Question 1

There is one overseas region divided into three main areas.These are ______________,___________,and ____________.

Accepted Answer

TRICARE Eurasia-Africa,TRICARE Latin Ame

Question 2

In some cases,beneficiaries may be responsible for paying for services from a nonparticipating provider first,then filing their own claims in order to receive reimbursement from TRICARE.

Accepted Answer

A) True 
 B)False

Question 3

The amount on which TRICARE figures a beneficiary's cost share (coinsurance)for covered charges is called:

Accepted Answer

A)  TRICARE's allowable charge. 
B)  CHAMPUS Maximum Allowable Charge. 
C)  TRICARE's limiting. 
D)  both a and b 
A)  TRICARE's allowable charge. 
B)  CHAMPUS Maximum Allowable Charge. 
C)  TRICARE's limiting. 
D)  both a and b

Question 4

The 1966 amendments to the Dependents Medical Care Act initiated what later became CHAMPUS,which was replaced with TRICARE in 1998.

Accepted Answer

A) True 
 B)False

Question 5

TRICARE Plus is available only to those enrolled in a TRICARE Prime option,a civilian HMO,or Medicare HMO.

Accepted Answer

A) True 
 B)False

Question 6

The deadline for submitting TRICARE claims is within _____ of services rendered,after which no payment is made.

Accepted Answer

A)  6 months 
B)  1 year 
C)  18 months 
D)  2 years 
A)  6 months 
B)  1 year 
C)  18 months 
D)  2 years

Question 7

Parents and parents-in-law are among those family members who are eligible for TRICARE.

Accepted Answer

A) True 
 B)False

Question 8

The name of the firm that processes about 65% of claims and handles customer service for the TRICARE healthcare program is _____________________.

Accepted Answer

Palmetto Government

Question 9

Individuals who are eligible for CHAMPVA benefits are not TRICARE eligible.

Accepted Answer

A) True 
 B)False

Question 10

The three basic plans under TRICARE include all of the following,except:

Accepted Answer

A)  Extra. 
B)  Global. 
C)  Prime. 
D)  Standard. 
A)  Extra. 
B)  Global. 
C)  Prime. 
D)  Standard.

Question 11

The military program that helps provide medical,educational,housing,community support,and personnel services to families with special needs is the:

Accepted Answer

A)  Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). 
B)  Exceptional Family Member Program (EFMP). 
C)  State Children's Health Insurance Program (SCHIP). 
D)  TRICARE Plus. 
A)  Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). 
B)  Exceptional Family Member Program (EFMP). 
C)  State Children's Health Insurance Program (SCHIP). 
D)  TRICARE Plus.

Question 12

CHAMPVA allows professional charges to be submitted on paper using the ____________ claim form and following TRICARE/CHAMPVA guidelines.

Accepted Answer

A)  CMS-1500 
B)  CMS-1450 
C)  CHAMPVA Form L-10 
D)  any of the above 
A)  CMS-1500 
B)  CMS-1450 
C)  CHAMPVA Form L-10 
D)  any of the above

Question 13

Identify eligible categories of individuals included under the TRICARE program.

Accepted Answer

Active military duty members and their d

Question 14

To be eligible for CHAMPVA,the individual must meet what specific criteria?

Accepted Answer

• The spouse or dependent child of a vet

Question 15

The spouse or dependent child of a veteran who is rated as having a permanent and total service-connected disability is eligible for CHAMPVA.

Accepted Answer

A) True 
 B)False

Question 16

TRICARE's Medicare-wraparound coverage available to all Medicare-eligible TRICARE beneficiaries is called TRICARE:

Accepted Answer

A)  Gap. 
B)  for Life. 
C)  Comp. 
D)  Extra. 
A)  Gap. 
B)  for Life. 
C)  Comp. 
D)  Extra.

Question 17

The TRICARE program is managed by _____ under the authority of the Office of the Assistant Secretary of Defense for Health Affairs (OSD/HA).

Accepted Answer

A)  the Congress 
B)  a group of physicians 
C)  a committee of state governors 
D)  TRICARE Management Activity (TM
A)  
A)  the Congress 
B)  a group of physicians 
C)  a committee of state governors 
D)  TRICARE Management Activity (TM
A)

Question 18

Once the sponsor reaches age 65,_____________ must be in effect no later than the sponsor's retirement date to avoid a break in TRICARE coverage.

Accepted Answer

A)  Medicare Part A 
B)  Medicare Part B 
C)  TRICARE for Life 
D)  other health insurance (OHI) 
A)  Medicare Part A 
B)  Medicare Part B 
C)  TRICARE for Life 
D)  other health insurance (OHI)

Question 19

Adult children of military members and retirees younger than 26,unmarried,and not eligible for employer-sponsored healthcare may become eligible for the ______ as long as their sponsor is still eligible for TRICARE.

Accepted Answer

A)  TRICARE for Life Program 
B)  CHAMPVA for Life Program 
C)  TRICARE Young Adult Program 
D)  TRICARE Civilian Plan 
A)  TRICARE for Life Program 
B)  CHAMPVA for Life Program 
C)  TRICARE Young Adult Program 
D)  TRICARE Civilian Plan

Question 20

By law,CHAMPVA is always a secondary payer,except for CHAMPVA supplemental policies and:

Accepted Answer

A)  Medicare. 
B)  Medicaid. 
C)  TRICARE. 
D)  TRICARE for Life. 
A)  Medicare. 
B)  Medicaid. 
C)  TRICARE. 
D)  TRICARE for Life.

There is one overseas region divided into three main areas.These are ________,_,and ________.

In some cases,beneficiaries may be responsible for paying for services from a nonparticipating provider first,then filing their own claims in order to receive reimbursement from TRICARE.

The amount on which TRICARE figures a beneficiary's cost share (coinsurance)for covered charges is called:

The 1966 amendments to the Dependents Medical Care Act initiated what later became CHAMPUS,which was replaced with TRICARE in 1998.

TRICARE Plus is available only to those enrolled in a TRICARE Prime option,a civilian HMO,or Medicare HMO.

The deadline for submitting TRICARE claims is within _____ of services rendered,after which no payment is made.

Parents and parents-in-law are among those family members who are eligible for TRICARE.

The name of the firm that processes about 65% of claims and handles customer service for the TRICARE healthcare program is _____________________.

Individuals who are eligible for CHAMPVA benefits are not TRICARE eligible.

The three basic plans under TRICARE include all of the following,except:

The military program that helps provide medical,educational,housing,community support,and personnel services to families with special needs is the:

CHAMPVA allows professional charges to be submitted on paper using the ____________ claim form and following TRICARE/CHAMPVA guidelines.

Identify eligible categories of individuals included under the TRICARE program.

To be eligible for CHAMPVA,the individual must meet what specific criteria?

The spouse or dependent child of a veteran who is rated as having a permanent and total service-connected disability is eligible for CHAMPVA.

TRICARE's Medicare-wraparound coverage available to all Medicare-eligible TRICARE beneficiaries is called TRICARE:

The TRICARE program is managed by _____ under the authority of the Office of the Assistant Secretary of Defense for Health Affairs (OSD/HA).

Once the sponsor reaches age 65,_____________ must be in effect no later than the sponsor's retirement date to avoid a break in TRICARE coverage.

Adult children of military members and retirees younger than 26,unmarried,and not eligible for employer-sponsored healthcare may become eligible for the ______ as long as their sponsor is still eligible for TRICARE.

By law,CHAMPVA is always a secondary payer,except for CHAMPVA supplemental policies and:

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

Exam 10: Military Carriers

There is one overseas region divided into three main areas.These are ______________,___________,and ____________.

In some cases,beneficiaries may be responsible for paying for services from a nonparticipating provider first,then filing their own claims in order to receive reimbursement from TRICARE.

The amount on which TRICARE figures a beneficiary's cost share (coinsurance)for covered charges is called:

The 1966 amendments to the Dependents Medical Care Act initiated what later became CHAMPUS,which was replaced with TRICARE in 1998.

TRICARE Plus is available only to those enrolled in a TRICARE Prime option,a civilian HMO,or Medicare HMO.

The deadline for submitting TRICARE claims is within _____ of services rendered,after which no payment is made.

Parents and parents-in-law are among those family members who are eligible for TRICARE.

The name of the firm that processes about 65% of claims and handles customer service for the TRICARE healthcare program is _____________________.

Individuals who are eligible for CHAMPVA benefits are not TRICARE eligible.

The three basic plans under TRICARE include all of the following,except:

The military program that helps provide medical,educational,housing,community support,and personnel services to families with special needs is the:

CHAMPVA allows professional charges to be submitted on paper using the ____________ claim form and following TRICARE/CHAMPVA guidelines.

Identify eligible categories of individuals included under the TRICARE program.

To be eligible for CHAMPVA,the individual must meet what specific criteria?

The spouse or dependent child of a veteran who is rated as having a permanent and total service-connected disability is eligible for CHAMPVA.

TRICARE's Medicare-wraparound coverage available to all Medicare-eligible TRICARE beneficiaries is called TRICARE:

The TRICARE program is managed by _____ under the authority of the Office of the Assistant Secretary of Defense for Health Affairs (OSD/HA).

Once the sponsor reaches age 65,_____________ must be in effect no later than the sponsor's retirement date to avoid a break in TRICARE coverage.

Adult children of military members and retirees younger than 26,unmarried,and not eligible for employer-sponsored healthcare may become eligible for the ______ as long as their sponsor is still eligible for TRICARE.

By law,CHAMPVA is always a secondary payer,except for CHAMPVA supplemental policies and:

The Origins of Health Insurance

Tools of the Trade: A Career as a Health (Medical)Insurance Professional

The Legal and Ethical Side of Medical Insurance

Types and Sources of Health Insurance

Claim Submission Methods

Traditional Fee For Service/Private Plans

Unraveling the Mysteries of Managed Care

Understanding Medicaid

Conquering Medicare’s Challenges

Miscellaneous Carriers: Workers’ Compensation and Disability Insurance

Diagnostic Coding

Procedural, Evaluation and Management, and HCPCS Coding

The Patient

Keys to Successful Claims Management

The Role of Computers in Health Insurance

Reimbursement Procedures: Getting Paid

Hospital Billing and the UB-04

Filters

There is one overseas region divided into three main areas.These are ________,_,and ________.