health care. In addition to a Primary Care Manager (PCM), there will be a registered nurse (RN) and a hospital corpsman and/or medical assistant assigned to the health care team. Additional physicians/providers are also part of the team to fill in during absences. This team will partner with every patient to fulfill administrative requests and provide additional medical services.

How does a patient get assigned to a Medical Home Team?

If a patient is already enrolled in TRICARE Prime at Naval Hospital Bremerton, there is no need to do anything. Medical Home Port Teams are in place in the Primary Care Clinics and patients will automatically be assigned.

How can a patient schedule an appointment with their Medical Home Port Team?

Patients do not need to do anything different than they have in the past. Contact the TRICARE Regional Appointment Center (TRAC) at 800-404-4506 to schedule an appointment.

Additional ways to reach your PCM and team

If any patient has a question that doesn’t require an appointment, they may contact the clinic directly to speak with their Medical Home Port Team.

RelayHealth offers health care options

All Primary Care Manager and Medical Home Port Teams are available 24 hours a day for non-urgent questions and requests online through the RelayHealth Secure Messaging system.

Any beneficiary can sign up for this service at their next visit or through the website and search for their PCM.

NHB strongly encourages all patients to enroll in RelayHealth, a secure messaging system. RelayHealth allows two-way communication between patients and the Medical Home Port Team to answer questions, refill medications, receive test results and makes it easy for any patient to communicate with their provider’s/doctor’s office.

Patients can request appointments, renew prescriptions, ask non-urgent questions and receive lab results — all from their home computer. This can reduce phone calls, waiting-room time and the time it takes to travel to their doctor’s office.

RelayHealth provides connectivity that enables all participants in the delivery of health care to communicate with each other more efficiently, effectively and securely.

RelayHealth benefits also include access to lab and other diagnostic test results, consultations for non-urgent health matters, access to view health care account information and pay bills.

Patients can also use RelayHealth to set up and manage Personal Health Records (PHR), which feature consultations with your provider, prescription renewal appointment scheduling, Personal Health Record management and referral requests, and access to Medically Reviewed Information. For more information, please go to www.relayhealth.com/patients.

Have Medical Questions? Call the TRICARE Nurse Advice Line.

Sometimes it is difficult to know if and when to seek medical help for acute health problems, so having professional help at a moment’s notice is invaluable. The Military Health System’s (MHS) new Nurse Advice Line (NAL) for TRICARE beneficiaries does just that.

TRICARE beneficiaries in the continental United States, Alaska and Hawaii can call the NAL toll-free 24 hours a day, seven days a week at dial 800-TRICARE (874-2273); Option 1.

The NAL is a team of registered nurses who are available to answer a variety of urgent healthcare questions. They can help you decide whether self-care is the best option or if it is better to see a healthcare provider. There will always be a live person on the line to address beneficiary concerns.

The NAL offers a variety of solutions for all TRICARE beneficiaries. For pediatric issues, the NAL will route the beneficiary to a pediatric nurse. If follow up is necessary or requested, the NAL will call the beneficiary back to check the child’s status a few hours later. The NAL will make same-day appointments with the beneficiary’s primary care manager (PCM) for TRICARE Prime beneficiaries who are enrolled to Military Treatment Facilities (MTFs). If a same day appointment is not available, the NAL will redirect the beneficiary to the closest urgent care center and advise the PCM that an urgent care referral is needed so the patient does not have to worry about paying any point-of-service co-pays. All other TRICARE beneficiaries who are not enrolled to a MTF will receive professional health advice about their urgent health concern and when to seek urgent care.

When calling the NAL, a customer service representative will verify the beneficiary’s eligibility through the Defense Enrollment and Eligibility Reporting System (DEERS). Beneficiaries with an acute health care concern or question will be connected with a registered nurse who will ask the beneficiary a series of standard questions to determine the next steps and allow the NAL nurse to provide the best advice possible.

Beneficiaries can still call their PCM or clinic, but the NAL is another option for beneficiaries to access the care they need and want in a timely fashion.

TRICARE For Life Pharmacy

TRICARE For Life beneficiaries are now required to use a military pharmacy or TRICARE Pharmacy Home Delivery to fill prescriptions for select maintenance medications used on a regular basis for chronic health conditions such as high cholesterol and blood pressure.

Affected beneficiaries may have their prescriptions filled at their local Military Treatment Facility pharmacy or may call the TRICARE pharmacy contractor, Express Scripts, at 877-882-3335 to switch to home delivery or ask questions about obtaining their medications. TRICARE Pharmacy home delivery is safe, convenient and easy to use, offering beneficiaries up to a 90-day supply of their brand name medication for $13.

Some individuals are exempt from this pilot program, including people with another prescription drug plan or people living outside the United States. People living in a nursing home may contact Express Scripts to request a waiver.

Beneficiaries can call NHB or Branch Health Clinic Everett pharmacy (360-475-4425) to make sure their medications are available.

NHB’s formulary listing is also available online.

Patient costs vary based on where a beneficiary gets their prescription filled and the type of drug: generic, brand name or non-formulary. Beneficiaries can save on cost by asking their doctor to write them a prescription for a generic version of their medication.

A summary of prescription costs filled using your TRICARE benefit:

Military Pharmacy

Get up to a 90-day supply of most prescription drugs.

  • $0 copayment
  • Not all drugs are available; call the military pharmacy first to check
Home Delivery

Get up to a 90-day supply of most prescription drugs.

  • Generic: $0
  • Brand name: $13
  • Non-formulary: $43 (unless you get medical necessity)
Retail Network Pharmacy

Get up to a 30-day supply of most prescription drugs.

  • Generic: $5
  • Brand name: $17
  • Non-formulary: $44 (unless you get medical necessity)

Note: For a 90-day supply, a beneficiary will pay the cost for each 30-day supply; for example, a 90-day supply of a generic drug will cost $15.

Note: Beneficiaries affected by the TRICARE For Life Pilot will pay 100 percent of the cash price for affected medications, after receiving two 30-day fills.

Non-Network Pharmacy

A beneficiary will pay more to get their prescription filled at a non-network pharmacy (including host nation pharmacies), and they may need to pay up front and then file a claim for reimbursement. For the most recent information about the pilot or to sign up for e-alerts with the latest updates, go to www.tricare.mil/tflpilot.

Information Briefers are Available

Naval Hospital Bremerton has staff available to speak to your command or family group about Health Promotion activities, the TRICARE program or any other health-related topic you wish to discuss. Please contact NHB’s marketing coordinator Kendra Scroggs at 475-4408.

Direct Health Care Services

Alcohol treatment, on an outpatient basis, is provided in the Substance Abuse Rehabilitation Program (SARP). Please call 360-475-5350 for more information.

Industrial and occupational health services are provided for all employees at Puget Sound Naval Shipyard, Naval Base Kitsap-Bremerton, Naval Station Everett and the Intermediate Maintenance Facility at Naval Base Kitsap-Bangor.

There is also a tobacco cessation facilitator at NHB, with support available at Health Promotion and SARP. Please call 475-4818 for more in-depth information, guidance and assistance.

Public health, preventive medicine and radiation health are provided for Naval and Marine Corps activities and other federal activities in the region.

Optical support is provided for all uniformed services in Washington, Idaho, Alaska and Oregon.

Chiropractor services are also available to active-duty service members within NHB’s physical therapy department spaces.

Biomedical equipment repair services are available for all sea service units in the Pacific Northwest.

Health and Wellness Stressed Year-round

NHB is acutely aware of the needs of parents, ensuring that the health of their children is cared for. The best way to do that is to offer timely programs. Possibly the best example of this is the popular “Back-to-School and Sports Physicals” program. Several hundred middle and high school students get physically prepared for the upcoming school year and sport seasons by attending this program, which will be held again during several separate weeks in August. The program, which includes an immunization update, eye exam and height and weight check, is held one-on-one with a staff member. The physicals are available for all school-age youths and teens enrolled in TRICARE Prime and seen at NHB but who are unable to have appointments scheduled with their regular primary care manager.

Maternity Services

Northwest Beginnings Family Birth Center offers single-room maternity care locales. Each spacious room is designed to allow the family to remain in one room from admission to discharge. The Family Birth Center delivers more than 700 babies per year and is supported by four obstetrician/gynecologists, three certified nurse-midwives and a women’s health nurse practitioner in the OB-GYN clinic. Services are also provided by family physicians and residents in NHB’s Family Care Center and Branch Health Clinic Bangor and by five pediatricians and nurses who specialize in maternal-newborn care. In addition to inpatient medical care, childbirth preparation classes, consultation with a lactation consultant and a Post Partum Care Clinic are readily available. Consultation and care for women and infants experiencing complications is primarily provided by maternal fetal medicine and neonatology specialists at Madigan Army Medical Center at Joint Base Lewis-McChord south of Tacoma.

Patient-Shuttle Service for Madigan – NHB Shuttle

This convenient service is provided by the Puget Sound Military Health System and offers patients with a specialty care referral an option for transportation between the two military treatment facilities (MTF) at no cost.

Departure times from NHB are at 7 and 10 a.m., 1 and 4 p.m. and from Madigan at 5:30, 8:30 and 11:30 a.m. and 2:30 p.m.

The Patient Shuttle pickup and drop off at NHB is located at the main entrance (in front of the quarterdeck) and at Madigan’s Main Medical Mall North entrance. The shuttle runs Monday thru Friday (except holidays). All shuttle rides are approximately one-hour long. However, shuttles may run late due to traffic and other external factors.

The shuttle is not wheelchair accessible. Patients riding the shuttle must be able to move about and embark/disembark the vehicle with minimal assistance.

Washington state law says that children less than 8 years of age must be secured in some form of child safety system unless the child is 4 feet 9 inches or taller. Child seats are not available on the shuttle, therefore, if a child will be transported, the parent/guardian must provide a child restraint seat. All children under age 18 must be accompanied by a parent.

Additionally, eligible beneficiaries who are pregnant and receiving Obstetrics and Gynecology care at Madigan and NHB may use the patient shuttle up to the 36 weeks gestation period. However, emergency medical services are not available on the shuttle and a care provider should be consulted for recommendation on any type of travel.

Scheduling Appointments

Active-duty military receive primary health care by appointment, and family members enrolled in TRICARE Prime are also cared for by appointment through Family Care by calling the TRICARE Regional Appointment Center at 800-404-4506 from 8 a.m. to 6 p.m.

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