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Inpatient Rates Increase Slightly for Fiscal Year 2005 (Article 4)
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New Rates Effective Oct. 1, 2004, through Sept. 30, 2005 |
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Each fiscal year (Oct. 1–Sept. 30), some TRICARE inpatient cost-share rates increase slightly. The following tables highlight the new inpatient rates for fiscal year 2005.*
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Inpatient Reates for Civilian Hospital Admissions
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| Program |
Active Duty Family Members |
Retirees, Their Families and Other Eligible Beneficiaries |
| TRICARE Prime |
No increase |
No increase |
| TRICARE Extra |
Increases from $13.32 to $13.90 per day or $25 per admission, whichever is greater. |
No increase |
| TRICARE Standard |
Increases from $13.32 to $13.90 per day or $25 per admission, whichever is greater. |
Increases from $459 to $512, or 25% of the hospital's billed charges, whichever is less. Plus 25% of the allowable charge for separately billed professional services. |
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Inpatient Rates for Inpatient Behavioral Health
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| Program |
Active Duty Family Members |
Retirees, Their Families and Other Eligible Beneficiaries |
| TRICARE Prime |
No increase |
No increase |
| TRICARE Extra |
No increase |
No increase |
| TRICARE Standard |
No increase |
Increases from $164 to $169 per day, plus 25% of the allowable charge for separately billed professional services |
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For additional information about cost-shares for TRICARE-covered services, visit the TRICARE Web site. You can also contact Humana Military at 1-800-444-5445 for more information.
*While the inpatient rate increases are technically effective Oct. 1, 2004, there may be some delay between then and the time Humana Military receives direction and is able to implement the change. |
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