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Exam (elaborations)

TFC EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2025/2026

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TFC EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2025/2026 A civilian network provider: - Answers Signs a contractual agreement with the regional contractor What does direct care refer to? - Answers Care and pharmacy services only at a military hospital or clinic When a beneficiary gets care from a non-network, non-participating provider, he or she may have to pay: - Answers Up to 15% above the TRICARE-allowable charge Newborn children of active duty family members are automatically covered under TRICARE Prime if: - Answers They live in a Prime Service Area How often may TRICARE Select enrollment fees, deductibles, cost-shares, and/or copayments change? [ - Answers Each calendar year Which of the following is a managed care option for active duty and eligible family members who live and work in designated remote ZIP codes? - Answers TRICARE Prime Remote Enrollees, whose sponsor initially enlisted or was commissioned before January 1, 2018, fall into which beneficiary category? - Answers Group A A beneficiary is considered in Group B if their sponsor enlisted or was commissioned: - Answers On or after January 1, 2018 Which of the following options is direct-care only and therefore doesn't count as minimal essential coverage under the Affordable Care Act (ACA)? - Answers TRICARE Plus with no other TRICARE eligibility The ____________________________ reviews claims, approves payments, and determines the impact of a diagnosis on remote active duty members' fitness for duty. - Answers Defense Health Agency, Great Lakes (DHA-GL) (correct) National Guard and Reserve members are eligible for the same health care benefits as active duty members when: - Answers They are called to active service for more than 30 consecutive days and show as eligible in DEERS When on active service for 30 days or less, National Guard and Reserve members are: - Answers Covered for an injury incurred or aggravated in the line of duty TRICARE for Life (TFL) offers wrap-around medical coverage to TRICARE beneficiaries who have Medicare__________. - Answers Part A and Part B Individuals may have to pay a late enrollment penalty if they don't sign up for which of the following when they first become eligible? - Answers Medicare Part B ( Active duty family members who have Medicare Part A must sign up for ____________________ before their sponsor's retirement date to avoid a break in TRICARE coverage. - Answers Medicare Part B When a beneficiary's health care services are covered by Medicare, TRICARE, and his or her OHI, TRICARE is the _____________ payer. - Answers LAST Who may file a claim with TRICARE? - Answers TRICARE-eligible beneficiaries TRICARE-authorized providers

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Uploaded on
November 23, 2025
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Written in
2025/2026
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TFC EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2025/2026

A civilian network provider: - Answers Signs a contractual agreement with the regional
contractor

What does direct care refer to? - Answers Care and pharmacy services only at a military hospital
or clinic

When a beneficiary gets care from a non-network, non-participating provider, he or she may
have to pay: - Answers Up to 15% above the TRICARE-allowable charge

Newborn children of active duty family members are automatically covered under TRICARE
Prime if: - Answers They live in a Prime Service Area

How often may TRICARE Select enrollment fees, deductibles, cost-shares, and/or copayments
change? [ - Answers Each calendar year

Which of the following is a managed care option for active duty and eligible family members
who live and work in designated remote ZIP codes? - Answers TRICARE Prime Remote

Enrollees, whose sponsor initially enlisted or was commissioned before January 1, 2018, fall
into which beneficiary category? - Answers Group A

A beneficiary is considered in Group B if their sponsor enlisted or was commissioned: - Answers
On or after January 1, 2018

Which of the following options is direct-care only and therefore doesn't count as minimal
essential coverage under the Affordable Care Act (ACA)? - Answers TRICARE Plus with no other
TRICARE eligibility

The ____________________________ reviews claims, approves payments, and determines the
impact of a diagnosis on remote active duty members' fitness for duty. - Answers Defense
Health Agency, Great Lakes (DHA-GL) (correct)

National Guard and Reserve members are eligible for the same health care benefits as active
duty members when: - Answers They are called to active service for more than 30 consecutive
days and show as eligible in DEERS

When on active service for 30 days or less, National Guard and Reserve members are: - Answers
Covered for an injury incurred or aggravated in the line of duty

TRICARE for Life (TFL) offers wrap-around medical coverage to TRICARE beneficiaries who
have Medicare__________. - Answers Part A and Part B

Individuals may have to pay a late enrollment penalty if they don't sign up for which of the
following when they first become eligible? - Answers Medicare Part B (

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