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Mod 4A UHI Ch 16
Tricare Review
| Question | Answer |
|---|---|
| Tricare Prime is similar to a civilian... | HMO |
| Tricare Extra is similar to a civilian... | PPO |
| What are the four Tricare regions? | North, South, West, Overseas |
| What agency coordinates and administers the Tricare program? | Tricare Management Activity |
| What factor can cause the Tricare Prime POS option to be activated? | If the beneficiary seeks medical care without approval. |
| What is the purpose of the catastrophic cap benefit? | Protects Tricare beneficiaries from devastating financial loss. |
| The Tricare claims are submitted and processed by... | Regional contractors |
| Reservists dependents are eligible if he/she is called to active duty. | After 30 days |
| The spouse of a military person killed in the line of duty loses her benefits if... | Remarries a civilian |
| The role and duty of the Beneficiary Service Representative. | Appointment scheduling |
| What is the name of the business office that staffs the employees for Tricare? | Tricare Service Centers |
| What is the Health Affairs Office? | Office of the Secretary of Defense for Health Affairs |
| Responsibility of the Health Affairs office | Both military readiness and peacetime health care. |
| The office responsible for surveillance to prevent fraud and abuse | Program Integrity Office |
| What percentage can Tricare Extra enrollees save by using network providers | 5% |
| Which Tricare plan offers the greatest freedom to select civilian providers? | Tricare Standard |
| Is Tricare primary or secondary to commercial insurance? | Secondary |
| Define Program Management Organization | Manage Tricare programs and demonstration projects and pharmacy programs |
| What is another name for cancer clinical trials? | Demonstration programs |
| The changes in general Tricare benefits are enacted by... | Congress |
| Who is eligible for CHAMPVA? | Spouse or child of a veteran who has died in the line of duty or that is permanently or totally disabled for service related disability |