WK 3 MCB 303 questions well answered
to pass already passed
MTF (military treatment facility) - correct answer ✔✔Military Treatment Facility
provider of medical services for members and dependents of the uniformed services.
PCM - correct answer ✔✔
TRICARE standard - correct answer ✔✔government health program serving dependents of
active-duty service members, military retirees and their families, some former spouses, and
survivors of deceased military members.
TRICARE Prime - correct answer ✔✔basic managed care health plan:
After enrollment, each individual is assigned a Primary Care Manager (PCM), a provider who
coordinates and manages the care of TRICARE beneficiaries.
In addition to benefits offered by TRICARE Standard, Prime offers additional preventive care,
including routine physical examinations.
No deductible and no payment required for active-duty family members.
TRICARE Extra - correct answer ✔✔
TRICARE for life - correct answer ✔✔program for beneficiaries who are both Medicare and
TRICARE eligible:
Individuals age sixty-five and over who are eligible for both Medicare and TRICARE may
continue to receive healthcare at military treatment facilities.
Must be enrolled in Medicare Parts A and B.
, Submit claim to primary insurance first (TRICARE for Life is a secondary payer):
When Medicare is the other insurance, the secondary claim is automatically crossed over to
TRICARE For Life.
With other primary insurance, a secondary claim must be submitted to TRICARE For Life along
with the other health insurance's EOB statement.
CHAMPUS - correct answer ✔✔Civilian Health and Medical Program of the Uniformed Services
Now the TRICARE program.
Not to be confused with CHAMPVA.
CHAMPVA - correct answer ✔✔Civilian Health and Medical Program of the Department of
Veterans Affairs
Program that shares healthcare costs for families of veterans with 100 percent service-
connected disabilities and the surviving spouses and children of veterans who die from service-
connected disabilities.
Healthcare expenses are shared between the Department of Veterans Affairs (VA) and the
beneficiary.
Medical staff must check the CHAMPVA Authorization Card, or A-card, and photocopy both
sides for EHRs.
Covers most necessary medical services.
CHAMPVA is usually the secondary payer.
TMAC - correct answer ✔✔
QIC - correct answer ✔✔
to pass already passed
MTF (military treatment facility) - correct answer ✔✔Military Treatment Facility
provider of medical services for members and dependents of the uniformed services.
PCM - correct answer ✔✔
TRICARE standard - correct answer ✔✔government health program serving dependents of
active-duty service members, military retirees and their families, some former spouses, and
survivors of deceased military members.
TRICARE Prime - correct answer ✔✔basic managed care health plan:
After enrollment, each individual is assigned a Primary Care Manager (PCM), a provider who
coordinates and manages the care of TRICARE beneficiaries.
In addition to benefits offered by TRICARE Standard, Prime offers additional preventive care,
including routine physical examinations.
No deductible and no payment required for active-duty family members.
TRICARE Extra - correct answer ✔✔
TRICARE for life - correct answer ✔✔program for beneficiaries who are both Medicare and
TRICARE eligible:
Individuals age sixty-five and over who are eligible for both Medicare and TRICARE may
continue to receive healthcare at military treatment facilities.
Must be enrolled in Medicare Parts A and B.
, Submit claim to primary insurance first (TRICARE for Life is a secondary payer):
When Medicare is the other insurance, the secondary claim is automatically crossed over to
TRICARE For Life.
With other primary insurance, a secondary claim must be submitted to TRICARE For Life along
with the other health insurance's EOB statement.
CHAMPUS - correct answer ✔✔Civilian Health and Medical Program of the Uniformed Services
Now the TRICARE program.
Not to be confused with CHAMPVA.
CHAMPVA - correct answer ✔✔Civilian Health and Medical Program of the Department of
Veterans Affairs
Program that shares healthcare costs for families of veterans with 100 percent service-
connected disabilities and the surviving spouses and children of veterans who die from service-
connected disabilities.
Healthcare expenses are shared between the Department of Veterans Affairs (VA) and the
beneficiary.
Medical staff must check the CHAMPVA Authorization Card, or A-card, and photocopy both
sides for EHRs.
Covers most necessary medical services.
CHAMPVA is usually the secondary payer.
TMAC - correct answer ✔✔
QIC - correct answer ✔✔
