TRICARE 2
Terms
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- Eligibility ends at age ___ unless the child is a full time student and then eligibility ends at age ____
- 21,23
- Reserve forces are covered when ordered to active duty for more than ___.
- 30 days
- Dependent parents and parents-in-law are only eligible for?
- Tricare plus
- Which program is the most flexible and is a fee for service option.
- Tricare standard
- Which program allows benefiiciaries to self refer to specialists.
- Tricare standard
- What is the catastrophic cap for active duty family's? and for everyone else?
- $1000 for active duty $3000 for everyone else.
- Active duty family members pay ___% of charges. Retirees pay ___% of charges under Standard
- 20%,25%
- What program allows Tricare Prime enrollees to see specialists without a referrel from their PCM
- Point-of-Service-Option
- Cost share for POS option is ___%
- 50%
- Enrollment fee for retired Tricare Prime candidates is $___ for individual and $___
- 230,460
- What is Tricare Prime?
- Managed care option, similar to a civilian HMO.
- Active duty member are required to be inrolled in?
- Tricare Prime
- How far away does the MTF have to be for the members to qualify for Tricare Remote.
- 50 miles or an hour's drive.
- In which three Overseas areas is Tricare Prime offered?
- Europe Pacific Latin America/Canada
- Who can use Tricare Extra?
- Eligible beneficiary, who is not active duty otherwise inrolled in Prime and not eligible for Tricare for Life.
- When does Tricare Extra go into effect?
- When a Standard beneficiary chooses to make an appointment with a tricare network provider.
- What is Tricare Standard?
- The basic TRICARE health programoffering comprehensive health care coverage for people not enrolled in Prime.
- Standard offers?
- The greatest flexibility in choosing a provider. Involves greater out of pocket expense for the patient.
- Standard member are required to pay for?
- A yearly deductible Co-payments Medications Outpatient care Inpatient care
- What is Tricare for Life?
- A Medicare wrap around coverage.
- Who is eligible for Tricare for Life?
- Medicare entitled uniform service retirees. (retired guard members and reservists) Medicare entitled familiy members and widows/widowers(dependant parents and parents-in-laws are excluded) Medicare entitled Congressional Medal of Honor recipents and their family members Certan medicare-entitled unremarried former spouses.
- To be eligible for Tricare for life you must enroll in?
- Medicare Part B
- Reserve Component members are eligible for Tricare Prime Remote if activated for more than_________ days?
- 30 consecutive days.
- Eligible Reserve Component members are entitled up to ______ days of Tricare benefits prior to moblization?
- 90
- This is a premium based health plan for eligible Reserve Component members
- Tricare reserve select
- Eligible Reserve Component members are entitle up to ____ days of coverage following separation from active duty
- 180
- The reserve Family demonstration Project has benn extended until?
- 31 OCT 2007.
- Overseas Healthcare has what two Tricare Benefits?
- Tricare Prime Tricare Standard
- Military retirees and their families who live overseas are eligible for?
- Tricare Standard.
- The new medication drug prescription coverage became effective________.
- JAN 1st 2006
- What is TRICARE?
- DOD's worldwide health care program for active duty and retired uniformed services members and their families.
- TRICARE PRIME is similar to what civilian health care organization?
- Health Maintenance Organization (HMO)
- Who are ENCOURAGED to enroll in TRICARE PRIME, but not required?
- Active duty family members, reitirees and their family members
- If enrollment for TRICARE PRIME and TPR/TPRADFM is received by the 20th of the month, when will become effective?
- The first of the following month.
- A) If an individual disenrolls from TRICARE PRIME, how long would he/she have to wait before he/she can enroll again? B) What paygrade does this apply to mainly?
- A) 12 months. B) E-5 and above.
- Active duty members are illegible for which option(s)?
- TRICARE Extra and TRICARE Standard
- Of TRICARE Extra and TRICARE Standard, which is a preferred provider option (PPO)? fee-for-service option?
- TRICARE Extra and TRICARE Standard, respectively.
- Beneficiaries age 65 and over become eligible for Medicare Part A, they can use ________ if they purchase _________
- TRICARE For Life; Medicare Part B
- When does eligibility status end for children (stepchildren as well)?
- -Children reach 21 y.o. -If they are full-time student, eligibility ends at 23 y.o. -When full-time student status end -If a child is past 21 y.o., but incapable of self-support because of a mental or physical incapacity
- How long do reserve component members must stay on active duty in order to be eligible for TRICARE? And, what type of order must they possess?
- 30 Days and they must have Federal orders
- TRICARE
- TRICARE