When TRICARE Was Created In 1994: Three Choices

Decent Essays
When TRICARE was created in 1994, options were expanded to include three choices:
Discuss the difference between the following options:

TRICARE Standard

A fee for service health plan for families of active duty personnel and retirees that goes into effect when treated by a civilian provider. Most enrollees pay an annual deductible

TRICARE Extra

A PPO type of managed care plan that allows TRICARE beneficiaries who do not have priority at a military treatment facility to receive services primarily from a civilian provider at a reduced fee.

TRICARE Prime

HMO style plan for TRICARE beneficiaries that offers preventive care and routine physical examinations. Each individual on this plan is assigned a primary care manager.

Related Documents

  • Improved Essays

    DB Billing

    • 651 Words
    • 3 Pages

    Week 3 DB Billing 2 Discuss different types of benefits available to veterans and their family members, giving specific details and examples. Active duty service members and their families can receive health benefits through the following TRICARE plans listed below. To be eligible the uniformed service member (sponsor) and their families (beneficiaries) must be enrolled in the Defense Enrollment Eligibility Reporting System (DEERS) TRICARE deductibles renew on OCT 1st. Patient responsibility is referred to as “cost share”.…

    • 651 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Benefits Of TRICARE

    • 313 Words
    • 2 Pages

    TRICARE, is a federal program that provides health care benefits to families of current and retired military personnel. To be eligible for TRICARE, sponsors and beneficiaries must be enrolled in the Defense Enrollment Eligibility Reporting System (DEERS). TRICARE offers three plans, each with different types of benefits: TRICARE Standard, a fee-for-service plan - gives more options and flexibility in choices of providers, but it also involves some additional out-of-pocket expenses. You have the option to use a network provider or out-of-network provider, without need to get a referral.…

    • 313 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Patient safety is an important issue in today’s healthcare. The Joint Commission (2015) has always developed yearly patient safety goals increasing the importance this concept has (The Joint Commission, 2015). Patient safety it is considered a discipline in the health care sector. It is used to apply safety science methods to achieve a reliable and responsible system of health care delivery. It is also a feature of the health care systems.…

    • 309 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    HIPAA-Health Insurance Portability and Accountability Act of 1996 was designed to protect a patient by specifying detailed instructions on how to handle the client’s information and keeping it private. Congress adopted the federal law with specifics on letting the client know how their privacy will be protected by clearly stating how it will be used and kept, the client must receive informed consent, and the process of transferring their records. So exactly what is the law supposed to do? Who does it protect and to what extent is this protection in place?…

    • 749 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Introduction Thesis Development and Purpose The Affordable Care Act (ACA), which is commonly known by the unofficial name of ObamaCare is an American healthcare transformation law of the land expanding and improving access to care while minimizing spending through government regulation and taxes. This is a Patient Protection and Affordable Care Act, and a health modification law signed on March 23, 2010 by President Barack Obama. The main reason why this healthcare reform was started is to provide more Americans with affordable health insurance, and improvement of health insurance. In addition, there was a need to regulate the insurance business and to reduce the healthcare expenses in United States (US).…

    • 1311 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    American’s current health care system has become one of the nation’s leading controversial nuisance. The Affordable Care Act (ACA) was originally created with morals of assuring every American individual’s right to attain health care regardless of financial circumstances or pre-existing conditions along with government support if needed. Unfortunately, amongst the fabricated promises of security and assistance, this fragmented system impels families to remain uncomfortable and stressed. The additional costs and hidden fees that are woven into health insurance contracts are becoming increasingly more unbearable with every passing year. Our health plan options are seemingly appearing less like decent choices and more like mandatory commitments.…

    • 727 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Affordable Care Challenges

    • 1292 Words
    • 6 Pages

    Introduction Ever since its creation in 2010, the Affordable Care Act has received a great deal of backlash. The law has been brought to the courts three times now due to many Americans having issues with certain provisions in the law. Two of the cases that challenged the Affordable Care Act have made it to the Supreme Court. The issues that have been challenged have been in reference to the provisions that expand Medicaid, grant subsidies to states that have established exchanges, and the individual mandate, which requires Americans to have “Minimal Essential Coverage.” The most recent case that has challenged the Affordable Care Act was the case King v. Burwell, which occurred this past year.…

    • 1292 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    The Medicare Expansion

    • 2468 Words
    • 10 Pages

    The Affordable Care Act decision could have been an expansion of the powers of the federal government under the Commerce Clause. Instead, Roberts sought to redefine the penalty as a tax, so to avoid defining it as a power under Congress power to regulate interstate commerce. Although I agree with Roberts reasoning so as not to uphold the law under the commerce clause, I also find the redefining of the individual mandate as a problematic precedent. However, I believe the greatest issues with the decision are actually the issue of Severability and the way in which the Medicare expansion was struck down. The implementation of the Affordable Care Act over the last few years have shown by making the Medicare expansion essentially optional it has…

    • 2468 Words
    • 10 Pages
    Superior Essays
  • Improved Essays

    Managed Care Case Study

    • 728 Words
    • 3 Pages

    There are main types of managed care plans: HMO, PPO and point – of – service. Health maintenance organization provides its members health benefits where individual have to pay monthly premium in order to use the benefits. In order the benefits to be covered by HMOs (unless it’s an emergency service) the patient must use health provider within the network. Copay may or may not be require for visit to health service provider.…

    • 728 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    In the United States, Healthcare Reform has been an all-inclusive debate between the two major political parties. One side of this argument, the Democratic side, argues for the Affordable Care Act, which aims to lower overall healthcare costs, but introduces new taxes on the upper and middle classes, adds new complications on filing for taxes, and everyone is required to be covered (including those who are currently ill or have pre-existing conditions who have never paid for healthcare), therefore adding to the overall cost of healthcare and raising deductibles for the already insured portion of our nation. The other side of the spectrum, the Republican Party, fights for The Healthcare Reform Act. This act argues for reform of the laws that…

    • 292 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Since the Affordable Care Act, more people are eligible for health insurance. Before the ACA it was hard for individuals to get health care coverage, unless through an employer. The benefits of the ACA, is that it covers preventative screenings, which cause insurance deductibles to rise to cover the cost. ACA not only have higher premium cost, but also led to higher deductibles or out of pocket costs. During the ACA, people can no longer use the pre-existing condition clause, young adults can stay on parents’ insurance until the age of 26, and citizens are required to get health insurance or risk getting a tax penalty.…

    • 212 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    The Affordable Care Act (ACA) is good for what ails you. When the citizens of the state and country have access to care, with use of insurance coverage, the health of the nation is improved. This is because sick people are less likely to delay treatment and more likely to seek primary care when they can afford and/or have coverage. Tennessee like all other states had an opportunity to provide an exchange to their residents.…

    • 364 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Managed Care Disadvantages

    • 1092 Words
    • 4 Pages

    Managed care is the most prevalent form of health insurance plan that has significantly changed the ways that patients receive care and allowing them a variety of affordable care. Under managed care, health insurance plans have a contract with providers and hospitals to provide care for clients at lower cost. Clients who choose to enroll in a managed care plan should also be aware of both the benefits and the drawbacks of those care plans. Criticism/drawbacks Managed care health insurance plans, mostly the HMO 's, focus primarily on prevention, and people with these types of policies pay less for their coverage. The newest options in health insurance plans include the PPO (preferred provider organization) plans.…

    • 1092 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Tricare Prime is a health maintenance organization (HMO) that services active duty personnel, retirees from the Active Component, retirees from the Reserve Component age 60 or older, and their eligible family members. Beneficiaries choose a primary care physician (PCP) and for any specialty care outside the scope of their PCP secure referrals and authorizations (DHA 1). The offset for such limitations is a small copayments for each visit (retirees and their families only). There is an annual enrollment fee for Tricare Prime for military retirees and their family members. There is no enrollment fee for active duty military and their family members.…

    • 1603 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Plan members must select a primary care practitioner which could be a physician, physician assistant or a nurse practitioner. The primary care is responsible for coordinating health delivery for plan members. Receiving care by a specialist physician will require a referral from the primary care provider (PCP.) This cost containment strategy is intended to avoid service being duplicated by the PCP and the specialist. (www.amjc.com)…

    • 1227 Words
    • 5 Pages
    Improved Essays