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30 Cards in this Set
- Front
- Back
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What is the computerized database of the DoD that is used to determine TRICARE eligibility? |
DEERS
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As a Reserve when you are called to active duty for more than _____consecutive days (under federal orders), you and your family members become eligible for TRICARE?
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30 days
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Eligibility ends at age ___ unless the child is a full time student and then eligibility ends at age ____?
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21 and 23
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Dependent parents and parents-in-law are only eligible for?
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Tricare-Plus
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Which program is the most flexible and is a fee for service option?
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Tricare Standard
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Which program allows beneficiaries to self refer to specialists?
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Tricare Standard
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What is the catastrophic cap for active duty families? and for everyone else?
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$1000 for active duty $3000 for everyone else.
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Active duty family members pay ___% of charges. Retirees pay ___% of charges under Standard?
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20% and 25%
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What program allows Tricare Prime enrollees to see specialists without a referral from their PCM?
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Point-of-Service-Option
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Cost share for POS option is ___%
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50%
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Enrollment fee for retired Tricare Prime candidates is $___ for individual and $___?
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$230 and $460
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What is Tricare Prime?
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Managed care option, similar to a civilian HMO.
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Active duty member are required to be enrolled in?
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Tricare-Prime
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How far away does the MTF have to be for the members to qualify for Tricare Remote?
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50 miles or an hour's drive
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In which three overseas areas is Tricare Prime offered?
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Europe Pacific, Latin America, Canada
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What is Tricare Standard?
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The basic TRICARE health program offering comprehensive health care coverage for people not enrolled in Prime.
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Standard member are required to pay for?
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A yearly deductible, Co-payments, Medications, Outpatient care, Inpatient care
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What is Tricare for Life?
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A Medicare wrap around coverage.
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Who is eligible for Tricare for Life?
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Medicare entitled uniform service retirees.
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To be eligible for Tricare for life you must enroll in?
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Medicare Part B
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Eligible Reserve Component members are entitled up to ______ days of Tricare benefits prior to mobilization?
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90 days
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Eligible Reserve Component members are entitled up to ____ days of coverage following separation from active duty?
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180 days
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What program is TRICARE an enhancement to?
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Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
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What cost charges does TRICARE manage?
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It manages the cost sharing charges for medically necessary civilian services and supplies required in the diagnosis and treatment of illness or injury.
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When is TRICARE utilized?
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When the required services are not available from the direct care
system of the Department of Defense treatment facilities or designated MTFs/DTFs. |
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Where can you find Information regarding the TRICARE Dental Program?
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TRICARE Dental Program Benefit Booklet or the DoD TRICARE Dental Program homepage.
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If enrollment for TRICARE PRIME and TPR/TPRADFM is received by the 20th of the month, when will become effective?
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The first of the following month.
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If an individual disenrolls from TRICARE PRIME, how long would he/she have to wait before he/she can enroll again? What paygrade does this apply to mainly?
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A: A) 12 months.
B) E-5 and above. |
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Beneficiaries age 65 and over become eligible for Medicare Part A, they can use ________ if they purchase _________
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TRICARE For Life; Medicare Part B
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How long do reserve component members must stay on active duty in order to be eligible for TRICARE? And, what type of order must they possess?
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30 Days and they must have Federal orders
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