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Chapter 16

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show greatest freedom in selection and most expensive of TRICARE plans  
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show 1) three 2) one overseas  
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show TRICARE Extra because they are automatically enrolled on TRICARE Prime  
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show both military readiness and peacetime health care  
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show protects beneficiaries who are the victims of medical malpractice from devastating financial loss  
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TMA office   show
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Primary Care Manager (PCM)   show
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show uniformed service personnel; can be classified as active duty, retired or deceased  
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show 1) TRICARE Standard 2) TRICARE Prime 3) TRICARE Extra  
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Business offices that assist TRICARE sponsors with healthcare needs are   show
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show always pays after Medicare  
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show advice and assistance with treatment alternatives  
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The Health Administration Center administers the CHAMPVA program by   show
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show Health Benefit Advisors (HBA)  
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show a beneficiary's healthcare options and services  
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Someone who assists primary care providers (PCPs) with preauthorization and referrals is called   show
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TRICARE's main office is located in   show
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TRICARE used to be called   show
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Retired Reserve Component service members are   show
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The Army, Navy and Air Force are   show
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MTF   show
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show four(4)  
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show Primary Care Managers  
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show an official approval obtained from a health care finder before certain specialty procedures and inpatient care can be given  
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show a request for a member to receive treatment from another provider  
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show 1) Retirees and their family members who are under the age of 65 2) Active duty personnel 3) Family members of active duty personnel  
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The following are benefits offered under TRICARE Prime   show
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When a person has CHAMPVA and Medicare   show
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show referred to as the Military Health Services System  
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show surveillance of fraud and abuse activities  
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Catchment Area   show
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The nurse or doctor who helps Primary care providers with preauthorization is referred to as a   show
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show practice guidelines  
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show provides Medicare wrap-around coverage  
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Beneficiary Services Representatives   show
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show they issue the patient an "non-availability statement"  
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show a managed care option for military that is similar to HMOs  
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Critical Pathway   show
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The fiscal year   show
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Demonstration Project   show
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MTF   show
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Lead Agents   show
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Catastrophic Cap Benefit   show
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It is the responsibility of Primary Care Manager to   show
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The following are circumstances which would exclude TRICARE-authorized providers form program participation   show
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(continued)The following are circumstances which would exclude TRICARE-authorized providers form program participation (continued)   show
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show urgent care within one day and less urgent care within one week  
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show 1) Choice of any physician in the network 2) Less expensive than TRICARE Standard 3) May be more expensive than TRICARE Prime 4) Annual enrollment is not required 5) Low priority for care provided at military treatment facilities  
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