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40 Cards in this Set
- Front
- Back
Eligibility ends at age ___ unless the child is a full time student and then eligibility ends at age ____
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21,23
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Reserve forces are covered when ordered to active duty for more than ___.
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30 days
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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 benefiiciaries to self refer to specialists.
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Tricare standard
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What is the catastrophic cap for active duty family's? 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%,25%
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What program allows Tricare Prime enrollees to see specialists without a referrel 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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230,460
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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 inrolled 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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Who can use Tricare Extra?
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Eligible beneficiary, who is not active duty otherwise inrolled in Prime and not eligible for Tricare for Life.
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When does Tricare Extra go into effect?
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When a Standard beneficiary chooses to make an appointment with a tricare network provider.
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What is Tricare Standard?
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The basic TRICARE health programoffering comprehensive health care coverage for people not enrolled in Prime.
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Standard offers?
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The greatest flexibility in choosing a provider. Involves greater out of pocket expense for the patient.
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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. (retired guard members and reservists) Medicare entitled familiy members and widows/widowers(dependant parents and parents-in-laws are excluded) Medicare entitled Congressional Medal of Honor recipents and their family members Certan medicare-entitled unremarried former spouses
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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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Reserve Component members are eligible for Tricare Prime Remote if activated for more than_________ days?
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30 consecutive days.
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Eligible Reserve Component members are entitled up to ______ days of Tricare benefits prior to moblization?
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90
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This is a premium based health plan for eligible Reserve Component members
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Tricare reserve select
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Eligible Reserve Component members are entitle up to ____ days of coverage following separation from active duty
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180
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The reserve Family demonstration Project has benn extended until?
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31 OCT 2007.
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Overseas Healthcare has what two Tricare Benefits?
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Tricare Prime Tricare Standard
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Military retirees and their families who live overseas are eligible for?
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Tricare Standard.
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The new medication drug prescription coverage became effective________.
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JAN 1st 2006
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What is TRICARE?
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DOD's worldwide health care program for active duty and retired uniformed services members and their families.
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TRICARE PRIME is similar to what civilian health care organization?
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Health Maintenance Organization (HMO)
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Who are ENCOURAGED to enroll in TRICARE PRIME, but not required?
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Active duty family members, reitirees and their family members
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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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A) If an individual disenrolls from TRICARE PRIME, how long would he/she have to wait before he/she can enroll again? B) What paygrade does this apply to mainly?
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A) 12 months. B) E-5 and above.
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Active duty members are illegible for which option(s)?
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TRICARE Extra and TRICARE Standard
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Of TRICARE Extra and TRICARE Standard, which is a preferred provider option (PPO)? fee-for-service option?
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TRICARE Extra and TRICARE Standard, respectively.
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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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When does eligibility status end for children (stepchildren as well)?
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-Children reach 21 y.o. -If they are full-time student, eligibility ends at 23 y.o. -When full-time student status end -If a child is past 21 y.o., but incapable of self-support because of a mental or physical incapacity
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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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