All current military spouses are entitiled to Free Medical Benefits through TRICARE. Most people agree that TRICARE is the most confusing benefit that is offered from the military. As you can see, there are three different TRICARE plans and the table below will give you a short description of each and in the next few blogs I will further explain them.
Eligible Active Duty, Guard and Reserve Family Members:
TRICARE Prime | TRICARE Extra | TRICARE Standard | |
Annual Deductible | None | $150/individual or $300/family for E-5 & above; $50/$100 for E-4 & below | $150/individual or $300/family for E-5 & above; $50/100 E-4 below |
Annual Enrollment Fee | None | None | None |
Civilian Outpatient Visit | No Cost | 15% of negotiated fee | 20% of allowed charges for covered service |
Civilian Inpatient Admission | No Cost | Greater of $25 or $14.35/day | Greater of $25 or $14.35/day |
Civilian Inpatient Behavioral Health | No Cost | Greater of $20 per day or $25 per admission | Greater of $20 per day or $25 per admission |
Civilian Inpatient Skilled Nursing Facility Care | $0 per diem charge per admission | $11/day ($25 minimum) Charge per admission | $11/day ($25 minimum) Charge per admission |
No separate co-payment/cost-share for separately billed professional charges |
0 comments:
Post a Comment