THE ABC’S OF TRICARE


TRICARE PAYS:

SUPPLEMENT PAYS:

YOU PAY:

  • 75% of Doctor office visits
  • 75% of Hospitalization
  • 75% Prescriptions
  • 25% of Doctor office visits
  • 25% of Hospitalization
  • 25% of Prescriptions
  • $0
  • $0
  • $0

PRE-EXISTING CONDITIONS COVERED

(exclusions and limitations apply)

HIGHLIGHTS


  • Pre-existing conditions covered
  • 100% of Hospitalization
  • 100% of Doctor’s Office visits
  • 100% of Prescriptions
  • Most any doctor or hospital
  • No referrals necessary
  • Non availability statement no longer necessary

HELPFUL TIPS


  • FINAL REGULATION EXCERPT- One commenter asked if active civil service employees could suspend their FEHB coverage to use TRlCARE or TRlCARE-for-Life. The regulation does not allow employees to suspend their coverage. This is because employees have always had the option of canceling their coverage with the right to reenroll in the FEHB Program during a future Open Season, or immediately if they involuntarily lose TRICARE coverage. In the past, annuitants, survivors, and former spouses never had the option to reenroll in the F EHB Program after leaving for TRlCARE. Our new regulation creates this authority.
  • TRICARE and MEDICARE are Sister Programs and pay the Doctors nearly identically
  • The Doctors’ Office uses the Same Claim Form for TRICARE and MEDICARE
  • By Federal Law, if a Hospital accepts MEDICARE, it is mandatory due to Federal Funding Requirements that they accept TRICARE.