Humana-Military.com

Transitional Health Care Benefits      


TRICARE offers three program options for beneficiaries separating from active duty: the Transitional Assistance Management Program (TAMP), the Transitional Care for Service-Related Conditions (TCSRC) program and the Continued Health Care Benefits Program (CHCBP).
 

Transitional Assistance Management Program

TAMP provides 180 days of transitional health care benefits to help certain armed services members and their families transition to civilian life after separating from active duty service.

Qualifying beneficiaries may enroll in TRICARE Prime if they reside in a Prime Service Area, or they are automatically covered under TRICARE Standard/TRICARE Extra. Rules and processes for these programs apply, and beneficiaries are responsible for Active Duty Family Member (ADFM) costs.

TAMP beneficiaries must present valid uniformed services ID cards or Common Access Cards (CAC) at the time of service. See the TRICARE Eligibility section for information about verifying eligibility.

For more information, visit TRICARE's TAMP portal.

Note: TAMP does not cover Line of Duty (LOD) care. See Line-Of-Duty Care for National Guard and Reserve Members earlier in this section.
 

Transitional Care for Service-Related Conditions Program

The Transitional Care for Service-Related Conditions (TCSRC) program extends TRICARE coverage for qualified former Active Duty Service Members (ADSMs) diagnosed with service-related conditions during their 180-day TAMP period.

To qualify for TCSRC, a TAMP-eligible member’s medical condition must be:
  • Service-related
  • Newly discovered or diagnosed during the 180-day TAMP period
  • Able to be resolved within 180 days
  • Validated by a DoD physician
The TCSRC benefit covers care only for the specific service-related condition. Preventive and health maintenance care is not covered.

TCSRC beneficiaries may seek care at Military Treatment Facilities (MTFs) or from TRICARE-authorized civilian providers if MTF care is not available. There are no copays or cost-shares under TCSRC, and providers must submit claims to Humana Military. The TCSRC benefit is available worldwide.

For more information, visit TRICARE's TCSRC portal.
 

Continued Health Care Benefit Program

CHCBP is a premium-based health care program administered by Humana Military. CHCBP offers temporary transitional health care coverage (18 to 36 months) after TRICARE eligibility ends.

CHCBP acts as a bridge between military health care benefits and the beneficiary’s new civilian health care plan. CHCBP benefits are comparable to TRICARE Standard/TRICARE Extra, but differences do exist.

The main difference is that beneficiaries must pay quarterly premiums. In addition, under CHCBP, providers are not required to use or coordinate with MTFs, and MTF Nonavailability Statements (NAS) are no longer required.

Providers must coordinate with Humana Military to obtain referrals and authorizations for CHCBP beneficiaries. Providers must seek authorization for care that is deemed medically necessary. Medical necessity rules for CHCBP beneficiaries follow TRICARE Standard/TRICARE Extra guidelines.

To coordinate CHCBP referrals and authorizations, call Humana Military at 1-800-444-5445 or fax information to 1-877-270-9113. For behavioral health CHCBP referrals and authorizations, contact ValueOptions at 1-800-700-8646 or fax information to 1-866-811-4422.

Humana Military issues beneficiaries a CHCBP ID card after enrollment is completed. This card is different from a uniformed services ID card or a CAC, which may no longer be valid.

For more information about CHCBP, including eligibility verification, search for CHCBP or call 1-800-444-5445.

Back to Top

 
Created: May 15, 2013