1. https://learn.extension.org/events/2397
An Introduction to TRICARE®
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2. Connecting military family service providers
to research and to each other
through innovative online programming
www.extension.org/militaryfamilies
MFLN Intro
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3. Join the Conversation Online!
MFLN Military Caregiving
MFLN Military Caregiving @MFLNMC
MFLN Group https://www.linkedin.com/groups/8409844
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Military Families Learning Network
MFLN Military Caregiving
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4. Asking Questions:
• To ask a question, you can type your questions into the
chat pod to the left of the screen.
• You can also tweet your questions to @MFLNMC
• Submit questions at any time during the presentation.
• We will try to answer questions in real-time or at the
end of the presentation in the order they are received.
• Please make your questions concise to allow other
participants a chance to have their questions answered.
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5. Introduction to TRICARE®
February 2016
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 5

6. Presenter: Lennya Bonivento
∎ Communications Division,
Defense Health Agency
∎ Services as subject matter
expert on the Assistance
Reporting Tool
∎ Provides oversight &
training to customer service
staff responding to TRICARE
beneficiaries, providers and
Military Health System
staff.
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 6

7. Today’s Agenda
• What is TRICARE?
• TRICARE Eligibility
• TRICARE Program Options
• Other Important Information
• For Information and Assistance
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8. What is TRICARE?
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9. TRICARE Stateside Regions
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10. Beneficiary Categories
• Active duty service members
• Active duty family members
• Retired service members (including retired reserve members) and
their families
• National Guard and Reserve members and their family members
• Medal of honor recipients and their family members, survivors, and
eligible former spouses
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11. DEERS & TRICARE
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12. TRICARE Health Plans
Beneficiary Type TRICARE Health Plan Options
Active duty service members • TRICARE Prime®
• TRICARE Prime Remote
Active duty family members • TRICARE Prime
• TRICARE Prime Remote
• TRICARE Standard® and TRICARE Extra
• TRICARE For Life
• TRICARE Young Adult
Retired service members and their
family members, Medal of honor
recipients and their family members,
survivors, and eligible former
spouses
• TRICARE Prime
• TRICARE Standard and TRICARE Extra
• TRICARE For Life
• TRICARE Young Adult
National Guard and Reserve
members and their family members
• TRICARE Reserve Select®
• TRICARE Retired Reserve®
• TRICARE Young Adult
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13. Provider Types
• Military hospitals and clinics
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14. TRICARE Prime
Eligibility
• ADSMs, ADFMs, retirees and their families, survivors, certain former spouses, and
others in Prime Service Areas (PSAs)
Enrollment
• Online via the Beneficiary Web Enrollment Website
(https://www.dmdc.osd.mil/appj/bwe/indexAction.do)
• Phone
• Mail the TRICARE Prime Enrollment Application and PCM Change Form (DD Form
2876) to the regional contractor
Costs
ADSMs and ADFMs:
• No enrollment fees/deductibles
• ADFMs only have copays for
prescriptions
All Others:
• FY16 annual enrollment fee:
• $282.60 for individuals
• $565.20 for families
• Copays for healthcare services and
prescriptions
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15. TRICARE Prime - Moving Made Easy
• Moving within the same region
– Active duty family members
– Retirees and their family members
• Moving to another region
– Active duty family members
– Retirees and their family members
Moving Made Easy Fact Sheet: http://www.tricare.mil/Publications.aspx 15

16. TRICARE Standardand Extra
Eligibility
• Active duty family members, retired service members and their family
members, eligible survivors, eligible former spouses, Medal of Honor
recipients and their family members
Enrollment • Not required
Costs
• Annual outpatient deductible:
• ADFMs (sponsor rank E-4 and below): $50/Individual, $100/Family
• All others: $150/Individual, $300/Family
• Cost-shares:
• ADFMs: 20% TRICARE Standard; 15% TRICARE Extra
• All others: 25% TRICARE Standard; 20% TRICARE Extra
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17. TRICARE & Other Health Insurance
• TRICARE pays after all other health insurance, except for:
– Medicaid
– TRICARE supplements
– State Victims of Crime Compensation Programs
– Other Federal Government Programs identified by the Director,
Defense Health Agency (i.e. Indian Health Service)
• Coordination of benefits
• Active duty service members and other health insurance
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18. TRICARE For Life
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19. TRICARE For Life and Other Health Insurance
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20. TRICARE For Life Region
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21. TRICARE Young Adult
• Qualified young adult dependents until
age 26
• TRICARE Prime and TRICARE Standard
options
• Monthly premiums:
– TRICARE Prime option: $306 per month
– TRICARE Standard option: $228 per month
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22. TRICARE Reserve Select & TRICARE Retired
Reserve
TRICARE Reserve Select
•A premium-based plan
•Available worldwide
•For qualified Selected Reserve
members and their families
•Monthly premiums:
– Member Only: $47.90 per
month
– Member + Family: $210.83 per
month
TRICARE Retired Reserve
•A premium-based plan
•Available worldwide
•For qualified retired reserve
members, their families and
survivors who qualify. Monthly
premiums:
– Member Only: $388.79 per
month
– Member + Family: $957.44 per
month
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23. TRICARE Pharmacy Program
TRICARE Formulary Search Tool: https://www.express-scripts.com/static/formularySearch
Costs in the U.S and U.S Territories (Guam, Puerto Rico, the Northern Mariana Islands, American Samoa, and the U.S. Virgin Islands)
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24. TRICARE & The Affordable Care Act
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25. TRICARE Healthcare Claims
Who Files?
• Network providers
• Non-network providers
Filing Deadlines
• United States and U.S. Territories
• Active duty service members’ claims
Submitting Claims
• TRICARE For Life - send claims to the TRICARE For Life contractor
•All other plans - send claims to the claims address for the region
where the beneficiary lives
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26. Resources
Stateside Regional Contractors
TRICARE North Region
Health Net Federal Services
1-877-TRICARE (1-877-874-2273)
www.hnfs.com
TRICARE South Region
Humana Military Healthcare Services
1-800-444-5445
www.humana-military.com
TRICARE West Region
UnitedHealthcare Military & Veterans
1-877-988-WEST (1-877-988-9378)
www.uhcmilitarywest.com
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27. Resources (cont.)
Overseas Regional Contractor
International SOS Assistance, Inc.
Eurasia-Africa Area
+44-20-8762-8384
Stateside: 1-877-678-1207
Latin America & Canada Area
+1-215-942-8393
Stateside: 1-877-451-8659
Pacific Area
Singapore: +65-6339-2676
Stateside: 1-877-678-1208
Sydney: +61-2-9273-2710
Stateside: 1-877-678-1209
www.tricare-overseas.com
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28. Resources (cont.)
TRICARE For Life Contractor
Express Scripts, Inc.
1-877-363-1303
www.express-scripts.com/TRICARE
TRICARE Pharmacy Program
Wisconsin Physicians Service
1-866-773-0404
www.tricare4u.com
TRICARE Web site
www.tricare.mil
TRICARE Contacts
www.tricare.mil/contacts
TRICARE University
www.tricare.mil/tricareu
www.tricare.mil/mediacenter
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29. *Type your response in the chat pod.
What more would you like to
learn about TRICARE®?
““Medically Ready Force…Ready Medical Force”Medically Ready Force…Ready Medical Force” 29

30. Questions
?
Questions
?
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31. Evaluation and Certificate of Completion
MFLN Military Caregiving is offering Continued
Education Credits as well as a certificate of
completion for today’s webinar.
To receive certificate of completion, please
complete the evaluation and post-test at:
https://vte.co1.qualtrics.com/SE/?SID=SV_1yHyRRfZ5HKuNSZ
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32. Military Caregiving Upcoming Event
Test Your Caregiver IQ
• Date: Wednesday, March 9, 2016
• Time: 11:00 a.m. Eastern
• Location: https://learn.extension.org/events/2490
For more information on MFLN Military Caregiving go to:
http://blogs.extension.org/militaryfamilies/military-caregiving/
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33. www.extension.org/62581
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