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TRICARE
Standard
Beneficiary
Handbook
Your guide to program benefits
Table of Contents
Important Information
TRICARE Standard and TRICARE Extra
Your TRICARE Regional Contractor
Choosing TRICARE Standard and TRICARE Extra
Eligibility
Plan Overview
Getting Care
Finding a Provider
Emergency Care
Urgent Care
All Other Care
Care at a Military Treatment Facility
Prior Authorization for Care
Covered Services, Limitations, and Exclusions
Outpatient Services
Inpatient Services
Clinical Preventive Services
Behavioral Health Care Services
Pharmacy Services
Maternity Services
Dental Programs Offered by TRICARE
Services or Procedures with Significant Limitations
Exclusions
Claims
Health Care Claims
Pharmacy Claims
Coordinating Benefits with Other Health Insurance
Third-Party Liability
Explanation of Benefits
Debt Collection Assistance Officers
Life Events
Getting Married or Divorced
Having a Baby or Adopting a Child
Going to College
Traveling
Filing Prescriptions on the Road
Moving
Separating from the Service
Retiring from Active Duty
Becoming Entitled to Medicare
Deceased Sponsor
Loss of Eligibility
Information and Assistance
Beneficiary Counseling and Assistance Coordinators
Appealing a Decision
Filing an Appeal
Filing a Grievance
Reporting Suspected Fraud and Abuse
Acronyms
Glossary
Appendix
South Region Explanation of Benefits Statement Sample
List of Tables
Patient Rights and Responsibilities
Last Reviewed: February 15, 2008
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