Tricare Standard Handbook

Front 1

The key difference between Tricare standard and Extra is in the what that you use for care?

Back 1

Providers

Front 2

With what program, you choose Tricare authorized providers outside of the Tricare network and pay higher cost shares?

Back 2

Tricare Standard

Front 3

With what program you choose hospitals and providers within the Tricare network and receive discounted cost shares?

Back 3

Tricare extra

Front 4

Prosthetic devices must be approved by the what?

Back 4

US food and Drug administration

Front 5

Partial Hospitalization care is limited to how many treatment days whether full or partial per FY or for a single admission?

Back 5

60

Front 6

What provides extended care for children and adolescents with psychological disorders that require continued treatment in a therapeutic environment?

Back 6

Residential treatment center care

Front 7

Residential Treatment Center care is limited to how many days per FY or for a single admission?

Back 7

150

Front 8

RTC care is only covered for patients up to what age?

Back 8

21

Front 9

Tricare covers emergency and inpatient hospital services for the treatment of what phases of substance use withdrawl (detox) when the patients condition requires the personnel and facilities of a hospital?

Back 9

Acute

Front 10

Rehab is limited to how many days per year, per benefit period?

Back 10

21

Front 11

Individual or group therapy is limited to how many visits per benefit period?

Back 11

60

Front 12

Family therapy is limited to how many visits per benefit period?

Back 12

15

Front 13

A benefit period beings with the first day of covered treatment and ends how many days later. Stay limits for inpatient services may be waived if dertermined to be medically necessary?

Back 13

365

Front 14

What is a web based program available to eligible beneficiaries, including Tricare standard and Tricare extra beneficiaries in the US?

Back 14

Tricare Assistance Program (TRIAP)

Front 15

What may involve live, two way audio visual between patients and medical professionals?

Back 15

Telemental Health interaction

Front 16

What is your least expensive option when not using an MTF pharmacy?

Back 16

mail Order Pharmacy

Front 17

With the mail order pharmacy, there is only one copayment for each prescription filled, up to a how many day supply?

Back 17

90

Front 18

What makes it easy to reduce your out of pocket costs by transferring your current maintenance medication prescriptions to the mail order pharmacy?

Back 18

member choice center

Front 19

You have access to a network of approx. how many retail pharamacies in the US and US territories?

Back 19

60,000

Front 20

Currently, there are no Tricare ritual network pharmacies in where?

Back 20

American Somoa

Front 21

what are medications approved by the US food and drug Administration and clinically equivalent to brand name medications?

Back 21

Generic drugs

Front 22

The DOD pharmacy and therapeutics committee may recommend to the director of the Tricare management activity that certain drugs be placed in the third, what tier?

Back 22

Non formulary

Front 23

What is a voluntary dental insurance programs administered by United Concordia, available to eligible ADFMs and National Guard and Reserve and IRR members and their family members?

Back 23

Tricare Dental Program

Front 24

What is a voluntary dental insurance program administered by the Federal services division of Delta dental of California. It offers comprehensive, cost effective dental coverage for uniformed services retirees and their eligible family members?

Back 24

Tricare Retiree Dental Program

Front 25

Tricare standard and Tricare extra cover all necessary maternity care, from your first obstetric visit through how many weeks after your child is born?

Back 25

six

Front 26

A physician is not obligated to perform what on a patient who is low risk and has no medical indications?

Back 26

Ultrasonoghraphy

Front 27

Some providers offer patients routine ultrasound screenings as part of the scope of care after how many weeks of gestation. This not covered by Tricare?

Back 27

16-20

Front 28

Hospice care emphasizes supportive services, rather that cure oriented treatment, for patients with life expectancy of what time frame or less?

Back 28

Six months

Front 29

Respite care is covered when necessary and is limited to no more than how many days at a time?

Back 29

Five

Front 30

What is not available overseas except in the US territories?

Back 30

Hospice Care

Front 31

What provides financial assistance to qualifying ADFMs based on specific mental or physical disabilities and it offers beneficiaries an integrated set of services and supplies beyond those offered by the basic Tricare programs?

Back 31

Tricare extended care health option (ECHO)

Front 32

EHHC respite care is covered up to eight hours per day, how many days per week (for those that qualify)

Back 32

Five

Front 33

The DOD enhanced access to autism services demonstration was established to test the feasibility and advisability of permitting Tricare reimbursement for educational interventions for autism spectrum disorders delivered by paraprofessional providers known as what?

Back 33

Tutors

Front 34

What are only covered when the life of the mother would be endangered if the pregnancy were carried to term?

Back 34

Abortion

Front 35

What is covered while the premature infant remains hospitalized during the immediate postpartum period?

Back 35

Electic Breast Pump

Front 36

What type of cardiac rehab for lifetime maintenance performed at home or in medically unsupervised settings us excluded?

Back 36

Phase 3

Front 37

What is only covered when used to restore function, correct a serious birth defect, restore body form after a serious injury, improve appearance of a severe disfigurement after cancer surgery, or reconstruct the breast after cancer surgery?

Back 37

Cosmetic surgery

Front 38

What are excluded for treatment of nonsynostotic positional plagiocephaly?

Back 38

Cranial Orthotic devices

Front 39

education and training are only covered under what and diabetic outpatient self management training services?

Back 39

Tricare ECHO

Front 40

What may be covered if they are permanent part of a brace

Back 40

Orthopedic Shoes

Front 41

If you are using what option, your provider will submit claims on your behalf?

Back 41

Tricare Extra

Front 42

If you are using what option you may be required to submit your own health care claims?

Back 42

Tricare standard

Front 43

Claims must be filed within what time frame of either the date of service of the date of an inpatient discharge?

Back 43

One year

Front 44

Remember that nonparticipating providers may charge you up to what percent above the Tricare allowable charge for services, in addition to your cost share and or deductible?

Back 44

15

Front 45

Tricare is the secondary payer to all health benefits and insurance plans, except for Medicaid, Tricare supplements, the Indian Health Service, and other programs and plans as identified by what?

Back 45

Tricare Management activity

Front 46

Nonparticipating providers may only bill you up to what percent of the Tricare allowable charge?

Back 46

115

Front 47

What allows Tricare to be reimbursed for treatment costs if you are injured in an accident caused by someone else?

Back 47

Federal Medical Care Recovery Act

Front 48

The Statement of Personal Injury Third Party Liability, DD 2527, will be sent to you if you claim appears to have what involvement?

Back 48

Third party liability

Front 49

Children with what may remain Tricare eligible beyond the normal age limits?

Back 49

Disabilities

Front 50

Upon loss of Tricare eligibility, each family member will automatically receive a what?

Back 50

Certificate of Creditable coverage