Study Guide Questions with Complete
Solutions
Referral/authorization Always needed to non-VA providers for veterans seeking
community care.
Medal of Honor A designation for veterans that may influence their eligibility for certain
healthcare programs.
Service Connected A status indicating that a veteran's disability is linked to their military
service.
Former POW A designation for veterans who were prisoners of war, which may affect
their healthcare benefits.
VA facilities More than 1,700 hospitals, clinics, and other facilities available for veteran
care.
, GHP Group Health Plan that may affect Medicare's primary payer status.
ESRD End-Stage Renal Disease, a condition affecting Medicare's primary payer status.
Medicare patient A patient who may have different payer scenarios affecting their
coverage.
Coordination of Benefits The process of determining which insurance plan pays first
when multiple plans are involved.
CHAMPUS A program that may provide additional healthcare coverage for veterans.
VA healthcare enrollee A veteran who is enrolled in the VA healthcare system.
Member ID A unique identifier assigned to a veteran for accessing healthcare services.
Plan ID A specific identification number associated with a veteran's healthcare plan.