Skip to main content

Substance Use Disorders in the U.S. Armed Forces (2013) / Chapter Skim
Currently Skimming:

Appendix E: Features of TRICARE and Related Purchased Care Plans
Pages 357-360

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 357...
... Appendix E Features of TRICARE and Related Purchased Care Plans TRICARE Prime TRICARE Standard •  Health maintenance organization •  Fee-for-service for non–active duty •  Active duty service members beneficiaries automatically enrolled •  Does not require pre-enrollment •  Some other beneficiary groups can •  annual enrollment costs No choose to enroll •  Beneficiary has most options for provider •  Some groups have annual enrollment selection costs •  Provider can charge usual fees •  Based on a managed care model with •  Benefit is a percentage of billed charges an assigned primary care manager and after an annual deductible referrals for specialty care •  referrals, some preauthorization No •  Limited co-payments for some beneficiary •  Does not require use of network groups TRICARE Prime Remote TRICARE Extra •  Similar to TRICARE Prime •  Preferred provider organization •  For beneficiaries 50 miles or an hour's •  Fee-for-service plan for non–active duty drive from a military treatment facility beneficiaries •  Primary care manager selected from •  Does not require pre-enrollment TRICARE civilian provider network •  annual enrollment costs No •  Referrals for specialty care •  Beneficiary chooses authorized TRICARE •  Limited to active duty service members provider and their dependents •  Benefit is a percentage of allowable charges after an annual deductible •  referrals, some preauthorization No 357
Read the entire page →
From page 358...
... that evolved from the old Marine to 26 originating in the 2010 Patient Hospital System/Public Health Service Protection and Affordable Care Act Hospitals in the early 1980s •  Managed by six health care organizations •  Available to beneficiaries in selected areas of the northeast United States, Washington State, southeast Texas, and southwest Louisiana TRICARE Reserve Select Civilian Health and Medical Program of the Uniformed Services •  Premium-based health plan available to Selected Reserve members of the Ready •  Predecessor of TRICARE; began in 1966 Reserve (and their dependents) who are •  DoD secretary was authorized to not eligible for or enrolled in the Federal contract with civilian providers to Employee Health Benefits program provide health care, primarily to non– •  Requires cost sharing active duty beneficiaries •  referrals, some preauthorization No
Read the entire page →
From page 359...
... APPENDIX E 359 TRICARE Reserve Retired Federal Employee Health Benefits Program •  For certain retired Reserve members •  Overall health insurance program under age 60 available to federal civilian employees •  Premium-based worldwide health plan •  Includes various options with a number that may be purchased by qualified of insurance carriers Reserve members and survivors •  Premium-based •  Covers member and dependents •  Provides choice of providers although out-of-pocket costs vary •  referrals, some preauthorization No
Read the entire page →

Key Terms

  • military treatment
  • active duty
  • treatment facility
  • duty service
  • duty beneficiaries

  • health benefits
  • care managers
  • benefits program
  • prime remote
  • tricare reserve

  • employee health
  • care manager
  • affordable care
  • allows tricare
  • provide health

  • cost sharing
  • requires medicare
  • medical program
  • tricare plus
  • care organizations

  • health plan
  • prime managed
  • treatment facilities
  • remote overseas
  • civilian provider

  • overseas health
  • care option
  • requires cost
  • overseas location
  • tricare active


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.