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Mod 4A UHI Ch 16

Tricare Review

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
Created by: ROSSMIBOA
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