TRICARE CHAMPVA MILITARY HEALTH
INSURANCE STUDY GUIDE| LATEST
UPDATE WITH VERIFIED QUESTIONS AND
ANSWERS [ GRADED A+]
accepting assignment - ✔✔Process wherein healthcare providers agree
to accept the amount paid by the carrier as payment in full after the
patient satisfies his or her cost-sharing responsibilities as outline in the
insurance policy.
balance billing - ✔✔Practice of billing patients for any balance left after
deductibles, coinsurance, and insurance payment have been made.
©morren2024/2025.Year published 2024.
,beneficiary - ✔✔Individual who has health insurance through the
Medicare, Medicaid, or TRICARE programs.
catastrophic cap (cat cap) - ✔✔Maximum cost limit placed on covered
medical bills under TRICARE. The cat cap is the monetary limit that a
family of an active duty member would have to pay in any given year.
certificate of credible coverage - ✔✔Serves as evidence of prior
healthcare coverage.
CHAMPUS Maximum Allowable Charge, CMAC - ✔✔TRICARE allowable
charge. The amount on which Tricare figures a beneficiary's cost-share
or coinsurance for covered charges.
©morren2024/2025.Year published 2024.
, CHAMPVA For Life, CFL - ✔✔Benefits for covered medical services
designed for spouses or dependents of veterans who are age 65 or
older and enrolled in Medicare Parts A and B. The benefit is payable
after Medicare pays its share.
Civilian Health and Medical Program of the Department of Veterans
Affairs, CHAMPVA - ✔✔Healthcare benefits program for qualifying
dependents and survivors of veterans, whereby the Department of
Veterans Affairs (VA) shares the cost of covered healthcare services and
supplies with eligible beneficiaries. There is no coast to beneficiaries
when they receive healthcare treatment at a VA facility.
claims processor - ✔✔Facility that handles TRICARE claims for
healthcare received within a particular state or region.
©morren2024/2025.Year published 2024.
INSURANCE STUDY GUIDE| LATEST
UPDATE WITH VERIFIED QUESTIONS AND
ANSWERS [ GRADED A+]
accepting assignment - ✔✔Process wherein healthcare providers agree
to accept the amount paid by the carrier as payment in full after the
patient satisfies his or her cost-sharing responsibilities as outline in the
insurance policy.
balance billing - ✔✔Practice of billing patients for any balance left after
deductibles, coinsurance, and insurance payment have been made.
©morren2024/2025.Year published 2024.
,beneficiary - ✔✔Individual who has health insurance through the
Medicare, Medicaid, or TRICARE programs.
catastrophic cap (cat cap) - ✔✔Maximum cost limit placed on covered
medical bills under TRICARE. The cat cap is the monetary limit that a
family of an active duty member would have to pay in any given year.
certificate of credible coverage - ✔✔Serves as evidence of prior
healthcare coverage.
CHAMPUS Maximum Allowable Charge, CMAC - ✔✔TRICARE allowable
charge. The amount on which Tricare figures a beneficiary's cost-share
or coinsurance for covered charges.
©morren2024/2025.Year published 2024.
, CHAMPVA For Life, CFL - ✔✔Benefits for covered medical services
designed for spouses or dependents of veterans who are age 65 or
older and enrolled in Medicare Parts A and B. The benefit is payable
after Medicare pays its share.
Civilian Health and Medical Program of the Department of Veterans
Affairs, CHAMPVA - ✔✔Healthcare benefits program for qualifying
dependents and survivors of veterans, whereby the Department of
Veterans Affairs (VA) shares the cost of covered healthcare services and
supplies with eligible beneficiaries. There is no coast to beneficiaries
when they receive healthcare treatment at a VA facility.
claims processor - ✔✔Facility that handles TRICARE claims for
healthcare received within a particular state or region.
©morren2024/2025.Year published 2024.
