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 (