Question 1

If a provider chooses not to participate, what is the highest percent of the allowable charge they can charge?

Accepted Answer

A)   115 %
B)   150 %
C)   75 %
D)   95 %E) C) and D)
F) None of the above

Question 2

______ provides no-cost health care through civilian providers for service members and their families on remote assignment.

Accepted Answer

A)   TRICARE Prime Remote
B)   TRICARE Distant
C)   TRICARE Prime Detached
D)   TRICARE SeparateE) None of the above
F) B) and C)

Question 3

TRS is the abbreviation for _______.

Accepted Answer

A)   TRICARE Reserve Select
B)   TRICARE Ready Select
C)   TRICARE Replacement Select
D)   TRICARE Registration SelectE) A) and B)
F) A) and C)

Question 4

_____ provides medical services for members and dependents of the uniformed services.

Accepted Answer

A)   Equipped Treatment Facility
B)   Military Treatment Facility
C)   Fortified Treatment Facility
D)   Furnished Treatment FacilityE) None of the above
F) A) and D)

Question 5

The enrollment fee to join TRICARE Extra costs ____.

Accepted Answer

A)   $0
B)   $10
C)   $100
D)   $500E) A) and C)
F) A) and D)

Question 6

The TRICARE catastrophic cap is a (n)  ______.

Accepted Answer

A)   annual amount
B)   monthly amount
C)   biannual amount
D)   there is no time limitE) None of the above
F) B) and D)

Question 7

_________ is a fee-for-service program that replaces the CHAMPUS program.

Accepted Answer

A)   TRICARE Standard
B)   Military Coverage Standard
C)   Armed Forces Standard
D)   Armed Service StandardE) C) and D)
F) B) and C) A

Question 8

Who is the only one that may contact DEERS to verify eligibility because the information is protected by the Privacy Act?

Accepted Answer

A)   sponsors
B)   member of armed forces
C)   providers
D)   government employeeE) None of the above
F) B) and D)

Question 9

The Department of Defense program for Medicare-eligible military retirees and Medicare-eligible family members that offers the opportunity to receive health care at a military treatment facility to individuals age sixty-five and over who are eligible for both Medicare and TRICARE is called _______.

Accepted Answer

A)   TRICARE Seniors Plan
B)   TRICARE Retirement Plan
C)   TRICARE Silver Plan
D)   TRICARE for LifeE) A) and D)
F) C) and D) D

Question 10

_______ is a card that each eligible beneficiary of CHAMPVA must possess to be used at the provider's office checks to determine eligibility.

Accepted Answer

A)   Wellbeing Card
B)   Healthiness Card
C)   Authorization Card
D)   Stipulation CardE) C) and D)
F) All of the above

Question 11

Authorized providers are certified by _______ regional contractors to have met specific educational, licensing, and other requirements.

Accepted Answer

A)   BlueCross
B)   TRICARE
C)   CHAMPUS
D)   CDCE) None of the above
F) A) and B)

Question 12

TRICARE benefits spouses and children of active-duty service members, who are called _____.

Accepted Answer

A)   beneficiaries
B)   subscribers
C)   sponsors
D)   membersE) B) and C)
F) A) and D)

Question 13

The TRICARE program that offers fee-for-service coverage is ____.

Accepted Answer

A)   TRICARE Standard
B)   TRICARE Prime
C)   TRICARE Extra
D)   TRICARE DeluxeE) A) and B)
F) B) and C)

Question 14

______ covers medical services provided by a civilian physician when the individual cannot receive treatment from a military treatment facility.

Accepted Answer

A)   CHAMPVA
B)   TRICARE Standard
C)   Medicare
D)   MedicaidE) B) and D)
F) C) and D)

Question 15

The plan that offers health care at a military treatment facility to individuals age sixty-five and over who are eligible for both Medicare and TRICARE is _____.

Accepted Answer

A)   TRICARE Extra
B)   TRICARE for Life
C)   CHAMPVA for Life
D)   TRICARE PrimeE) None of the above
F) B) and D)

Question 16

When a patient uses a TRICARE participating provider, who files the claim following HIPAA regulations?

Accepted Answer

A)   TRICARE
B)   participating provider
C)   the patient
D)   the insurance companyE) A) and D)
F) All of the above B

Question 17

TRICARE Standard covers medical services provided by a civilian physician when the individual cannot receive treatment from a _____.

Accepted Answer

A)   physician
B)   sponsor
C)   primary care physician
D)   military treatment facilityE) All of the above
F) C) and D)

Question 18

The portion of every charge that a TRICARE or CHAMPVA beneficiary must pay is called the _______.

Accepted Answer

A)   copayment
B)   coinsurance
C)   costshare
D)   deductibleE) None of the above
F) A) and C)

Question 19

Who is responsible for determining eligibility for the CHAMPVA program?

Accepted Answer

A)   Veterans Administration
B)   Insurance Company
C)   Social Security Administration
D)   Federal Bureau of RetirementE) A) and D)
F) B) and C)

Question 20

Due to the large number of military reservists who have been called up for active duty, the Department of Defense implemented _______.

Accepted Answer

A)   TRICARE Extra
B)   TRICARE Prime
C)   TRICARE Reserve Select
D)   TRICARE StandardE) B) and D)
F) B) and C)

Exam 11: Tricare and Champva

If a provider chooses not to participate, what is the highest percent of the allowable charge they can charge?

Correct AnswerverifiedShow Answer

______ provides no-cost health care through civilian providers for service members and their families on remote assignment.

Correct AnswerverifiedShow Answer

TRS is the abbreviation for _______.

Correct AnswerverifiedShow Answer

_____ provides medical services for members and dependents of the uniformed services.

Correct AnswerverifiedShow Answer

The enrollment fee to join TRICARE Extra costs ____.

Correct AnswerverifiedShow Answer

The TRICARE catastrophic cap is a (n) ______.

Correct AnswerverifiedShow Answer

_________ is a fee-for-service program that replaces the CHAMPUS program.

Correct AnswerverifiedA

Who is the only one that may contact DEERS to verify eligibility because the information is protected by the Privacy Act?

Correct AnswerverifiedShow Answer

The Department of Defense program for Medicare-eligible military retirees and Medicare-eligible family members that offers the opportunity to receive health care at a military treatment facility to individuals age sixty-five and over who are eligible for both Medicare and TRICARE is called _______.

Correct AnswerverifiedD

_______ is a card that each eligible beneficiary of CHAMPVA must possess to be used at the provider's office checks to determine eligibility.

Correct AnswerverifiedShow Answer

Authorized providers are certified by _______ regional contractors to have met specific educational, licensing, and other requirements.

Correct AnswerverifiedShow Answer

TRICARE benefits spouses and children of active-duty service members, who are called _____.

Correct AnswerverifiedShow Answer

The TRICARE program that offers fee-for-service coverage is ____.

Correct AnswerverifiedShow Answer

______ covers medical services provided by a civilian physician when the individual cannot receive treatment from a military treatment facility.

Correct AnswerverifiedShow Answer

The plan that offers health care at a military treatment facility to individuals age sixty-five and over who are eligible for both Medicare and TRICARE is _____.

Correct AnswerverifiedShow Answer

When a patient uses a TRICARE participating provider, who files the claim following HIPAA regulations?

Correct AnswerverifiedB

TRICARE Standard covers medical services provided by a civilian physician when the individual cannot receive treatment from a _____.

Correct AnswerverifiedShow Answer

The portion of every charge that a TRICARE or CHAMPVA beneficiary must pay is called the _______.

Correct AnswerverifiedShow Answer

Who is responsible for determining eligibility for the CHAMPVA program?

Correct AnswerverifiedShow Answer

Due to the large number of military reservists who have been called up for active duty, the Department of Defense implemented _______.

Correct AnswerverifiedShow Answer

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A

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D

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B

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