HCR 230 Describing TRICARE Presentation

HCR 230 Describing TRICARE Presentation - TRICARE network...

Info iconThis preview shows pages 1–8. Sign up to view the full content.

View Full Document Right Arrow Icon
Click to edit Master subtitle style Describing TRICARE By  Candace Smith HCR 230
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
What is TRICARE? TRICARE is the health care program serving  active duty service members, National Guard  and Reserve members, retirees, their families,  survivors and certain former spouses  worldwide.
Background image of page 2
Eligibility Requirements TRICARE serves approximately 9.6 million  beneficiaries worldwide. To be eligible for  TRICARE, you must be registered in the  Defense Enrollment Eligibility Reporting  System or DEERS.
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Covered and Non-covered  TRICARE covers many services and  procedures including, but not limited to: Ambulatory surgery   Diagnostic testing  Durable medical equipment  Family planning  Hospice care  Inpatient care
Background image of page 4
Network and Non-network  Network Providers Providers who are authorized to treat TRICARE  patients may also contract to become part of the 
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 6
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 8
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: TRICARE network. Non-Network Providers Providers who choose not to join the network, but TRICARE will not pay for the services. The patient is 100 percent responsible for the charges. Participating and Non-Providers who participate agree to accept the TRICARE allowable charge as payment in full for services. A provider who chooses not to participate may not charge more than 115 percent of the allowable charge. Reimbursement Providers who participate in the basic TRICARE plan are paid the amount specified in the Medicare Fee Schedule for most procedures. References Valerius, J., Bayes, N., Newby, C., & Seggern, J. (2008). Medical insurance: An integrated claims process approach (3rd ed.). Boston: McGraw-Hill....
View Full Document

This note was uploaded on 05/10/2011 for the course HCR 230 taught by Professor Volk during the Spring '11 term at University of Phoenix.

Page1 / 8

HCR 230 Describing TRICARE Presentation - TRICARE network...

This preview shows document pages 1 - 8. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online