Lrc Health Insurance: Tricare Essay

1187 words - 5 pages

LRC Health Insurance: Tricare
Ali Leach
Coding Classifications & Reimbursement Systems, MDA1305
Vicki Snyder
May 1, 2014

TRICARE formerly known as CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) is a federal healthcare program implemented in 1967 for active duty military members and their dependent family members. TRICARE is also for retirees of the military and their dependent family members and for survivors of soldiers who died while serving. U.S. uniform services include: Army, Navy, Air force, Marines, Coast Guard, Public Health Service, and National Oceanic and Atmospheric Administration (NOAA) (Rowell, J. A. (1997). TRICARE was created to expand health care access, ensure quality of care, control health care costs, and improve medical readiness for soldiers (Rowell, J. A. (1997). There are four regions of TRICARE: North, West, and South in the United States and one for those overseas.
There are three options to TRICARE: TRICARE Prime is a managed care (Fee for Service) option guaranteeing priority access to care at military treatment facilities (ie: base health facilities and the VA) with costly fees if care is sought outside the Prime network. TRICARE Prime is also the most comprehensive of the healthcare benefits of the three with the lowest cost (Rowell, J. A. (1997). Those who are eligible for this option are active-duty military personnel, family to the sponsor who are active-duty, and retirees and their family all whom are under age 65 (Rowell, J. A. (1997). TRICARE Extra allows users of TRICARE Standard save 5 percent while going to any network doctor, hospital or other provider just by presenting their CAC (military personnel’s ID card called common access card). However, there is a lower priority for these users at military treatment facilities on a space availability basis and more expensive than TRICARE Prime but is less costly than Standard alone and there is a choice of any physician within the network and an enrollment fee is not required. Those who are eligible for this TRICARE option are military personnel and their families whose regular physician is a participating provider of TRICARE Extra and those who do not have access to military treatment facilities (example: those in the National Guard, Reserves, or those who do not live on base, those who are retired) and want reduced health care costs with TRICARE Standard (Rowell, J. A. (1997). The last TRICARE option is TRICARE Standard which was originally CHAMPUS. To use Standard, the enrollee must make an appointment at a TRICARE-certified civilian healthcare provider (fee for service) or they must make an appointment at a military treatment facility (Rowell, J. A. (1997). With TRICARE standard it is the highest cost but gives the enrollee more freedom for seeking civilian providers with no enrollment fees. TRICARE Standard is available to those military personnel, their families and retirees.
TRICARES’s three options,...

Find Another Essay On LRC Health Insurance: Tricare

Veteran Specific Healthcare Essay

1621 words - 7 pages life at the moment. Being in the service does allow for you to purchase insurance that will allow you to be seen by other hospitals if they accept it, just like any other insurance. This insurance is Tricare, there are many versions of it and most service members get well acquainted with it as it is the same government paid insurance you receive while in the military. I mention this also due to the most recent political events that charge a fine

Healthcare Policy Essay

1257 words - 6 pages is many things and comes in many types. There is Medicare, Medicade, Tricare, Soonercare, and many more. Each of these different medical plans have their own set of requirements that one has to fulfill to be able to use them. A lot use age to really satisfy who can have them. Soonercare is for mainly children but they do let some adults use it. Mainly women who are pregnant. “The American approach to health care is a patchwork of many complex

join the army

899 words - 4 pages and clinics. The official military health insurance provider is Tricare. It is available for all soldiers and retired veterans. With the health insurance costs of today this benefit alone can save someone with a family thousand of dollars a year. The Army also provides job training. A lot of the skills and on the job training I received in the Army I can use in the civilian job market. The Army has numerous job fields called Military

A Walk Through of the New Office

982 words - 4 pages patients, all the while providing a comforting environment. In conjunction with our state-of-the-art equipment, we would use an electronic health record system. This offers swift response from office staff regarding records transfers, insurance, and collections, among many other tasks. Here, patient data and diagnostics can be immediately integrated into their electronic record,” eliminating the need to import this data through a secondary interface

The Significance of the Liberal Election Victory of 1906

2655 words - 11 pages in constituencies, so they would not split the vote and allow the Conservatives the possibility to win. This pact was only discovered in the 1950s when Gladstone’s papers became available in the British Library. This pact helped gain seats for both parties. The LRC won Liverpool and south Lancashire from the Conservatives, among others. This arrangement is illegal today. Another significance of the election victory

The Key Function of Government

1008 words - 4 pages 400. Their manifesto promised to protect “free trade”, as opposed to the Conservative policy of tariffs. Social reforms, even if planned, were not mentioned. Nevertheless, between 1906 and 1914, the Liberals made a series of welfare reforms including the first state pension, national health insurance system and unemployment legislation. The 1906 election was notable for another reason. The emerging Labour party

IVF: Should it be used?

1241 words - 5 pages partly paralyzed arm, the two sought out fertility treatment, something that Tricare, their insurance, did not cover. The two had pressed on, and Sargent Karen Matayka had gotten pregnant with twin boys. Their struggle was a start; people now are able to have children despite a physical disability such the loss of their legs and spinal injuries. Couples can use IVF to have children of their own, even if their spouse is wheelchair bound or bed

Biological, Nuclear and Radiological Attacks

1432 words - 6 pages even has a program that gives one a weekly allowance for outside housing costs and free housing on base for officer and enlisted personnel. The GI bill is most important however because it can pay off for higher learning in college such as Master’s programs and PHD programs which can help further one’s understanding of one’s job(Paradis). Also if Active duty one gets their health care covered by the military in a program called TRICARE which

In-Vitro-Fertilization: Should it be Used?

1463 words - 6 pages writer for Navy Times wrote about Army Staff Sgt. Ed Matayka and his wife, Sgt. Karen Matayka (2013), Staff Sargent Matayka had been gravely injured during a tour in Afghanistan, losing both of his legs above the knee, spinal injuries in two places, and brain trauma. Because of this incident, after Staff Sargent’s recovery, leaving him without his legs and a partly paralyzed arm, the two sought out fertility treatment, something that Tricare, their

Financial Analysis of Alternatives to Different Companies

4433 words - 18 pages through HMOs and PPOs. The company also serves Medicare and Medicaid patients and provides dental, group life, and disability insurance. In addition to these products, Humana provides health care coverage to military personnel and their families through its TRICARE unit. Humana has over 7 million medical plan members in 18 states and Puerto Rico (Greene, 1997).Restructuring is more likely to be successful when managers first understand the

Domestic Violence in Lesbian Relationships

4751 words - 19 pages , prison, etc., personnel should be allowed to administer. Physical punishment for law or rule breakers has strong support. The U.S. is one of the few industrialized countries in the world that has no universal health insurance, no state supported childcare for every child who needs it, and that allows the death penalty. A FEW OF THE FORCES AND BELIEFS THAT SHAPE US AS A NATION AND AS INDIVIDUALS, PARTICULARLY REGARDING INTIMATE RELATIONSHIPS

Similar Essays

How Tricare Affects The Military Essay

641 words - 3 pages care program became known as the CHAMPUS in 1966. The responsibility of maintaining the health care initiative within the Military lies upon the U.S. Department of Defense Military Health System, which organized the Tricare Management Activity (TMA). The TMA consists of a contract-structure between several large health insurance corporations to provide claims processing, customer service and other administrative functions to the TRICARE programs

Military Health Care Policy: The Success Of Military Health Care

1869 words - 7 pages for each time they see their physician. Another option offered to military beneficiaries is the TRICARE Extra program (Kongstvedt, 2007). This health program is based off of the civilian health care PPO insurance model. This means that enrollees, who qualify to be a part of the TRICARE Standard program, are eligible to use preferred civilian network health care providers. TRICARE Extra is available to all non active members of the military

Benefit, Safety, And Health (Military) Essay

1053 words - 4 pages available to veteran's that can help pay for college, buy a home, purchase life insurance, continue health benefits or find a job.The military services provide a variety of retirement benefits and entitlements to active duty soldiers and their family members preparing for retirement. These services are provided through the military installation Retirement Services Officers (RSO). The military services help service members prepare for a civilian life

Persuasive Essay

803 words - 3 pages coverage. Even when you retire from the services you still are cover for health insurance. The Army offers benefits for Active Duty personnel, Retirees, Reservist & Guard and to certain family members. The Army basically uses Tricare for their services. Tricare offers different programs. Veterans also have certain health benefits. The Department of Veterans Affairs (VA) provides many health benefits for Veterans and family members if they are