how many miles is the radius of a military treatment facility's catchment area?

by Stanton Upton Published 2 years ago Updated 2 years ago

roughly 40-mile

What is a catchment area in healthcare?

1. How many miles is the radius of a military treatment facility's catchment area? 40 Program Integrity Office sponsors and dependents of sponsors

What is the catchment area of an MTF?

The catchment area identified in this data consists of a 40 mile radius (i.e. market area) around a current or former inpatient MTF. If the straight line distance from the MTF to a ZIP’s center is 40 miles or less, the ZIP is defined as a catchment ZIP within the MTF’s market area and associated with the MTF’s DMIS ID number.

What determines if I can select a military or network PCM?

How many miles is the radius of a military treatment facility's catchment area? TRICARE Prime Of the TRICARE options, which provides comprehensive health care benefits with the lowest out-of-pocket costs?

How far can I drive to my PCM with TRICARE?

TRICARE Prime beneficiaries can receive care if they reside and work outside a military treatment facility __________ area, which is the region defined by code boundaries within a 40-mile radius of a military treatment facility. catchment.

How many miles is the radius of a military treatment facilities catchment area quizlet?

A military treatment facility(MTF) catchment area is... Defined by code bondaries within a 40-mile radius of an MTF. If a TRICARE Prime beneficiary seeks care from a facility outside of the tratment area without prior approval,the point-of-service option is activated.

Which are located at military treatment facilities to assist beneficiaries in resolving health care collection related issues quizlet?

Located at military treatment facilities (MTFs) to answer questions, help solve health-related problems, and assist beneficiaries in obtaining medical care through TRICARE.

When a TRICARE beneficiary needs treatment that is not available from a military treatment facility What happens?

a certificate issued by a military treatment facility (MTF) that cannot provide needed care to TRICARE Standard beneficiaries and means the beneficiary can seek care from a civilian provider and reimbursement will be approved.

Which users save 5% of their TRICARE Standard cost shares by using health care providers in the TRICARE network?

Understanding Health Insurance, Chapter 16-TRICARE

A	B
TRICARE	health care program for active duty members of the military
TRICARE beneficiary	includes sponsors and dependents of sponsors
TRICARE Extra	allows TRICARE Standard users to save 5% of the cost-shares by using health care providers in the TRICARE network

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What is the name of the entire healthcare system of the US uniformed services?

TRICARE provides health coverage for active duty and retired service members, their families, and survivors. TRICARE is run by the Department of Defense (DoD). CHAMPVA is a VA health program. These two programs are often confused.

Which are located at MTF and are available to answer questions?

Individuals available at a military treatment facility (MTF) to answer questions, help solve healthcare related problems, and assist beneficiaries in obtaining medical care through TRICARE; were previosly called health benefits advisors (HBA).

Can TRICARE Select use military treatment facilities?

You can get care at military hospitals and clinics on a space available basis. If you live near a military hospital or clinic, it should be your first source for treatment, especially for specialty care when available. There is no cost for outpatient services and inpatient services only have a small copayment per day.

Can active duty military go to any emergency room?

Active duty service members enrolled in TRICARE Prime or TRICARE Overseas Program Prime must continue to visit military hospitals and clinics for urgent care. A referral would be required for civilian urgent care. If you reasonably think you have an emergency, go to the nearest emergency room or call 911.Jan 15, 2019

Who receive priority at military treatment facilities?

NATO and other foreign military members who are entitled to care in an MTF, pursuant to an applicable international agreement are in Priority Group 1, for the scope of the services specified in the agreement.

Are TRICARE claims submitted to the TMA?

TRICARE claims are submitted to the TMA. TRICARE Extra is a managed care option similar to a HMO. All active-duty members can enroll in TRICARE Prime or TRICARE Extra. When a patient has a supplemental health plan in addition to TRICARE, the participating provider submits just one claim.

What does TRICARE catastrophic cap mean?

Catastrophic Cap. The catastrophic cap is the most you or your family may pay out of pocket for covered TRICARE health care services each calendar year (including enrollment fees but excluding premiums). It protects you by limiting the amount of out-of- pocket expenses you pay for TRICARE covered medical services.

How do you qualify for TRICARE Select?

Who Can Participate?

Active duty family members.
Retired service members and their families.
Family members of activated. ...
Non-activated Guard/Reserve members and their families who qualify for care under the Transitional Assistance Management Program.
Retired Guard/Reserve members at age 60 and their families.
Survivors.

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Jan 28, 2021

ZIP Codes

Active and discontinued CONUS, U.S. Territory, and Overseas Military codes

TRICARE Health Care Service Region

North (i.e. 17), South (i.e. 18), West (i.e. 19)); Former Lead Agent Regions (i.e. 1-12, AK)); Territories (i.e. 14, 15, PR); NOTE: the official geographic definition of any TRICARE Region is found in the Managed Care Support Contract for that region.

Military Treatment Facilities (MTF)

Current and Former Inpatient MTFs – MTFs are represented by Defense Medical Information System Identification (DMIS ID) numbers (for detailed information about DMIS IDs, visit the DMIS ID Table Home.

Catchment Area

Defined as a health care market area surrounding one or more MTFs. The catchment area identified in this data consists of a 40 mile radius (i.e. market area) around a current or former inpatient MTF.

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