Chapter 14 Insurance
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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| TRICARE | show 🗑
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| show | TO HELP OUT MILITARY PERSONNEL AND THEIR FAMILIES
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| HOW MANY REGIONS ARE THERE? | show 🗑
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| WHO OVERSEES TRICARE? | show 🗑
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| HOW MANY BRANCHES OF MILITARY? | show 🗑
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| ELIGIBILITY | show 🗑
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| TSC | show 🗑
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| show | BENEFICIARY SERVICE REP- FIND HEALTHCARE HEALTH CARE FINDER- RN OR DR FIND REFFERALS NURSE ADVISORS-ASK A NURSE 24/7
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| BSR | show 🗑
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| show | MILITARY TREATMENT FACILITIES
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| DEERS | show 🗑
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| show | ON/NEAR BASE. THEY PERFER YOU GET TREATMENT THERE.
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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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| show | PROGRAM INTEGRITY OFFICE. MONITORS FRAUD AND ABUSE.
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| show | CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE DEPARTMENT OF VETERAN AFFAIRS
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| show | -SPOUSE/CHILD OF VET DISABLED WHILE ON ACTIVE DUTY -SURVIVING SPOUSE OF MILITARY DEATH -SURVIVING SPOUSE/CHILDREN OF DEAD DISABLED -FAMILY OF ONE WHO DIED IN LINE OF DUTY
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| WHICH IS THE CLOSEST TO CIVILIAN HMO? | show 🗑
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| TRICARE PRIME | show 🗑
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| TRICARE STANDARD | show 🗑
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| show | LIKE CIVILIAN POINT OF SERVICE PLAN. MIDDLE GROUND OF COST. NO ANNUAL ENROLLMENT.
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| CATASTROPHIC CAP BENEFIT | show 🗑
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| show | TRICARE PRIMARY IF ONLY INSURANCE IF 2, IT DEPENDS ON WHO'S BEING SEEN. CHILDREN, BIRTHDAY RULE IF AGE: MEDICARE PRIMARY IF DISABILITY: TRICARE PRIMARY
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| show | TAKES CARE OF SOME OUT OF POCKET COST
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| TRICARE CONTRACT | show 🗑
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| show | ONE YEAR AFTER DATE OF SERVICE
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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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| GOVERNMENT FISCAL YEAR | show 🗑
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| CONFIRMING ELIGIBILITY | show 🗑
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| show | DR.'S OFFICE
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| 12 | show 🗑
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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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| show | TRICARE
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| show | Sponsor; service retiree or military retiree
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| an individual who qualifies for TRICARE is known as | show 🗑
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| a system for verifying an individuals TRICARE eligibility is called | show 🗑
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| Mrs. Hancock, a TRICARE beneficiary, lives 2 miles from a Uniformed Service Medical Treatment Facility but needs to be hospitalized for mental health care services at Orlando Medical Center, a civilian hospital. What type of authorization does she require | show 🗑
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| TRICARE standard and CHAMPVA beneficiaries identification cards are issued to _________ and ___________. Information must be obtained from ___ and _____ of the card on the health insurance claim form | show 🗑
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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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| for patients whose sponsors is a rank of E4 and below th TIRCARE standards deductible for outpatient care is how much per patient | show 🗑
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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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| show | TRICARE Prime
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| CHAMPVA is the acronym for ___________________, now known as ___________________ | show 🗑
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| Those individuals who serve in the US Armed Forces, finish their service, and are honorably discharged are known as | show 🗑
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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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| show | within 1 year from date of service is provided; 1 year from patients discharge from hospital
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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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| show | a TRICARE beneficiary, eligible for Medicare Part A, enrolled in Medicare Part B
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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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| show | True
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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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| show | True
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Created by:
Lea99