Chapter 14 TRICARE and CHAMPVA
questions with verified answers graded
A+ already passed
CHAMPUS - correct answer ✔✔Replaced by Tricare in 1994.
CHAMPVA - correct answer ✔✔Provides health coverage for family members and survivors of
veterans with 100% service-related disability (or death), who aren't eligible for Tricare.
Tricare Cost-Share - correct answer ✔✔The Tricare term for co-insurance
Tricare Limiting Charge - correct answer ✔✔Non-PARS can only charge 115% of the allowed
amount.
Military Treatment Facilities(MTF) - correct answer ✔✔Located on bases or posts, these
facilities are the core of the Tricare heathcare delivery system.
Non-Availability Statement (NAS) - correct answer ✔✔Form required for some Tricare members
to report that civilian care is being utilized because MTF care is unavailable.
Tricare For Life(TFL) - correct answer ✔✔Medicare Supplement for Tricare Members. Any
Tricare plan automatically converts to TFL when the beneficiary becomes eligible for Medicare.
Tricare Extra - correct answer ✔✔PPO style plan (upgrade) for Tricare dependents and Retirees.
Care must be received from a PAR provider.
Tricare Prime - correct answer ✔✔HMO-style benefit plan for active duty service members
,Tricare Prime Remote - correct answer ✔✔Tricare plan for active duty service members
stationed over 50 miles from a MTF.
Tricare Program - correct answer ✔✔Federal health insurance for active and retired members of
the Uniformed Services and their dependents.
Tricare's Fiscal Year - correct answer ✔✔Oct 1 - Sept 30 (Including for patient annual
deductibles.)
Tricare's Physician Network - correct answer ✔✔Includes MTF care PLUS civilian PARS and Non-
PAR providers.
Tricare Sponsor - correct answer ✔✔The active duty or retired uniformed service member who
is eligible for benefits for themself and or their family members.
Tricare Standard - correct answer ✔✔Fee-for-service plan (upgrade) for Tricare dependents and
retirees. In and out-of-network care is available.
Uniformed Services - correct answer ✔✔Army, Navy, Marine Corps, Air Force, Coast Guard,
National Oceanic and Atmospheric Administration, Public Health Service
Individuals who qualify for TRICARE are known as subscribers. - correct answer ✔✔False
A person retired from a career in the Armed Forces is eligible for TRICARE until 65 years of age. -
correct answer ✔✔True
An NAS certification is required for all TRICARE Standard, TRICARE Extra, and CHAMPVA
beneficiaries who wish to receive treatment as inpatients at a civilian hospital and who live
, within a catchment area surrounding a Uniformed Services medical treatment facility. - correct
answer ✔✔False
The NAS is required for outpatient services that are within the catchment area. - correct answer
✔✔False
All dependents 10 years of age or older are required to have a military identification card for
TRICARE - correct answer ✔✔True
A partnership program permits TRICARE-eligible people to receive inpatient treatment from
civilian providers of care in a military hospital. - correct answer ✔✔True
A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries. -
correct answer ✔✔True
Providers may choose to accept TRICARE assignment on a case-by-case basis. - correct answer
✔✔True
In the TRICARE Extra plan, the individual enrolls yearly and pays an annual fee. - correct answer
✔✔False
Enrollment in TRICARE Prime is voluntary. - correct answer ✔✔True
Active duty service members are eligible for TRICARE Extra. - correct answer ✔✔False
All Privacy Act requests from patients must be made in writing. - correct answer ✔✔False
TRICARE is subject to state regulatory agencies that control insurance policies. - correct answer
✔✔False
questions with verified answers graded
A+ already passed
CHAMPUS - correct answer ✔✔Replaced by Tricare in 1994.
CHAMPVA - correct answer ✔✔Provides health coverage for family members and survivors of
veterans with 100% service-related disability (or death), who aren't eligible for Tricare.
Tricare Cost-Share - correct answer ✔✔The Tricare term for co-insurance
Tricare Limiting Charge - correct answer ✔✔Non-PARS can only charge 115% of the allowed
amount.
Military Treatment Facilities(MTF) - correct answer ✔✔Located on bases or posts, these
facilities are the core of the Tricare heathcare delivery system.
Non-Availability Statement (NAS) - correct answer ✔✔Form required for some Tricare members
to report that civilian care is being utilized because MTF care is unavailable.
Tricare For Life(TFL) - correct answer ✔✔Medicare Supplement for Tricare Members. Any
Tricare plan automatically converts to TFL when the beneficiary becomes eligible for Medicare.
Tricare Extra - correct answer ✔✔PPO style plan (upgrade) for Tricare dependents and Retirees.
Care must be received from a PAR provider.
Tricare Prime - correct answer ✔✔HMO-style benefit plan for active duty service members
,Tricare Prime Remote - correct answer ✔✔Tricare plan for active duty service members
stationed over 50 miles from a MTF.
Tricare Program - correct answer ✔✔Federal health insurance for active and retired members of
the Uniformed Services and their dependents.
Tricare's Fiscal Year - correct answer ✔✔Oct 1 - Sept 30 (Including for patient annual
deductibles.)
Tricare's Physician Network - correct answer ✔✔Includes MTF care PLUS civilian PARS and Non-
PAR providers.
Tricare Sponsor - correct answer ✔✔The active duty or retired uniformed service member who
is eligible for benefits for themself and or their family members.
Tricare Standard - correct answer ✔✔Fee-for-service plan (upgrade) for Tricare dependents and
retirees. In and out-of-network care is available.
Uniformed Services - correct answer ✔✔Army, Navy, Marine Corps, Air Force, Coast Guard,
National Oceanic and Atmospheric Administration, Public Health Service
Individuals who qualify for TRICARE are known as subscribers. - correct answer ✔✔False
A person retired from a career in the Armed Forces is eligible for TRICARE until 65 years of age. -
correct answer ✔✔True
An NAS certification is required for all TRICARE Standard, TRICARE Extra, and CHAMPVA
beneficiaries who wish to receive treatment as inpatients at a civilian hospital and who live
, within a catchment area surrounding a Uniformed Services medical treatment facility. - correct
answer ✔✔False
The NAS is required for outpatient services that are within the catchment area. - correct answer
✔✔False
All dependents 10 years of age or older are required to have a military identification card for
TRICARE - correct answer ✔✔True
A partnership program permits TRICARE-eligible people to receive inpatient treatment from
civilian providers of care in a military hospital. - correct answer ✔✔True
A certified nurse midwife is an authorized provider of health care for TRICARE beneficiaries. -
correct answer ✔✔True
Providers may choose to accept TRICARE assignment on a case-by-case basis. - correct answer
✔✔True
In the TRICARE Extra plan, the individual enrolls yearly and pays an annual fee. - correct answer
✔✔False
Enrollment in TRICARE Prime is voluntary. - correct answer ✔✔True
Active duty service members are eligible for TRICARE Extra. - correct answer ✔✔False
All Privacy Act requests from patients must be made in writing. - correct answer ✔✔False
TRICARE is subject to state regulatory agencies that control insurance policies. - correct answer
✔✔False
