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Tricare For Life Benefits Handbook

Tricare For Life Benefits Handbook

Tricare For Life Benefits Handbook – Focus Presenters: To ensure TRICARE beneficiaries receive the most up-to-date information about their health benefits; You should visit the latest version of all explanations before each presentation. Assignments are constantly updated as objectives change. Presenter Tips: Review the abstract with notes before your presentation. Remove slides that are not relevant to your audience. Review other important information slides and pricing information slides to identify additional slides to include in your presentation. Start the summary in the “slide show” setting for your presentation. TRICARE Resources: To view TRICARE educational materials; To print or download visit Recommended sources: TRICARE; TRICARE and Medicare Alternate 65 Brochure; TRICARE and Medicare under 65 brochure; and an overview of TRICARE programs. Estimated Briefing Time: 30 minutes Target Audience: Eligible TRICARE Dual Beneficiaries Informational Objectives: Provide an overview of TRICARE and Medicare utilization. Inform beneficiaries about TRICARE for Life. Optional Presenter Note: Welcome to the Using TRICARE and Medicare Information section. The purpose of today’s presentation is to provide information about using TRICARE when you are eligible for Medicare. Contact information will be provided at the end of this presentation.

2 Today’s Agenda During today’s briefing, what is TRICARE? TRICARE and Medicare eligibility; TRICARE for Life and TRICARE program options will be discussed. We also cover other important information about the Affordable Care Act. Finally, We provide resources for getting help and finding answers to additional questions. To learn more about TRICARE options; to receive TRICARE news and publications; Sign up to sign up for beneficial correspondence. Check in.

Table of Contents

Tricare For Life Benefits Handbook

TRICARE is available worldwide and administered locally. There are two TRICARE regions in the United States—TRICARE East and TRICARE West—and one overseas region with three regions—TRICARE Eurasia-Africa. TRICARE Latin America and Canada and TRICARE Pacific Region. Benefits are the same no matter where you live, but each region has different customer service contacts. Health Net Federal Services, LLC administers benefits in the West Region and Humana Military administers benefits in the East Region. Both local contractors are customer service; health, including processing claims and prior authorization for certain health care services; Regional contractors work with the military health system to provide medical and administrative support. Contact information for each region is provided at the end of this presentation.

Prince George County Public Schools 2023 Booklet 23 24py By Pierce Group Benefits

The TRICARE Overseas Program (or TOP) is the Department of Defense’s health care program for eligible beneficiaries who live in geographic areas and territorial waters outside the United States. TRICARE Latin America and Canada, an overseas region divided into three geographic regions; TRICARE Eurasia-Africa and TRICARE Pacific Region. International SOS Government Services, Inc., or International SOS, is the regional contractor that administers TOP benefits. Contact information for your area is provided at the end of this presentation.

Wisconsin Physicians Service-Military and Veterans Health, or WPS, provides TRICARE for Life, or TFL, in American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. America and America have virgins. It benefits the areas. Islands. WPS provides customer service and claims processing for Medicare Part A and/or Medicare Part B beneficiaries. This means that when you submit claims, Medicare pays its portion, sends the claim to WPS, and WPS coordinates your services with TRICARE. If you have other health insurance or OHI After Medicare processes the claim and pays their portion, they send your claims to your OHI. You are responsible for submitting a claim to WPS for the remaining balance. Check the instructions for submitting requests. The WPS should be your primary contact for customer service needs related to TRICARE. For more information about WPS, Call or visit International SOS, which manages TFL benefits abroad. For more information, Contact information is provided at the end of this presentation.

To show eligibility for TRICARE, you must register with the Defense Enrollment Eligibility Reporting System, or DEERS. DEERS is a worldwide database of service members and dependents. Once you are enrolled in DEERS and deemed eligible, you will be issued a Uniform Service Identification or ID card. serving members; Retired service members and members of the National Guard and Reserve are automatically enrolled in DEERS. These people are called sponsors. Sponsors must enroll their family members in DEERS. If there is no sponsor. A sponsor-designated person with a valid power of attorney can add family members to DEERS. to enroll family members; Sponsors must visit an ID card issuing facility. A marriage contract in search of a building. Appropriate documentation such as birth certificates and/or adoption papers is required. Once registered, family members 18 and older can update their contact information. Note: Your Social Security Number or SSN and the SSNs of each of your covered family members must be entered into DEERS to accurately reflect TRICARE coverage. Especially when you move. You should update your DEERS information immediately when a life-changing event occurs, such as when you get married or divorced, or adopt or have a child. Verify eligibility and update contact information in DEERS This is the Defense Manpower Data Center’s online portal that provides access to DEERS information. updating records by phone or fax; Or you can update by visiting the ID card issuing facility. Appropriate documentation is required. For more information, visit

9 Eligible TRICARE Dual Beneficiaries must have Medicare Part B (Outpatient Services) coverage for TRICARE without reason to qualify for Medicare Part A (Inpatient Services). If you are an active duty service member or ADSM or an active duty family member or ADFM. You do not need to have Medicare Part B to be eligible for TRICARE. If you are ineligible for Medicare based on end-stage renal disease, you may be eligible for a special enrollment period. Your sponsor may receive a special enrollment period based on current employment as an active duty member or within eight months of job loss. This includes death of your sponsor or loss of TRICARE; Which came first? In addition, Medicare Part B TRICARE Young Adult; Enrollment in TRICARE Reserve Select or TRICARE Retirement Reserve or US Family Health Plan is not required. However, These beneficiaries are strongly advised to enroll in Medicare Part B when they become eligible to avoid paying the late enrollment premium. Beneficiaries who would normally receive military hospital and clinic care on an available basis may enroll in TRICARE Plus. TRICARE Plus allows beneficiaries to receive primary care appointments at the military hospital or clinic where they are enrolled. You are enrolled in TRICARE Plus; Without Medicare Part B; If receiving care outside a military hospital or clinic. You are responsible for all costs. Note: When a sponsor retires; Every sponsor and/or dependent who qualifies for premium-free Medicare Part A must have Medicare Part B to be TRICARE eligible. People who do not qualify for premium-free Medicare Part A are not required to have Medicare Part B. However, if you qualify for premium-free Medicare Part A in the future based on your spouse’s earnings history. We recommend that you sign up for Medicare Part B when you first qualify to avoid the late enrollment premium surcharge.

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If you are under 65 and eligible for 24 months of Social Security Disability Insurance. You will be automatically enrolled in Medicare Part A and Part B beginning at 25 months of eligibility. The 24-month waiting period does not apply to benefits with amyotrophic lateral sclerosis, also known as Lou Gehrig’s disease. If you have end-stage kidney disease You must be enrolled in TRICARE to be eligible for Medicare. Medicare begins on the first day of the fourth month of dialysis. If you participate in a home dialysis training program and perform home dialysis treatments, Medicare starts in the first month of dialysis. If you have had a kidney transplant and were admitted as an inpatient for necessary procedures before your transplant, your eligibility begins the month of your transplant.

Five months before your 65th birthday, you will receive a letter from the Defense Manpower Data Center, or DMDC, notifying you that you need to enroll in Medicare. Call the DMDC Support Office for more information or if you do not receive a notification. If your birthday falls on the first day of the month. Your initial enrollment period begins four months before you turn 65. To avoid a break in TRICARE coverage, enroll two months before you turn 65. You are eligible for Medicare on the first of the month before you turn 65. If your birthday falls on a day other than the first of the month; Your initial enrollment period begins three months before you turn 65. Enroll no later than one month before your birth month to avoid interruptions in TRICARE coverage. You are eligible for Medicare on the first day of the month.

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  1. Tricare For Life Benefits HandbookTRICARE is available worldwide and administered locally. There are two TRICARE regions in the United States—TRICARE East and TRICARE West—and one overseas region with three regions—TRICARE Eurasia-Africa. TRICARE Latin America and Canada and TRICARE Pacific Region. Benefits are the same no matter where you live, but each region has different customer service contacts. Health Net Federal Services, LLC administers benefits in the West Region and Humana Military administers benefits in the East Region. Both local contractors are customer service; health, including processing claims and prior authorization for certain health care services; Regional contractors work with the military health system to provide medical and administrative support. Contact information for each region is provided at the end of this presentation.Prince George County Public Schools 2023 Booklet 23 24py By Pierce Group BenefitsThe TRICARE Overseas Program (or TOP) is the Department of Defense's health care program for eligible beneficiaries who live in geographic areas and territorial waters outside the United States. TRICARE Latin America and Canada, an overseas region divided into three geographic regions; TRICARE Eurasia-Africa and TRICARE Pacific Region. International SOS Government Services, Inc., or International SOS, is the regional contractor that administers TOP benefits. Contact information for your area is provided at the end of this presentation.Wisconsin Physicians Service-Military and Veterans Health, or WPS, provides TRICARE for Life, or TFL, in American Samoa, Guam, the Northern Mariana Islands, Puerto Rico and the U.S. America and America have virgins. It benefits the areas. Islands. WPS provides customer service and claims processing for Medicare Part A and/or Medicare Part B beneficiaries. This means that when you submit claims, Medicare pays its portion, sends the claim to WPS, and WPS coordinates your services with TRICARE. If you have other health insurance or OHI After Medicare processes the claim and pays their portion, they send your claims to your OHI. You are responsible for submitting a claim to WPS for the remaining balance. Check the instructions for submitting requests. The WPS should be your primary contact for customer service needs related to TRICARE. For more information about WPS, Call or visit International SOS, which manages TFL benefits abroad. For more information, Contact information is provided at the end of this presentation.To show eligibility for TRICARE, you must register with the Defense Enrollment Eligibility Reporting System, or DEERS. DEERS is a worldwide database of service members and dependents. Once you are enrolled in DEERS and deemed eligible, you will be issued a Uniform Service Identification or ID card. serving members; Retired service members and members of the National Guard and Reserve are automatically enrolled in DEERS. These people are called sponsors. Sponsors must enroll their family members in DEERS. If there is no sponsor. A sponsor-designated person with a valid power of attorney can add family members to DEERS. to enroll family members; Sponsors must visit an ID card issuing facility. A marriage contract in search of a building. Appropriate documentation such as birth certificates and/or adoption papers is required. Once registered, family members 18 and older can update their contact information. Note: Your Social Security Number or SSN and the SSNs of each of your covered family members must be entered into DEERS to accurately reflect TRICARE coverage. Especially when you move. You should update your DEERS information immediately when a life-changing event occurs, such as when you get married or divorced, or adopt or have a child. Verify eligibility and update contact information in DEERS This is the Defense Manpower Data Center's online portal that provides access to DEERS information. updating records by phone or fax; Or you can update by visiting the ID card issuing facility. Appropriate documentation is required. For more information, visit9 Eligible TRICARE Dual Beneficiaries must have Medicare Part B (Outpatient Services) coverage for TRICARE without reason to qualify for Medicare Part A (Inpatient Services). If you are an active duty service member or ADSM or an active duty family member or ADFM. You do not need to have Medicare Part B to be eligible for TRICARE. If you are ineligible for Medicare based on end-stage renal disease, you may be eligible for a special enrollment period. Your sponsor may receive a special enrollment period based on current employment as an active duty member or within eight months of job loss. This includes death of your sponsor or loss of TRICARE; Which came first? In addition, Medicare Part B TRICARE Young Adult; Enrollment in TRICARE Reserve Select or TRICARE Retirement Reserve or US Family Health Plan is not required. However, These beneficiaries are strongly advised to enroll in Medicare Part B when they become eligible to avoid paying the late enrollment premium. Beneficiaries who would normally receive military hospital and clinic care on an available basis may enroll in TRICARE Plus. TRICARE Plus allows beneficiaries to receive primary care appointments at the military hospital or clinic where they are enrolled. You are enrolled in TRICARE Plus; Without Medicare Part B; If receiving care outside a military hospital or clinic. You are responsible for all costs. Note: When a sponsor retires; Every sponsor and/or dependent who qualifies for premium-free Medicare Part A must have Medicare Part B to be TRICARE eligible. People who do not qualify for premium-free Medicare Part A are not required to have Medicare Part B. However, if you qualify for premium-free Medicare Part A in the future based on your spouse's earnings history. We recommend that you sign up for Medicare Part B when you first qualify to avoid the late enrollment premium surcharge.New To Tricare? Handbook Helps You Learn Your Health Plan Options > Tricare Newsroom > Tricare News