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Provider Handbook
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Continued Health Care Benefit Program
Transitional Assistance Management Program |
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Transitional Health Care Benefits |
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TRICARE offers the following program options for beneficiaries separating from active duty.
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Continued Health Care Benefit Program |
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The Continued Health Care Benefit Program (CHCBP) provides transitional benefits for a specified period of time (18–36 months) to former service members and their families, some unremarried former spouses, and emancipated children (living on their own) who enroll and pay quarterly premiums.
The DoD has contracted with Humana Military to administer the CHCBP. Humana Military issues beneficiaries a CHCBP identification (ID) card (shown in Figures 4.8 and 4.9) after enrollment is completed. This card is different from a uniformed services (military) ID card or a CAC, which may no longer be valid. All questions regarding CHCBP eligibility verification should be directed to Humana Military at 1-800-444-5445.
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CHCBP Coverage |
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The benefits available under CHCBP are similar to TRICARE Standard, and although it is not part of TRICARE Standard, it operates under most of the same rules. When providing care, the main differences to remember between TRICARE Standard and CHCBP are that, under CHCBP, providers are not required to utilize or coordinate with MTFs, and nonavailability statements from an MTF are no longer required. These differences exist because a CHCBP beneficiary is no longer eligible to receive military care or use MTFs (except in the case of emergency care).
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CHCBP ID Card-Front
Figure 4.5 |
CHCBP ID Card-Back
Figure 4.6 |
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Referrals and Authorizations |
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All CHCBP referrals and authorizations are coordinated through Humana Military. Providers must seek authorization for care that is deemed medically necessary. Medical necessity rules for CHCBP follow the same guidelines as those in the TRICARE Standard plan. Use one of the numbers below to coordinate CHCBP referrals and/or authorizations.
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| Phone: |
Fax: |
| 1-800-444-5445 |
1-877-270-9113 |
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Humana Military has partnered with PGBA, LLC (PGBA) for CHCBP claims processing. See the Claims Processing and Billing Information section for more information about filing CHCBP claims.
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Transitional Assistance Management Program |
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The Transitional Assistance Management Program (TAMP) offers certain uniformed services members and their family members transitional health care benefits when the sponsor separates from active duty service.
If a beneficiary is seeking care under TAMP, it will be seamless to you. The beneficiary can be enrolled in TRICARE Prime or may be using TRICARE Standard and TRICARE Extra. All referral, authorization, and claims-filing processes continue to apply. TRICARE Prime rules and access standards are the same during TAMP coverage. These beneficiaries should have a valid uniformed services ID card or a CAC. See the TRICARE Eligibility section for information about verifying eligibility.
Note: TAMP deductibles do not apply to National Guard and Reserve members during this period. Additionally, LOD care is not covered under TAMP. See “Line-of-Duty Care for National Guard and Reserve Members” earlier in this section.
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