Chapters 5-7 Flashcards
Are service members covered by Tricare?
Some are, but ONLY if their base does not provide medical services.
The name of the Department of Defense (DOD) regionally managed healthcare program for military service members
Tricare
What does CHAMPUS stand for?
Civilian Health and Medical Program of the Uniformed Services
established 1966
What does CHAMPVA stand for?
Civilian Health and Medical Program of the Veterans Administration
Which health care is provided for families of veterans with permanent, service-connected disabilities, including those who have died from the service-connected disability?
CHAMPVA
A physician, hospital, clinic or supplier who has applied, and been approved, to provide medical care and supplies.
Authorized Provider
The cost cap or upper limit that patient pays for health care in any fiscal year.
Catastrophic Cap
The percentage paid by the patient enrolled in TRICARE Standard and Extra of the allowable charges for health care for each claim.
Cost-Share
The amount the patient enrolled in TRICARE Standard and Extra must pay each fiscal year before TRICARE begins sharing the cost (cost-share) of medical health care.
Deductible
What does DEERS stand for?
Defense Enrollment Eligibility Reporting System
What is required for all beneficiaries who live near a military care facility but are seeking nonemergency treatment at a civilian physician or hospital?
Nonavailability statement (NAS)
What are the three types of TRICARE health plans?
TRICARE Standard
TRICARE Extra
TRICARE Prime
Which TRICARE plan is the new name for CHAMPUS?
TRICARE Standard
