TRICARE
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| TRICARE Prime is similar in design to what civilian insurance products? | HMO
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| TRICARE Extra users receive a discount when? | when they use providers in the network
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| How many TRICARE regions? | 4
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| TRICARE Prime point-of-service option is activated when? | the beneficiaries seeks non emergency medical care w/out prior approval
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| Why was the catostrophic cap benefit put into effect? | to protect beneficiary from devastating financial loss due to serious illness or long term treatments
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| Where are TRICARE claims submitted for processing? | TRICARE contractor
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| When reservists are called to active duty, their dependents may be eligible for TRICARE benefits when the reservist is made active for? | 30 days or more
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| TRICARE coverage for spouses of military personnel who have died in the line of duty ceases when? | When they remarry a civilian
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| What is the responsibility of the beneficiary services representative? | A TRICARE employee that provides information about TRICARE and assists with other matters affection access to health care such as scheduling appointments
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| TMA | TRICARE Management Activity
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| What is TMA responsible for? | coordination and administration of TRICARE
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| What is a TRICARE Service Center (TSC) | a business office w/ one or more employee staffed w/ Benif Reps and health care finders to assist w/ health care needs and answer questions
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| TRICARE is what to civilin medical insurance policies. | secondary
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| What office is responsible for military readiness and peacetime health care? | Health Affairs
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| What is the Program Integrity office responsible for? | watch for fraud, waste & abuse activities world wide
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| What beneficiaries are eligible for CHAMPVA? | Servivors of Vets who have died in the line of duty w/out misconduct
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| TRICARE Extra enrollees can save 5% on their program costs share by doing what? | going to participating providers
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| Which TRICARE plan allows the greatest freedom in selecting civilian providers? | TRICARE Standard
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| How is verification of eligibility abtained? | DEERS
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| TRICARE is what to Medicaid? | primary
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| The insured ID on the claim form is actually the sponsor's what? | Social Security Number
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| TRICARE deductibles are applied to the government's fiscal year, which runs from | October 1 to September 30
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| A certificate insued by a military treatment facility stating that the facility can not provide needed care is a what kind of statement? | nonavailability
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| A comprehensive healthcare program for which the Department of Veterans Affairs (VA) shares costs of covered healthcare services and supplies with eligible beneficiaries is called | CHAMPVA
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| Active duty personnel must enroll in what program to receive guaranteed priority access to care at MTFs | TRICARE Prime
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| If a TRICARE sponsor and spouse divorce, what effect will this have on the TRICARE status of the children? | The children remain eligible for TRICARE even if the parents divorce or remarry
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| Which TRICARE program requires retired military to pay an annual enrollment fee? | TRICARE Prime
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| If the patient is being transferred w/in the next 6 months, TRICARE suggests that... | the provider should accept assignment to prevent collection problems.
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| the purpose of the "good faith policy" established by TRICARE is to allow | a means to recover payment when the enrollee has presented an invalid ID card.
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| TRICARE is a healthcare program for | active duty members of the military and their qualified family members.
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