|
TRICARE for National Guard and Reserve
|
|
|
|
Glossary
|
|
Activation
When you are called or ordered to active duty. If activated for more than 30 consecutive days, you and your family may be eligible for active duty TRICARE health benefits. |
|
Deactivation
When you are released from active duty orders. Upon deactivation, you may be eligible for transitional health benefits from TRICARE. |
|
Defense Enrollment Eligibility Reporting System (DEERS)
A database of uniformed services members (sponsors), family members, and others worldwide who are entitled under law to military benefits, including TRICARE. |
|
Host-Nation Provider
An individual health care provider or medical facility in an overseas area licensed to practice or deliver health care. |
|
Military Treatment Facility (MTF)
A medical facility (hospital, clinic, etc.) owned and operated by the uniformed services, usually located on or near a military base. |
|
Point of Service (POS) Option
An option that allows a TRICARE Prime or TPRADFM beneficiary to receive nonemergency care from any TRICARE-authorized provider without first obtaining a referral from his or her primary care manager. Using the POS option results in higher out-of-pocket expenses. This option is not available to ADSMs. |
|
Prior Authorization
A process of reviewing certain medical, surgical, and behavioral health services to ensure medical necessity and appropriateness of care prior to services being rendered or within 24 hours of an emergency admission. Visit Humana Military’s Prior Authorization list or call 1-800-444-5445 to learn about their requirements, as they may change periodically. |
|
TRICARE Area Office (TAO)
Located in each overseas area to assist you with the TRICARE program overseas. |
|
TRICARE Regional Contractor
Civilian partners who provide health care services in the TRICARE regions (Health Net Federal Services, LLC; Humana Military Healthcare Services, Inc.; TriWest Healthcare Alliance Corp.). |
| |
Back to Top
|
