Exam 14: Tricare Medical Billing

If treatment is NOT available at a military treatment facility (MTF), a TRICARE beneficiary must obtain a(n) ________ statement before receiving services from a civilian provider.

Under TRICARE Standard, most enrollees pay an annual deductible but no cost share for outpatient charges.

A doctor of osteopathy is considered an authorized service provider for TRICARE.

Nonavailability statements are valid for 12 months after they are issued.

The TRICARE fiscal year ends on:

Active-duty service members who are assigned to permanent duty in a location that is 50 miles or more from sources of military healthcare can obtain services through ________.

A person who is retired from a career in the armed forces is known as a ________ or military retiree.

TRICARE Senior Prime/TRICARE for Life acts as the primary payer when the covered individual also has Medicare coverage.

The cost share for TRICARE Extra enrollees includes a:

What is the role of a primary care manager (PCM) under TRICARE Prime?

The Department of Defense (DoD) medical entitlement program for uniformed services beneficiaries is ________.

Under the TRICARE reform in 2018, catastrophic caps for active duty families would be raised to:

CHAMPVA is always the last payer after Medicare and any other health insurance.

Match the following -The TRICARE plan that provides benefits to individuals older than age 65

When is the TRICARE fiscal year?

Under TRICARE Prime, a PCM is a:

What is CHAMPVA?

Match the following -The TRICARE plan option that provides coverage under a fee-for-service, cost-sharing structure

In the TRICARE program, what is DEERS?

TRICARE beneficiaries older than age 65 are eligible for TRICARE for Life if they have: