Tricare HM1 Mar15 exam

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jaws288
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296493
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Tricare HM1 Mar15 exam
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2015-02-22 19:46:42
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hm1 mar15 tricare
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HM1 exam
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Tricare questions
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  1. What is the computerized database of the DoD that is used to determine TRICARE eligibility?
    DEERS
  2. As a reservist when you are called to active duty for more than _____ days, (Under federal orders) you and your family becomes eligable for TRICARE?
    30 Days
  3. Eligibility ends at age _____ unless the child is a full time student and then eligibility ends at age ____?
    21, and 23 if child is a full time student.
  4. Dependent parents and In-Laws are only eligible for?
    TRICARE Plus
  5. which program allows beneficiaries to self refer to specialists?
    TRICARE Standard
  6. Which program is the most flexible and has a fee for service options?
    TRICARE Standard
  7. What is the catastrophic cap for active duty families? and for everyone else?
    $1000 for active duty, $3000 for everyone else.
  8. Active Duty family members pay ___% of charges. Retirees pay ____% of charges under standard?
    20% and 25%
  9. what program allows TRICARE prime enrollees to see specialists without a referral from their PCM?
    Point-of-Service Option
  10. Cost share for POS option is ____%
    50%
  11. Enrollment fee for retired TRICARE Prime Canidates is $____ and for family members is $_____?
    230 and 460
  12. what is Tricare Prime?
    a Managed care option, Similar to a civilian HMO.
  13. Active duty members are required to be enrolled in?
    Tricare Prime
  14. How far away does a MTF have to be for the members to qualify for Tricare Remote?
    50 miles or an hour's drive.
  15. In which three overseas areas is Tricare Prime offered?
    Pacific Europe, Latin America, Canada.
  16. What is Tricare Standard?
    The basic Tricare health program. offering comprehensive health care coverage for people not enrolled in Prime.
  17. What are Tricare Standard members required to pay for?
    A yearly deductible, Co-payments, Medications, Outpatient care, Inpatient Care.
  18. What is Tricare for Life?
    A Medicare wrap around coverage.
  19. Who is eligible for Tricare for life?
    Medicare entitled uniform service retirees
  20. To be eligible for Tricare for life you must enroll in ?
    Medicare Part B
  21. Eligible reserve component members are entitled up to _____ days of benefits prior to mobilization?
    90 Days
  22. Eligible reserve component members are entitled up to ___ days of coverage following separation from active duty?
    180 Days
  23. What program is tricare an enhancement to?
    Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)
  24. What cost charges does Tricare manage?
    It manages the cost sharing charges for medically necessary civilian services and supplies required in the diagnosis and treatment of illness or injury.
  25. When is Tricare utilized?
    When the required services are not available from the direct care system of the DOD treatment facilities or designated MTF's/DTF's
  26. Where can you find information regarding the Tricare Dental Program?
    Tricare dental program benefit booklet or the DOD Tricare Dental Program website.
  27. If enrollment for Tricare Prime and TPR/TPRADFM is received by the 20th of the month, when will it become effective?
    The first of the following month
  28. if an individual disenrolls from Tricare Prime, how long would he/she have to wait before he/she can enroll again? and What pay-grade does this mainly apply to?
    • A.) 12 Months
    • b.) E-5 and Above
  29. Beneficiaries age 65 and over become eligible for Medicare Part A, they can use _______ if they purchase _______?
    Tricare for Life, Medicare Part B
  30. Who can use Tricare extra?
    Eligible beneficiary, who is not active duty otherwise enrolled in Prime and not eligible for Tricare for Life.
  31. When does Tricare Extra go into effect?
    When a Standard beneficiary chooses to make an appointment with a Tricare network provider.
  32. What are the benefits and drawbacks to Tricare Standard?
    It provides the greatest flexibility in choosing a provider. But involves greater out of pocket expenses for the patient.
  33. What is the cost share for POS Option?
    50%
  34. What is the patient claim form?
    DD 2642
  35. How many days does a member have to enroll a child after birth?
    60 Days
  36. The reserve family demonstration project has been extended until when?
    31 Oct 2007
  37. Military retirees and their families who live overseas are eligible for?
    Tricare Standard
  38. The new medication drug prescription coverage became effective?
    01 Jan 2006

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