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39 Cards in this Set
- Front
- Back
Reserve forces are covered when ordered to active duty for more than ___ days.
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30
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Dependent parents and parents-in-law are only eligible for _____.
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TRICARE Plus
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What TRICARE program is the most flexible and is a fee for service option.
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Standard
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What TRICARE program allows beneficiaries to self refer to specialists.
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Standard
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What is the catastrophic cap for AD family's?
and for everyone else? |
$1,000
$3,000 |
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Under TRICARE Standard, AD family members pay ____ % of charges and retirees pay ___%.
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20%, 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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What is TRICARE Prime
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Managed care option similar to a civilian HMO.
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AD 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 mi. or an hr's drive
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In which 3 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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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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Who is eligible for TRICARE for Life?
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- Medicare entitled uniform service retirees
- Medicare entitled family members and widows/widowers Medicare entitled Congressional Medal of Honor recipients and their family mbrs - Certain 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 RC members are entitled up to ___ days of TRICARE benefits prior to mob?
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90
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Eligible RC members are entitled up to ___ days of coverage following separation from active duty.
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180
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Overseas healthcare has what 2 TRICARE benefits?
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- TRICARE Prime
- TRICARE Standard |
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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? |
12 months
E5 and above |
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AD members are illegible for which option(s)?
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TRICARE Extra & TRICARE Standard
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Which TRICARE program is a preferred provider option (PPO) and which one is a fee-for-service option?
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Extra - PPO
Standard - fee for service |
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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 yo
- Full time student, eligibility ends at 23 yo - Over 21 yo but incapable of self-support due to a mental or physical incapacity |
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Service members must complete what forms of family care?
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Family Care Plan Cert, NAVPERS 1740/6
Family Care Plan Arrangement, NAVPERS 1740/7 |
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What is the purpose of the Integrity and Efficiency Program?
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To detect, deter, and eliminate fraud, waste, and abuse.
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List the ways to report fraud, waste, and abuse.
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- COC
- Navy Hotline - NCIS - Congressioinal communication |
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Service members can attend civil rights demonstrations and similar gatherings except for what conditions?
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- While on uniform or during duty hours.
- When held on a military reservation or in a foreign country - When law and order are violated or when they could reasonably be expected to result in violence |
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Narrative Summary of clinical data and treatments during hospitalization.
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SF 502
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Form used to record the result of Physical Exam
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SF 506
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Part __ of SF 504 records the course of the current hospitalizaiton
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Part 1 (History)
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Part __ of SF 504 documents occupation, mil history, childhood and adult injuries, drug sensitivities, and allergies.
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Part 2 (History)
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Form used for Doctor's orders that instructs direct care and treatment
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SF 508
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Form for Progress Notes
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SF 509
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Form for Nursing Notes
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SF 510
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Form for Vital Signs Record
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SF 511
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Form for Consultation Sheet
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SF 513
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Form for Anesthesia Report
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SF 517
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