Sponsor
The uniformed service member - either active duty, retired or deceased - whose relationship to you (spouse, parent, etc.)
makes you eligible for TRICARE
Beneficiary
Family members of active duty military personnel and military retirees and their families who are eligible for TRICARE benefits.
Health Maintenance Organization (HMO)
An HMO is a "prepaid" plan (such as TRICARE Prime) that uses a highly qualified, select network of health care providers. An
HMO usually offers a full range of services, and often emphasizes preventive care.
Preferred Provider Organization (PPO)
A PPO (such as TRICARE Extra) is a network of health care providers who agree to provide patient care at a
discounted or fixed cost to a health plan or beneficiaries in order to be a part of the network of providers. Generally,
beneficiaries can choose from any of the providers' in the network.
Basic Insurance
Insurance that usually carries a deductible and pays benefits according to a percentage plan. This could be any plan this is not a PPO or HMO.
Medicare
The national health program through which certain medical and hospital expenses are paid for from
Federal (mainly Social Security) funds. The program is open to individuals over the age of 65 and individuals with
permanent disabilities. If you are eligible for Part A, you must purchase Part B to retain TRICARE eligibility unless
your sponsor is active duty.
Medicare Supplement
Medicare supplement insurance, also called a Medigap policy, is a health insurance policy sold by private
insurance companies to help you pay the medical costs the Original Medicare Plan does not cover. Medigap policies may
be offered by organizations like USAA, TROA and AARP. Through supplemental insurance, you may be able to get
extra benefits like prescription drugs or additional days in the hospital
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Privacy Act Statment
Authority: 10 U.S.C. Section 1086(d); 10 U.S.C Section 1095; and E.O. 9397.
Purpose: Information provided is used to update your entitlement in the TRICARE
program and to check of correct our records with respect to your Medicare and other
health insurance coverage.
Routine Use(s): To the Social Security Administration to verify an applicant's eligibility,
to the Department of Health and Human Services consistent with their statutory responsibilities
for monitoring Government health care programs; and, to health insurance providers for coordination
of coverage benefits.
Disclosure: Voluntary; however, failure to provide requested information may cause delay in payment of your medical claims.
Agency Disclosure Notice
The public reporting burden for this collection of information is estimated to average five
minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed and completing and reviewing the collection
of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestings for reducing the burden to DoD, Washington Headquarters Services,
Directorate of Information Operations and Reports (0720-0025), 1215 Jefferson Davis Highway, Suite 1204,
Arlington, VA, 22202-4302. Respondents should be aware that notwithstanding any other provision of law,
no person shall be subject to any penalty for failing to comply with a collection of information if it
does not display a currently valid OMB control number.
If you have questions about this form, please call
TriWest Healthcare Alliance, Corp
at 1-888-TRIWEST (874-9378).
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