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Inpatient Cost-shares Increase Slightly for Fiscal Year 2007 (Article 5) |
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Each fiscal year (Oct. 1–Sept. 30), some TRICARE inpatient costshare rates increase slightly. The following tables highlight the new inpatient rates for fiscal year 2007.
For additional information about cost-shares for TRICARE-covered services, visit the TRICARE Web site. You can also call 1-800-444-5445 for more information.
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Inpatient Rates at Civilian and Military Treatment Facilities
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| Program |
Active Duty Family Members |
Retirees, Their Families and Other Eligible Beneficiaries |
| TRICARE Prime |
No increase.
$0 per admission |
No increase.
$11 per day or $25 per admission, whichever is greater; no separate copayment for separately billed professional charges. |
| TRICARE Standard |
Increases from $14.35 to $14.80 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. |
No increase.
$535 per day, or 25% of the total charge, whichever is less. Plus, 25% of the allowable charge for separately billed professional services. |
| TRICARE Extra |
Increases from $14.35 to $14.80 per day or $25 per admission, whichever is greater. No charge for separately billed professional services. |
No increase.
$250 per day or 25% of total charge, whichever is less. Plus, 20% of the allowable charge for separately billed professional services.
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Inpatient Rates for Behavioral Health at Civilian and Military Treatment Facilities
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| Program |
Active Duty Family Members |
Retirees, Their Families and Other Eligible Beneficiaries |
| TRICARE Prime |
No increase.
$0 per admission |
No increase.
$40 per day. No charge for separately billed professional charges.
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| TRICARE Standard |
No increase.
$20 per day or $25 per admission, whichever is greater.
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High Volume Hospitals—no increase—25% of hospital-specific charges.
Low Volume Hospital—increases from $175 to $181 per day or 25% of the billed charges, whichever is lower.
RTC— 25% of the allowed amount.
Partial hospitalization—25% of the allowed amount, plus 25% of the allowable charge for separately billed professional services.
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| TRICARE Extra |
No increase.
$20 per day or $25 per admission, whichever is greater.
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No increase.
20% of total charge. Plus, 20% of the allowable charge for separately billed professional services.
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New Tools on the Humana Military Web Site (Article 6) |
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Improvements to Humana Military’s Web site put you just a mouse click away from important behavioral health resources.
The new “Behavioral Health” link on Humana Military’s home page instantly links you to information on a variety of topics including children’s mental health, eating disorders, depression and adjusting to the deployments and homecomings of loved ones.
This section increases the presence of ValueOptions, Humana Military’s behavioral health subcontractor, and eases your access to this important information. Many of the 17 topic links also include links to additional Web sites that may be of interest or assistance. For example, the first link on the behavioral health page takes you to a list of hotline phone numbers for answering your questions and discussing related topics.
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You can also click on “Benefit Information” just below the hotline link to learn more about your TRICARE behavioral health benefits.
Another new addition to the Web site is a page with extensive information about asthma symptoms and treatment. You can reach this page by first selecting the “Health & Wellness” link and then clicking on the “Asthma” link.
The asthma page provides you with a comprehensive collection of resources and tools to help you effectively manage the disease. The resources include information on causes and treatment, where to get care and how to control asthma.
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Last Updated: January 8, 2008
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