Chapter 16
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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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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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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