Chapter 14 Insurance
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| show | USED TO BE CHAMPUS; STARTED IN 1967
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| WHY DOES TRICARE EXIST? | show 🗑
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| show | 4: 3 IN US NORTH, SOUTH, WEST; 1 OVERSEAS
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| show | DEPARTMENT OF DEFENSE
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| show | 7; ARMY, NAVY, MARINE CORPS, AIRFORCE, COAST GUARD, NAT'L OCEANIC AND ATMOSPHERIC ADMINISTRATION, PUBLIC HEALTH SERVICE.
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| show | ACTIVE DUTY/RESERVES ACTIVE FOR 30+ DAYS AND FMAILIES. SPOUSES UNMARRIED CHILDREN/STEPKIDS, RETIREES AND FAMILIES, WIDOW/ERS, UNMARRIED CHILDREN OF DEAD, MEDAL OF HONOR FAMILY, EX SPOUSES NOT REMARRIED.
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| TSC | show 🗑
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| TRICARE SERVICE CENTERS | show 🗑
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| show | BENEFICIARY SERVICE REP
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| MTF | show 🗑
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| show | DEFENSE ELIGIBILITY ENROLLMENT SYSTEM. KEEP TRACK OF WHO'S WHERE AND ELIGIBILITY
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| MILITARY TREATMENT FACILITIES | show 🗑
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| show | GUIDES PATIENTS
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| show | GUIDES YOU THROUGH ALL THE SERVICES YOU NEED IN THE MOST COST EFFECTIVE WAY
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| PI | show 🗑
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| show | CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERAN AFFAIRS
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| CHAMPVA ELIGIBILITY | show 🗑
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| WHICH IS THE CLOSEST TO CIVILIAN HMO? | show 🗑
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| show | LOWEST COST; NO DEDUCTIBLES; NO ENROLLMENT FEE BUT MUST ENROLL EVERY YEAR.
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| show | POTENTIALLY MOST EXPENSIVE; NO ANNUAL ENROLLMENT. HAS HMO, POS, OR CIVILIAN DR, SO MOST FLEXIBILITY.
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| TRICARE EXTRA | show 🗑
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| CATASTROPHIC CAP BENEFIT | show 🗑
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| DUAL ELEGIBILITY | show 🗑
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| SUPPLEMENT PLAN | show 🗑
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| TRICARE CONTRACT | show 🗑
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| FILING DEADLINE | show 🗑
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| show | PRIME-NONE, BUT WHEN RETIRED REENROLLMENT FEE EXTRA/STANDARD- $150 IND./$300 FAMILY FOR E5 AND ABOVE.
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| show | 10/01-09/31
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| show | DEERS
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| show | DR.'S OFFICE
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| show | HOME
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| show | URGENT CARE
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| show | INPATIENT HOSPITAL
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| 22 | show 🗑
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| show | EMERGENCY ROOM
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| CHAMPUS, the acronym for Civilian Health an Medical Program of the Uniformed Services, is now called ____________ and was organized to control escalating medical costs and to standardize benefits for active duty families and military retirees. | show 🗑
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| show | Sponsor; service retiree or military retiree
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| show | beneficiary
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| show | Defense Enrollment Eligibility Reporting system (DEERS)
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| show | Nonavailbility statement
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| show | dependent 10 years or more; retirees; front; back
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| Programs that allow TRICARE standards beneficiaries to recieve treatment, services, or supplies from civilian providers are called | show 🗑
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| show | $50 per family: $100
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| For patients whose sponsor is a rank of E5 and above, the TRICARE standard deductible for outpatient care is how much per patient | show 🗑
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| show | 20%; 80%
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| show | $150; $300
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| For TRICARE standard retired members or their dependents pay what percent for outpatient services after the deductible has been met? What percent does TRICARE pay? | show 🗑
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| A voluntary TRICARE health maintence organization type of option is known as | show 🗑
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| CHAMPVA is the acronym for ___________________, now known as ___________________ | show 🗑
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| show | veterans
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| CHAMPVA is not an insurance program but is considered as a | show 🗑
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| Which individuals are entitles to CHAMPVA medical benefits | show 🗑
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| the public law establishing a persons right to review and contest inaccuracies in personal medical records is known as the | show 🗑
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| An organization that contracts with the government to process TRICARE and CHAMPVA health insurance claims is known as | show 🗑
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| the time limit for submitting a TRICARE standards or CHAMPVA claim for outpatient service is _____________________________ for inpatient service it is ___________________________ | show 🗑
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| show | Begins October 1 and ends September 30
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| A Health care professional who helps a patient who is under the TRICARE standard program obtain preauthorization for care is called a | show 🗑
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| show | catastrophic cap
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| To qualify for TRICARE for Life (TFL) a beneficiary must be | show 🗑
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| show | within 1 year from the date a service is provided
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| Medically necessary treatment needed for immediate illness or injury that would not result in further disability or death if not treated immediately is known as urgent care | show 🗑
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| TRICARE beneficiaries who use nonauthorized providers and recieve medical services may be responsible for their entire bill | show 🗑
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| When an individual on TRICARE prime shows you their identification card, it guarantees TRICARE eligibility | show 🗑
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| show | False
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| Beneficiaries of the CHAMPVA program have complete freedom of choice in selecting their civilian health care providers | show 🗑
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Created by:
Lea99