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MOD4020 WEEK3
TEMINOLOGY
| Question | Answer |
|---|---|
| BENEFICIARY | AN INDIVIDUAL WHO QUALIFIES FOR TRICARE |
| SPONSOR | THE ACTIVE DUTY SERVICE MEMBER |
| SERVICE/MILITARY RETIREE | AN INDIVIDUAL WHO IS RETIRED FROM A CAREER IN THE ARMED FORCES |
| DEERS | A COMPUTERIZED DATABASE USED TO CHECK AND VERIFY BENEFICIARIES ELIGIBILITY |
| MILITARY TREATMENT FACILITY | ALL UNIFORM SERVICE HOSPITALS OR HEALTH CLINICS |
| NON AVAILABILITY STATEMENT | A CERTIFICATION FROM/FOR A MILITARY HOSPITAL STATING THAT IT CANNOT PROVIDE THE CARE NEEDED |
| CATCHMENT AREA | IN THE TRICARE PROGRAM,AN AREA,DEFINED BY ZIP CODES,THAT IS APPROXIMATELY 40 MILES IN RADIUS SURROUNDING EACH US MILITARY TREATMENT FACILITY |
| URGENT CARE | MEDICALLY NECESSARY TREATMENT THAT IS REQUIRED FOR ILLNESS OR INJURY THAT WOULD NOT RESULT IN FURTHER DISABILITY OR DEATH IF NOT TREATED IMMEDIATELY |
| EMERGENCY | A SUDDEN AND UNEXPECTED MEDICAL CONDITION,OR A WORSENING OF A CONDITION,THAT POSES A THREAT TO LIFE,LIMB,OR SIGHT AND REQUIRES IMMEDIATE TREATMENT TO ALLIEVIATE SUFFERING |
| COOPERATIVE CARE | A TERM USED WHEN A PATIENT IS SEEN BY A CIVILIAN PHYSICIAN OR HOSPITAL FOR SERVICES COST-SHARED BY TRICARE |
| HEALTH CARE FINDER | A HEALTHCARE PROFESSIONAL,USUALLY A REGISTERED NURSE,WHO HELPS THE PATIENT WORK WITH HIS OR HER PRIMARY CARE PHYSICIAN TO LOCATE A SPECIALIST OR OBTAIN A PREAUTHORIZATION FOR CARE |
| TRICARE PRIME | A VOLUNTARY HMO TYPE OPTION FOR TRICARE BENEFICIARIES |
| TRICARE FOR LIFE | A HEALTH CARE PROGRAM THAT OFFERS ADDITIONAL TRICARE BENEFITS AS A SUPPLEMENTARY PAYER TO MEDICARE FOR UNIFORMED SERVICE RETIREES,THEIR SPOUSES,AND SURVIVORS AGE 65 AND OLDER |
| TRICARE EXTRA | A PPO TYPE OF TRICARE OPTION IN WHICH THE INDIVIDUAL DOES NOT HAVE TO ENROLL OR PAY AN ANNUAL FEE |
| VETERAN | ANY PERSON WHO HAS SERVED IN THE ARMED FORCES OF THE UNITED STATES,ESPECIALLY IN TIME OF WAR,IS NO LONGER IN SERVICE,AND HAS RECEIVED AN HONORABLE DISCHARGE |