TRICARE Choices in the United States at a Glance

Question 1

What is the Department of Defense’s worldwide health care program available to eligible beneficiaries from any of the seven uniformed services?

Answer 1

TRICARE

Question 2

Which system is used to maintain Tricare eligibility information?

Answer 2

Defense Enrollment Eligibility Reporting System (DEERS)

Question 3

How many consecutive days at a minimum must National Guard and Reserve members be called or ordered to active service to be eligible to participate in the Active Duty TRICARE program?

Answer 3

30

Question 4

Sponsors and family members lose TRICARE eligibility after active duty separation (non-retirement) but can qualify for a period of continued coverage under the Transitional Assistance Management Program along with which other program?

Answer 4

Continued Health Care Benefit Program

Question 5

Who provides referrals under TRICARE Prime to receive services from specialty care providers and coordinates the referral request with the regional contractor when necessary?

Answer 5

Primary Care Management (PCM)

Question 6

How many miles must personnel be within an available primary care management (PCM) to enroll in TRICARE Prime?

Answer 6

100

Question 7

Which TRICARE Prime options are available to Active Duty Service Members (ADSMs) living and working in remote locations and their family members?

Answer 7

Tricare Prime Remote (TPR) and TRICARE Prime Remote for Active Duty Family Members (TPRADFM)

Question 8

The US Family Health Plan (USFHP) is a TRICARE Prime option in which care is provided through networks of community-based, not-for-profit health care systems in how many areas of the United States?

Answer 8

6

Question 9

What is the maximum out-of-pocket amount an individual or family pays per FY for TRICARE- covered services?

Answer 9

Catastrophic cap

Question 10

Up to what age are retirees allowed to enroll in TRICARE Prime or USFHP?

Answer 10

65

Question 11

What is the fixed amount a TRICARE Prime beneficiary pays for health care services?

Answer 11

Copayment

Question 12

What is the form number for the TRICARE Prime Enrollment, Disenrollment, and Primary Care Management (PCM) Change Form?

Answer 12

DD Form 2876

Question 13

Which options allows TRICARE Prime beneficiaries to pay additional out-of-pocket costs to receive nomemergency health care services from any TRICARE - authorized provider without a referral?

Answer 13

Point-of-Service (POS)

Question 14

The Point-of-Service (POS) option does not apply to newborns or adopted children within the first how many days after birth or adoption?

Answer 14

60

Question 15

The Point-of-Service (POS) option does not apply to the first how many mental health care outpatient visits per fiscal year to a network provider for a medically diagnosed and covered condition?

Answer 15

8

Question 16

How many types of TRICARE authorized providers are there?

Answer 16

2

Question 17

Which type of TRICARE authorized providers have a signed agreement with your regional contractor to provide care and file claims for you?

Answer 17

Network providers

Question 18

Up to what percent above the TRICARE- allowable charge can non-network providers charge when they don’t participate on a claim?

Answer 18

15%

Question 19

Which act requires you to have health care coverage that meets a minimum standard called minimum essential coverage?

Answer 19

Affordable Care Act (ACA)

Question 20

What is the annual amount that a beneficiary must pay for covered outpatient services before TRICARE begins to pay for or reimburse for those services?

Answer 20

Annual Deductible

Question 21

What is a premium-based, worldwide health care plan that qualified Selected Reserve members and qualified survivors may purchase for themselves and/or their family members?

Answer 21

TRICARE Reserve Select (TRS)

Question 22

What is the percentage a TRICARE beneficiary must pay for covered inpatient and outpatient services (other than the annual deductible or disallowed amounts)?

Answer 22

Cost-Share

Question 23

What is a premium-based, worldwide health care plan that qualified Retired Reserve members and qualified survivors may purchase for themselves and/or their family members?

Answer 23

TRICARE Retired Reserve (TRR)

Question 24

If you are eligible for both TFL and VA benefits and elect to use your TFL benefit for non-service connected care, you will incur significant out-of-pocket expenses when seeing a VA provider. By law, TRICARE can only pay up to what percent of the TRICARE allowable amount?

Answer 24

20%

Question 25

What can beneficiaries who have lost all TRICARE eligibility purchase to keep coverage if they qualify/

Answer 25

Continued Health Care Benefits Program (CHCBP)

Question 26

What is the minimum age to be eligible to purchase Tricare Young Adult Coverage?

Answer 26

21

Question 27

How many days of transitional health care benefits to help certain service members and their families transitions to civilian life is provided by Transitional Assistance Management Program (TAMP)?

Answer 27

180

Question 28

Up to how many months of continued health coverage can be provided by the Continued Health Care Benefits Program (CHCBP)

Answer 28

36

Question 29

If personnel qualify they can purchase CHCBP coverage within how many days of loss of TRICARE or TAMP coverage?

Answer 29

60

Question 30

How many days worth of most medications at no cost can personnel receive from military pharmacies?

Answer 30

90

Question 31

Over how many TRICARE retail network pharmacies are there?

Answer 31

57,000

Question 32

The DoD has established a how many tier uniform formulary that groups prescription drugs that may be reimbursed by TRICARE?

Answer 32

Three

Question 33

Which tier of prescription drugs have the highest out of pocket costs?

Answer 33

Tier 3