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100
The Catastrophic Cap is ____ for AD familys and ___ for NAD families
What is $1000 for AD, and $3000 for NAD.
100
Well-child visits for children under 6 are considered this kind of service:________ which _______ require Prior Authorization
What is a Clinical Preventive Service and does not
100
Required Tricare coverage for ADSM
What is Tricare Prime/ Prime Remote
100
Business Manager of UHC M&V, Beneficiary and Provider Services
Monica Velazquez
100
Whole number equidistant from 5 & 7
What is 6.
200
The cost for an NAD Prime family member at an ambulatory surgery center
What is $25 copay
200
The Behavioral Health counseling benefit allows for up to ____ visits per fiscal year before an authorization is required. The initial evaluation ___does/does not___ count towards the visits.
what is 8 visits - Does not count towards the 8 visits.
200
This plan allows the beneficiary to manage their own health care and gives them the freedom to seek care from any TRICARE-authorized provider they choose.
What is Tricare Standard/ Extra
200
Site Director of UHC M&V, Colorado Springs, CO
Billy Jo (Jo Ann) Garcia
200
Michael Jackson and Neil Armstrong are both experts at this
What is the moon walk
300
Hospitalization will cost a Standard ADFM how much
What is: cost share is $17.80 per day ($25 minimum charge) after deductible is met
300
This benefit refers to the use of an instrument (endoscope) to examine the interior of an organ or a body cavity. Prior authorization ___is/is not__ required.
What is an endoscopy - Prior authorization is not required.
300
This plan is a Military Treatment Facility (MTF) based program that allows beneficiaries who normally are only able to get care on a space-available basis, to enroll at the MTF for primary care only
What is Tricare Plus
300
Vice President of Call Center Operations UHC M&V
Mark Riddlesworth
300
It can be "left", "right", "center", or "strawberry"
What is Field
400
Point of Service (POS) fees include an individual deductible of _____ followed by a cost share of ____
What is $300 deductible and 50% cost share of the allowed amount.
400
This benefit utilizes information and telecommunications technology to transfer medical information for individual psychotherapy, psychiatric diagnostic interview examination and medication management. It __(does/does not)__ require Prior Authorization.
What is Telemental Health (TMH) - Prior authorizatoin is required.
400
This is a premium-based health plan available worldwide for qualified National Guard members and Selected Reserve members of the Ready Reserve and their families
What is Tricare Reserve Select (TRS)
400
Vice President of Operations UHC M&V
Patrick O 'Brien
400
The average lifespan of these receptor cell groups in the mouth is 8 to 10 days.
What are tastebuds
500
The cost for a NAD Standard member participating in Partial Hospitalization (PHP) at an out of network facility
What is: Cost share is 25% of the allowable charge, plus 25% cost share of allowable separately billed professional charges, after the deductible has been met.
500
This therapy applies a localized vacuum to draw the edges of an open wound together while providing a moist environment conducive to rapid wound healing. Prior authoirzation __is/is not__ required
What is: Negative Pressure Wound Therapy (NPWT) - Prior authorization is required.
500
This plan allows beneficiaries who are not entitled to TRICARE to obtain care in an MTF. The MTF will usually see these individuals on a space-available basis
What is Direct Care
500
President of UHC M&V
John Mateczun
500
Edger Allen Poe referred to ghouls in the 4th section of this poem about objects that jingle, tinkle and clang
What is "The Bells"