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CH 14, 15, &16 Notes
TRICARE, CHAMPVA, Workmans Compensation, Disability
Question | Answer |
---|---|
TRICARE Eligibility | Has to be an active in or retired from the Military under age 65 -Ususally 20 years of service |
CHAMPVA | People who have served less than 20 years in the military and Veterans |
How many choices are in TRICARE and what are they | There are 3 -TRICARE Standard, TRICARE Extra, & TRICARE Prime. |
All TRICARE eligible persons must be enrolled in the | Defense Enrollment Eligibility Reporting System (DEERS) |
TRICARE Identification Cards | Over the age 10 gets a TRICARE card (a child that is a dependent) |
Catchment Area | Is a specific region defined by ZIP codes surrounding Military Treatment Facility (MTF) -Usually only 40 Miles in radius |
TRICARE's Fiscal Year | Begins October 1st ans ends September 30th the following year |
What is VistA in the Military | It is the electronic health record for the military |
Workman's Compensation | To get Injured, an Illness, or a disease while ON THE JOB. You have to be on your work site. |
The Benefits of Workman's Comp (5) | 1Medical treatment, 2Temporary disability indemnity, 3Permanent disability indemnity, 4Death benefits for survivors, 5Rehabilitation benefits |
Who are all that fill out a Form | Both the Employee and the Physician |
Deposition | Something done under OATH and IN PERSON-Taking a sworn testimony from a witness |
Liens | A claim on a property of another for payment of a dept / A Liability |
Disability Types | Temporary, Total/Permanent, Partial/Residual |
Disability Insuance is | Is coverage that provides a specific monthly or weekly income when a person becomes unable to work temporarily or totally because of an illness or injury |
Disability Benefit Period | Is the maximum amount of time that benefits will be paid |
Disability Waiting Period | the time from beginning of disability to receiving the first payment of benefits |
Lien | A claim on a property of another as security for debt |
Subpoena | "Under Penalty"-commanding a witness to appear at a trial |
Adjudication | The final determination of the issue involving settlement of an insurance claim (Claim Settlement) |
Accident | An unexpected happening, causing injury traceable to a definite time and place |
Litigation | The process of taking to court. Litigation is one way that people and companies resolve disputes of factual circumstances. |
Promissory Note | A contract where one party makes a promise in writting to pay under specific terms. |
TRICARE Formerly | CHAMPUS, the Civilian Health and Medical Program of the Uniformed Services; name changed in 1994 |
TRICARE Benificiary | An individual who qualifies for TRICARE |
TRICARE sponsor | The active duty service member |
TRICARE Standard | Fee for service, cost sharing type of option |
TRICARE Extra | Preferred Provider Organization type of option |
TRICARE Prime | Health Maintenance Organization type of option |
TRICARE for Life | Is a supplementary payer to medicare for retirees, their spouces, 65 and older |
TRICARE Prime Remote | A program designed for active duty service members (ADSMs) who work and live more than 50 miles or 1 hour from the Military Treatment Facility (MTF) |
Benificiary vs Sponsors | who qualifies for it vs who is an active service member |
OSHA | Occupational Safty and Health Administration-to protect employees against on the job health and safty issues |