Exam 14: Tricare and Veterans Health Care

For a CHAMPVA beneficiary, if the physician is nonparticipating and does not accept assignment, the patient completes the top portion of the CMS-1500 claim form, attaches an itemized statement from the physician, and submits the claim.

A certification from a military hospital stating that it cannot provide the care needed is called a ______________________________.

A person retired from a career in the armed forces is eligible for TRICARE until 65 years of age.

Medical care that is cost-shared by both TRICARE Standard and a civilian source is known as

Individuals who qualify for TRICARE are known as subscribers.

All dependents ____________________ years of age or older are required to have a Uniformed Services (military) identification card.

The wife of a veteran with total permanent disability resulting from a service-connected injury is eligible for CHAMPVA benefits

What does the acronym CHAMPVA stand for?

The NAS is required for outpatient services that are within the catchment area.

All Privacy Act requests from patients must be made in writing.

What is the system called that TRICARE claims processors use to verify beneficiary eligibility?

In the TRICARE Extra plan, the individual enrolls yearly and pays an annual fee.

Dependents of individuals who have died as a result of service-connected injuries qualify to receive ____________________ benefits.

The Privacy Act of 1974 establishes an individual's right to review his or her medical records maintained by

Nonparticipating providers may choose to accept TRICARE assignment on a case-by-case basis.

A health care professional, usually a registered nurse, who helps the patient work with his or her primary care manager to locate a specialist or obtain a preauthorization for care is referred to as a/an

TRICARE/CHAMPVA is usually the second payer when a beneficiary is enrolled in other health insurance plans.

TRICARE claims must be billed on a special claim form provided by the closest military facility within the area of treatment.

Enrollment in TRICARE Prime is for

All dependents 10 years of age or older are required to have a military identification card for TRICARE.