PLANS
CLAIMS
ELIGIBILITY
DENTAL/PHARMACY
MISC.
100

Active-Duty service members are eligible for this plan only 

What is Tricare Prime

100

This is a form beneficiaries use to request medical payment when they file a Tricare claim

What is DD Form 2642 (Patients request for medical payment??

100

This system must have your up-to-date information for you to remain Tricare eligible.

What is DEERS (Defense Enrollment Eligibility Reporting System)?

100

This Dental Plan is available to certain National Guard/Reserve family members and certain non-active duty sponsors 

What is the Tricare Dental Program (TDP)

100

This form is required for new sponsors to registers family members for Tricare benefits

What is DD form 1172

200

This is a self-managed plan 

What is Tricare Select

200

How long do you have to file a Tricare claim in the US or US territories from the date of service or discharge?

What is one year

200

To qualify for Tricare for Life you must be enrolled in this federal health insurance program.

What is Medicare Parts A and B 

200

This group of beneficiaries does not pay copays for covered prescription Medication

What is Active-Duty Service Members

200

In this country delivery of prescriptions through Tricare is not available at all 

What is Germany

300

This plan serves retired service members and their family members who are eligible for Medicare part A and B

What is Tricare for Life 

300

If you receive care overseas (Outside of the US or US territories), This is the maximum time you have to submit a claim. 

What is Three years

300

Children of active duty or retired sponsors lose regular Tricare coverage at this age unless full time students 

What is 21 or 23 if full time students.

300

After 2 refills of a maintenance drug at a retail pharmacy Tricare requires that you use one of these two options 

What are Tricare home delivery or a Military Pharmacy?

300

This group must wait until Retirement to enroll in FEDVIP Vision.

Who are Active-duty service members

400

This temporary coverage plan is offered for 180 days after separating from Active duty (if certain conditions are met)

What is Transistional assistance management program (TAMP)

400

When submitting a claim for DME, Tricare requires this additional documentation beyond the standard claim

What is a physician's prescription and a detailed itemized invoice or receipt

400

This program provides extended Tricare coverage for former dependents and adult children after loss of eligibility.

What is CHCBP (Continued Health Benefits Program)?

400

This dental coverage is available to retirees and survivors, but its outside the standard Tricare system

What FEDVIP (Federal Employees Dental and vison Insurance Program)?

400

This status change usually immediately ends Tricare coverage for most family members.

What is Divorce

500

This plan offers primary care access at certain MTF'S for those not enrolled in Prime and only if the facility has compacity- it does not include specialty care.

What Tricare Plus 

500

Tricare Select beneficiaries who see non network, non-participating providers must submit their own claims and ensure that these two items are included with the submission

What is Itemized bill and proof of payment?

500

National guard and Reserve family members are eligible for this plan when their sponsor is not on active duty?

What is Tricare Reserve Select

500

What is the max supply of medication you can get from a retail pharmacy?

What is the 30day supply?

500

A Tricare beneficiary who voluntarily cancels their FEDVIP vision or dental coverage outside of open season will face this penalty period during which they cannot reenroll. 

What is a 12-month Lockout Period?