Frequently Asked Questions
How do I ensure
my family is eligible for TRICARE?
member in one of the circumstances listed above who is registered in the Defense
Enrollment Eligibility Systems (DEERS) is eligible to receive medical treatment
in the Military Health Care System. A legal dependent is defined in Section 1072 of Title 10, United States
The family member must be enrolled in the Defense
Enrollment Eligibility Reporting System (DEERS). This is done when the family member is
issued an Identification Card.
if I have other health insurance? What does this mean to me?
If you have other health insurance in
addition to your TRICARE Standard benefits, be aware that TRICARE Standard pays
after all other plans you may have, except for Medicaid (a public assistance
program) and certain insurance policies that are specifically designated as
TRICARE supplements. This means
that if you have another health plan in addition to TRICARE Standard, the other
plan must pay whatever it covers before TRICARE Standard will make any type of
payment. You may have coverage for yourself and your family through an employer,
an association or a private insurer. This also includes the medical portion of
an auto insurance policy, or any coverage that students in the family may have
through their schools.
What are my health plan options
available under TRICARE?
program offers a triple-option healthcare plan. TRICARE Prime is the
managed care option offered by the Department of Defense. It integrates military
and civilian health care into a single delivery system. Beneficiaries who choose
this option agree to a one-year enrollment. Enrollees selecting this option
choose a primary care manager to provide or arrange for their healthcare needs.
The TRICARE Prime option offers additional wellness and preventive care
services. There is no annual deductible when you are enrolled in Prime.
TRICARE Extra is similar to TRICARE Standard but offers discounts to
patients when they use TRICARE network providers. This option allows
beneficiaries to receive their care from civilian network providers at a reduced
cost compared to TRICARE Standard. There are no claim forms to file; you just
pay your reduced cost share after satisfying the deductible. You may use a
combination of the TRICARE Extra and Standard programs at any time, depending on
whether you choose physicians inside or outside the network. There is no
enrollment requirement for this program. TRICARE Standard is a fee-for-service option that is the same as
the standard CHAMPUS benefit. Beneficiaries using this option have the greatest
choice of civilian physicians, but at a higher cost. The cost of having this
choice includes a deductible, plus a percentage of subsequent charges, called
cost shares, and possible balance billing, not to exceed 115 percent of the
allowable charge. Enrollment is not a requirement to participate.
What is General TRICARE For
Life, as long as you are a uniformed service beneficiary who has attained the
age of 65, are Medicare-eligible, and have purchased Medicare Part B. TRICARE
For Life is a permanent healthcare benefit. Please click on http://www.tricare.osd.mil/ndaa/faq.cfm to learn more about eligibility, benefits, enrollment
requirements, and costs associated with TRICARE For Life.
do I access TRICARE Provider list?
Where can I find more
information about TRICARE Medical Benefits?
TRICARE at Medical Benefits.