TRICARE Prime and TRICARE Prime Remote Handbook Flashcards

1
Q

What are the TRICARE regions?

A

TRICARE North
TRICARE South
TRICARE West
TRICARE Overseas

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2
Q

Where can you find information on how to change your PCM?

A

regional contractor’s web site

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3
Q

What is the abbreviation BCACs?

A

Beneficiary Counseling and Assistance Coordinators

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4
Q

How many days must National Guard or Reservist be ordered to active service to become eligible for TRICARE?

A

30 days

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5
Q

What is the abbreviation PSAs?

A

Prime Service Areas

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6
Q

What form number is the TRICARE Prime Enrollment, Disenrollment, and Primary Care Manager Change form?

A

DD 2876

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7
Q

TRICARE enrollment forms must be received by what day to be effective at the beginning of the following month?

A

Must be received by the 20th

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8
Q

How far must your home and work ZIP code be from the nearest military hospital to be eligible for TRICARE Remote?

A

more than 50 miles or a one-hour drive

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9
Q

What is the abbreviation TPRADFM?

A

TRICARE Prime Remote Active Duty Family Member

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10
Q

Who coordinates civilian health care for TPR-enrolled ADSMs?

A

Defense Health Agency - Great Lakes

DHA-GL

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11
Q

What are the two types of TRICARE-authorized providers?

A

Network and Non-network providers

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12
Q

What type of TRICARE Provider has a signed agreement with your regional contractor to provide care?

A

Network Provider

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13
Q

What are the two types of Non-Network Providers?

A

Participating and Nonparticipating

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14
Q

What type of provider may choose to participate on a claim by claim basis?

A

Participating Non-Network Provider

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15
Q

What type of provider will you have to pay the provider first and later file a claim with TRICARE for reimbursement?

A

Nonparticipating Non-Network Provider

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16
Q

How quickly should your PCM be notified after you have received emergency care?

A

24 hours or the next business day

17
Q

When do mental health care visits require authorization from your regional contractor?

A

beginning with the 9th outpatient visit

ADSMs always require referral for any civilian care except emergency services

18
Q

What is the wait time for urgent care appointments?

A

should not exceed 24 hours

19
Q

What is the wait time for routine appointments?

A

should not exceed 7 days

20
Q

What is the wait time for specialty care or wellness visits?

A

should not exceed 28 days

21
Q

The travel time should not exceed how long for routine or urgent appointments?

A

30 minutes

22
Q

The travel time should not exceed how long for specialty care appointments?

A

one hour

23
Q

What are the three types of TRICARE coverage that may continue after separation from Active Duty?

A

Transitional Assistance Management Program (TAMP)
Continued Health Care Benefit Program (CHCBP)
Transitional Care for Service Related Conditions (TCSRC)