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Tricare Choices

Tricare Choices at a Glance

QuestionAnswer
What is the computerized database of the DoD that is used to determine TRICARE eligibility? DEERS
As a Reserve when you are called to active duty for more than _____consecutive days (under federal orders), you and your family members become eligible for TRICARE? 30 days
Eligibility ends at age ___ unless the child is a full time student and then eligibility ends at age ____? 21 and 23
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 beneficiaries to self refer to specialists? Tricare Standard
What is the catastrophic cap for active duty families? 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% and 25%
What program allows Tricare Prime enrollees to see specialists without a referral 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 and $460
What is Tricare Prime? Managed care option, similar to a civilian HMO.
Active duty member are required to be enrolled 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
What is Tricare Standard? The basic TRICARE health program offering comprehensive health care coverage for people not enrolled in Prime.
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.
To be eligible for Tricare for life you must enroll in? Medicare Part B
Eligible Reserve Component members are entitled up to ______ days of Tricare benefits prior to mobilization? 90 days
Eligible Reserve Component members are entitled up to ____ days of coverage following separation from active duty? 180 days
What program is TRICARE an enhancement to? Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
What cost charges does TRICARE manage? It manages the cost sharing charges for medically necessary civilian services and supplies required in the diagnosis and treatment of illness or injury.
When is TRICARE utilized? When the required services are not available from the direct care system of the Department of Defense treatment facilities or designated MTFs/DTFs.
Where can you find Information regarding the TRICARE Dental Program? TRICARE Dental Program Benefit Booklet or the DoD TRICARE Dental Program homepage.
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.
If an individual disenrolls from TRICARE PRIME, how long would he/she have to wait before he/she can enroll again? What paygrade does this apply to mainly? A) 12 months. B) E-5 and above.
Beneficiaries age 65 and over become eligible for Medicare Part A, they can use ________ if they purchase _________ TRICARE For Life; Medicare Part B
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
Created by: RabbittDK10