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TRICARE Health Program

TRICARE is a major part of the Military Health System that:

  • Combines the resources of military hospitals and clinics with civilian health care networks
  • Offers several health plan options that:
    • Give you access to high-quality health care
    • Meet the requirements for minimum essential coverage under the Affordable Care Act
  • Provides comprehensive health coverage, including prescription drugs
  • Supports military operations and readiness

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Have a #MilKid? Here's how to use TRICARE

Infographic
10/2/2015
Infographic that explains TRICARE coverage for children.

This infographic shows you the steps to take to get TRICARE for your child and highlights your child's benefits from birth to college. Learn more at www.tricare.mil/baby.

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TRICARE Health Program

How a Benefit Becomes Covered by TRICARE

Infographic
9/1/2015
Infographic depicted steps for a benefit to become covered by TRICARE

Shows the step-by-step process of how a benefit becomes covered by TRICARE

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TRICARE Health Program

DoD Directive 6010.04: Healthcare for Uniformed Services Members and Beneficiaries

Policy

This directive reissues DoD Directive (DoDD) 6010.04 (Reference (a)) to update established policy and assigned responsibilities for administering Title 10, United States Code (Reference (b)). It serves as the joint document for administration of healthcare benefits required pursuant to Reference (b), and is issued by the Departments of Defense, Homeland Security, and Health and Human Services

ASD HA Memorandum 14-022 Policy Memorandum to Establish 2015 Premium Rates for the TRICARE Young Adult Program

Policy

TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 111Ob and Title 32, Code of Federal Regulations, Part 199.26. TYA monthly premiums for CY 2015 shall be the rates listed in this document.

Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year

Policy

ASD (HA) Memorandum 14-015 - Establishing TRICARE Reserve Select and TRICARE Retired Reserve Rates for 2015 Calendar Year. This memorandum establishes the Calendar Year 2015 premium rates for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the attachment. This information can be found at www.TRICARE.mil/trs and www.TRICARE.mil/trr.

Procedures on Responsibility of Dispensing Prescriptions at MTF Pharmacies 14-004

Policy

This memorandum clarifies procedures relating to Health Affairs Policy 04-032, "TRICARE Pharmacy Benefit Program Formulary Management," dated December 22, 2004, which remains in effect. Specifically, this memorandum is addressed to all military treatment facility (MTF) providers and pharmacies. It revalidates the requirement for MTFs to provide medications prescribed by MTF providers and restates procedures for obtaining 3rd tier (Nonformulary) and compounded medications for patients treated at MTFs.

Evaluation of the TRICARE Program Fiscal Year 2014 Report to Congress

Report
2/25/2014

The Evaluation of the TRICARE Program: Access, Cost, and Quality, Fiscal Year 2014 Report to Congress is provided by the TRICARE Management Activity (TMA)/Office of the Chief Financial Officer (OCFO)—Defense Health Cost Assessment and Program Evaluation (DHCAPE), in the Office of the Assistant Secretary of Defense (Health Affairs) (OASD/HA).This evaluation report presents results trended over at least the most recent three fiscal years, where programs are mature and data permit. MHS cost, quality, and access data are compared with corresponding comparable civilian benchmarks, such as comparing beneficiary-reported access and experience to results from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey sponsored by the Agency for Healthcare Research and Quality (AHRQ), comparing our quality measures to the national expectations and results of the Joint Commission, and comparing healthrisky behavior to Healthy People 2020 objectives.

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Annual Evaluation of the TRICARE Program | Access, Cost, Quality, and Safety | TRICARE Health Program

Policy Memorandum to Establish 2014 Premium Rates for TRICARE Reserve Select and TRICARE Retired Reserve 13-009

Policy

TRICARE Reserve Select (TRS) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code (U.S.C.), Section (Sec.) 1076d and Title 32, Code of Federal Regulations (CFR), Part 199.24. The TRS monthly premiums for CY 2014 shall be the rates listed in the table inside this document.

Policy Memorandum to Establish 2014 Premium Rates for the Continued Health Care Benefit Program 13-008

Policy

Continued Health Care Benefit Program (CHCBP) premium rates are established annually on a fiscal year (FY) basis in accordance with Title 10, United States Code, Section 1078a and Title 32, Code of Federal Regulations, Part 199.20. CHCBP quarterly premiums for FY 2014 shall be the rates listed in the table in this document

Policy Memorandum to Establish 2014 Premium Rates for the TRICARE Young Adult Program 13-007

Policy

TRICARE Young Adult premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section IIIOb and Title 32, Code of Federal Regulations, Part 199.26. TYA monthly premiums for CY 2014 shall be the rates listed in the table in this document.

Evaluation of the TRICARE Program: Access, Cost, and Quality

Report
3/15/2013

S 1124, NDAA Conference Report for FY 1996, 104-450, Sec. 717

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TRICARE Health Program

Guidelines for Suspension and Reinstatement of TRICARE Reserve Select Coverage 12-009

Policy

This memorandum clarifies the procedures under title 32 of the Code of Federal Regulations, section 199.24(d)(3) for suspending TRICARE Reserve Select (TRS) coverage for up to 12 months and, upon request from a TRS member/survivor request, lifting the suspension, which will reinstate coverage with no break.

Notification of 2013 Monthly Premium Rates for TRICARE Reserve Select and TRICARE Retired Reserve 12-008

Policy

Calendar Year 2013 premium rates are established for TRICARE Reserve Select and TRICARE Retired Reserve as specified in the memorandum.

Policy Memorandum to Establish 2013 Premium Rates for the TRICARE Young Adult Program 3116-12

Policy

Calendar Year 2013 premium rates established for the TRICARE Young Adult program as specified in the memorandum.

Enrollment of Active Duty Service Members in Terminal Leave Status

Policy

This memorandum describes the enrollment policy for Active Duty Service members (ADSMs) in terminal leave status. It restates our policy and provides further guidance on how ADSMs can access health care services while on terminal leave.

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