CHAM MEDICARE PRACTICE SET
2026 TESTED QUESTIONS AND
CORRECT SOLUTIONS
◉ TRICARE. Answer: Name the Dept. of Defense's health insurance
plan for military personnel and their families
◉ DEERS. Answer: Where is information about TRICARE patient
eligibility stored?
◉ CHAMPUS. Answer: What program did TRICARE replace?
◉ military hospitals and a network of civilian facilities and providers.
Answer: Identify the two groups brought together by TRICARE to offer
increased access to health care services
◉ Navy
PHS
NOAA
ANSWER: all are eligible. Answer: Which of the following uniformed
services is eligible for TRICARE without restrictions?
◉ the information is protected by the HIPAA Privacy Act. Answer:
Why can't providers contact DEERS directly regarding sponsors?
, ◉ the sponsor's grade, branch of service, and status. Answer: When
creating TRICARE patient cases in a PMP, what information is
included?
◉ all military hospitals, clinics, and treatment facilities. Answer: What
makes up the TRICARE system?
◉ the Army. Answer: Which of the following could make a decision
about eligibility in TRICARE?
◉ the expiration date. Answer: What should be checked on a patient's
military id card to confirm it is valid?
◉ authorized. Answer: TRICARE will only pay for services that are
rendered by ________ providers
◉ 115. Answer: If a provider chooses not to participate in TRICARE,
they may charge no more than _________ percent of the allowable
charge
◉ cost-share. Answer: What is the TRICARE term for co-insurance??
◉ $460. Answer: A non-participating provider in TRICARE sees a
patient and provides services for three allowed charges that total $400.
Calculate the maximum amount they may charge the patient
2026 TESTED QUESTIONS AND
CORRECT SOLUTIONS
◉ TRICARE. Answer: Name the Dept. of Defense's health insurance
plan for military personnel and their families
◉ DEERS. Answer: Where is information about TRICARE patient
eligibility stored?
◉ CHAMPUS. Answer: What program did TRICARE replace?
◉ military hospitals and a network of civilian facilities and providers.
Answer: Identify the two groups brought together by TRICARE to offer
increased access to health care services
◉ Navy
PHS
NOAA
ANSWER: all are eligible. Answer: Which of the following uniformed
services is eligible for TRICARE without restrictions?
◉ the information is protected by the HIPAA Privacy Act. Answer:
Why can't providers contact DEERS directly regarding sponsors?
, ◉ the sponsor's grade, branch of service, and status. Answer: When
creating TRICARE patient cases in a PMP, what information is
included?
◉ all military hospitals, clinics, and treatment facilities. Answer: What
makes up the TRICARE system?
◉ the Army. Answer: Which of the following could make a decision
about eligibility in TRICARE?
◉ the expiration date. Answer: What should be checked on a patient's
military id card to confirm it is valid?
◉ authorized. Answer: TRICARE will only pay for services that are
rendered by ________ providers
◉ 115. Answer: If a provider chooses not to participate in TRICARE,
they may charge no more than _________ percent of the allowable
charge
◉ cost-share. Answer: What is the TRICARE term for co-insurance??
◉ $460. Answer: A non-participating provider in TRICARE sees a
patient and provides services for three allowed charges that total $400.
Calculate the maximum amount they may charge the patient
