Defense Health Agency

Question 1

what instructions governs the DHA program

Answer 1

DoDD 5136.13

Question 2

DHA is a field activity of whom

Answer 2

undersecretary of defense for personnel and readiness

Question 3

what does DHA manage

Answer 3

TRICARE

Question 4

who assist DHA in offering services and support to TRICARE beneficiaries

Answer 4

Health Net Federal Services, LLC

Question 5

TRICARE was formally est. on what date

Answer 5

October 1 2013

Question 6

TRICARE is broken down into what 3 regions

Answer 6

West region
East region
Overseas region

Question 7

Overseas region is broken down into what sub regions

Answer 7

Eurasia-Africa

Latin America and Canada (TLAC) area

Pacific Area

Question 8

what are the responsibilities of each region

Answer 8

Provide oversight at the regional level

Manage Contracts

Support MTF Commanders

Develop business plans for non-MTF areas

Fund optimization initiatives and improve delivery of health care

Question 9

MMSO directly supports the provision of medical care through

Answer 9

TRICARE Prime Remote and the supplemental health Care program

Question 10

MMSO provides

Answer 10

pre authorization for civilian medical care

authorizes for payment of civilian medical claims

Coordinates civilian healthcare services for remote SM

Question 11

MMSO serves what population

Answer 11

AD service members enrolled in TRICARE PRIME REMOTE

Non enrolled ADSM not managed by MTFs

RC Service members in remote areas with service approved line of duty injuries illnesses or diseases

Question 12

TRICARE remote dental program previously administered by MMSO has transitioned to what

Answer 12

Active Duty Dental Program

Question 13

who administers the Active Duty Dental Program

Answer 13

United Concordia Companies, Inc

Question 14

Who is designated as the certifying official for non federal medical health care claim

Answer 14

SMDR

Health Benefits Advisor

Senior Officer

Question 15

who can obtain medical and dental care at the governments expense at non-federal MTFs

Answer 15

AD and retired members

Spouses

Children

unmarried spouses and children of diseased AD or retired members

Divorcees

Question 16

what is the criteria for Children to obtain medical and dental care at the governments expense at non-federal MTFs

Answer 16

up to age 21

up to 23 if in college

Indefinitely if they have a mental or physical incapacity

Question 17

For spouses of deceased active duty or retired members what is the criteria to obtain medical and dental care at the governments expense at non-federal MTFs

Answer 17

unremarried

Question 18

For divorcees of deceased active duty or retired members what is the criteria to obtain medical and dental care at the governments expense at non-federal MTFs

Answer 18

Must not have have other health coverage

Unremarried

Former spouse was on active duty for at least 20 years during marriage

Question 19

who is the adjudicating authority for payment processing for treatment CONUS

Answer 19

Managed care support center for the region in which member is enrolled

Question 20

if a payment was made directly to the health care provider and wants to be reimbursed what steps must be taken

Answer 20

submit the original DD 2642 and 2 copies

Include itemized bill and proof of payment

Question 21

what should be written Across the front of the bill submitted for reimbursement

Answer 21

“Medical services rendered were satisfactory”

Question 22

what is the Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities instruction

Answer 22

NAVMEDCOMINST 6320.3