Question

Explain one way you would determine which Tricare plan to bill for different patients ?

Answer 1

Tricare plan is a type of health maintenance organization which is made to serve the service people. It comprises of military hospitals and clinics for the healthcare service.

What is Tricare plan?

TRICARE health plans are similar to a health maintenance organization program. Tricare plans generally features the use of military hospitals and clinics for healthcare and substantially the reduction of out-of-pocket costs for the authorized care provided outside the military hospitals and clinics by the TRICARE network providers.

The active duty service members and their families, retired service men and their families, national guard/ reserve members and their families. The plan availability of Tricare depends upon the person being served and where does he/ she lives.

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Answer 2

Answer:

Explanation: TRICARE is the Department of Defense's health insurance plan for military personnel and their families. TRICARE, which includes managed care options, replaced the program known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). TRICARE is a regionally managed health care program that brings the resources of military hospitals together with a network of civilian facilities and providers to offer increased access to health care services. All military treatment facilities, including hospitals and clinics, are part of the TRICARE system. TRICARE also contracts with civilian facilities and physicians to provide more extensive services to beneficiaries.

Members of the following uniformed services and their families are eligible for TRICARE: The Army, Navy, Air Force, Marine Corps, Coast Guard, Public Health Service (PHS), and National Oceanic and Atmospheric Administration (NOAA). Reserve and National Guard personnel become eligible when on active duty for more than thirty consecutive days or when they retire from reserve status at age sixty. The uniformed services member is referred to as a sponsor, since the member's status makes other family members eligible for TRICARE coverage.