Tricare

Front 1

TRICARE Standard

Back 1

fee-for-service, replacing champus

Front 2

TRICARE Prime

Back 2

Managed Care Plan similar to HMO

Front 3

TRICARE Extra

Back 3

alternative plan other than military facility, more expensive

Front 4

TRICARE program was formally called CHAMPUS? T or F

Back 4

TRUE

Front 5

PCM is abbreviation for Primary Care Manager? T or F

Back 5

TRUE

Front 6

NAS is abbrevation for Nonavailibility Statement? T or F

Back 6

TRUE

Front 7

TRICARE is the secondary payer to almost all other plans, except Medicaid? T or F

Back 7

TRUE

Front 8

TRICARE'S managed care plans will not pay for services to beneficiaries provided by non-network providers? T or F

Back 8

TRUE

Front 9

TRICARE participating provider charges generally follow the Medicare Fee Schedule? T or F

Back 9

TRUE

Front 10

Beneficiaries enrolled in a Medicare HMO are eligible for TRICARE Senior Prime? T or F

Back 10

FALSE

Front 11

TRICARE program serves families of Veterans with 100% service-connected disability? T or F

Back 11

FALSE, its CHAMPVA

Front 12

In TRICARE program, providers who do not participate may charge up to 150% of the TRICARE allowed charge? T or F

Back 12

False, non-participating can charge up to 115%

Front 13

The TRICARE catastrophic cap is an annual amount? T or F

Back 13

TRUE

Front 14

Military Treatment Facilities (MTF) are government hospitals & clinics whose first priority is to serve active-duty military personnel? T or F

Back 14

TRUE

Front 15

DEER

Back 15

Defense Enrollment Eligibility Reporting

Front 16

CHAMPUS

Back 16

Civilian Health & Medical Program of Uniformed Services

Front 17

CHAMPVA

Back 17

Civilian Health & Medical Program Department of Veterans Affairs

Front 18

CMS-1500 claim form

Back 18

paper claim for physicians services

Front 19

DEERS

Back 19

worldwide database of TRICARE & CHAMPVA beneficiaries

Front 20

Catastrophic Cap

Back 20

Maximum annual amount TRICARE beneficiaries must pay

Front 21

PCM ( primary care Manager)

Back 21

provider who coordinates & manages the care of TRICARE Beneficiaries

Front 22

Cost Share

Back 22

amount of provider's charges the patient is responsible for

Front 23

Sponsor

Back 23

Uniform Service Member in family qualified for TRICARE or CHAMPVA

Front 24

Nonavailibility statement

Back 24

Form requested for preauthorization from TRICARE member seeking other treatment facility

Front 25

CHAMPVA def.

Back 25

government Health insurance for family of veterans (100%) service-related disabilities.

Front 26

MTF stands for

Back 26

military treatment facility

Front 27

Age to qualify on TRICARE for Life?

Back 27

over 65 yrs