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Tricare

Tricare Unit Vocabulary

TermDefinition
DEERS The Defense Enrollment and Eligibility Reporting System. A data base used to verify beneficiary eligibility.
Tricare Dependent Any spouse or child of an active duty retired, deceased active-duty or retired person of the uniformed services.
Military Health System(MHS) The total health care system of the United States uniformed services. MHS includes military treatment facilities (MTFs), as well as various programs in the civilian healthcare market, such as CHAMPUS.
Military Treatment Facility(MTF) A DoD operated clinic or hospital located on a military base that renders care to military personnel, their dependents and military retirees and their dependents.
Tricare Network Provider A CHAMPUS certified network provider contracted to provide services to individuals enrolled in TRICARE Prime.
CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) This the Department of Defense's military health care program authorized by Congress in 1963 to provide health care services to the active duty dependents, retirees(under 65) and their dependents.
Tricare Prime An HMO type plan in which enrollees receive health care through a Military Treatment Facilities PCM or a supporting network of civilian providers
Sponsor The member of the family who is or was in one of the uniformed services. CHAMPUS uses the Social Security Number (SSN) or authorization number of the sponsor or the veteran to identify claims.
Tricare Select Tricare Select is a fee-for-service option in the United States that allows you to get care from any Tricare-authorized provider. This plan does offer a discount to members when they see a provider in the Tricare network similar to a PPO plan.
Tricare for Life Medicare-wraparound coverage for Tricare-eligible beneficiaries who have Medicare Part A and B. Tricare pays after Medicare in the U.S. and U.S. Territories. Any Tricare eligible person that has both Medicare A and B are eligible for this plan.
Tricare Young Adult option for unmarried, adult children who have "aged out" of regular Tricare coverage. The plan provides comprehensive medical and pharmacy benefits. This plan can be purchased by eligible children ages 21 - 26
Created by: tina.reynolds
 

 



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