Question

5.   How is Payment made for nonparticipating providers ?

16.   What are the criteria to be eligible for Tricare prime remote ?

Tricare program   2.   What was the name of the previous program ?

Answer 1

5.Non participating providers accept medical Care but do not agree to take assignment in all cases.Non participating providers have signed up to accept medicare insurance,they do not accept Medicare's approved amount for health services as full payment. Payments mode : The non participate providers may receive reimbursement for rendered services directly from their medicare patients.They submit bill to medicare so they beneficiary may be reimbursed for the portion of the charges for which Medicare is responsible.The amount payed by the beneficiary must be report in Item 29 of the CMS 1500 claim form

16.Eligibility criteria for Tricare prime remote: Tricare prime remote is a managed Care option available in remote areas in the United States * Tricare prime remote applicable in designated remote locations in the united states. *Active duty service members are eligible . * Members with Activated duty services for more than 30 days are eligible for this . * Active duty service members family members are eligible when they are living with the sponsor to enroll. * Family members of activated/Reserve members may enroll if they live in a designated remote locations when the sponsor is activated.

Tricare formerly known as The Civilian health and medical program of the Uninformed services. It is The civilian Care component of the military system ,and included health care delivered in military medical treatment facilities.and it is managed by Defense Health agency.

2.Other name for Tricare program /Previous program is The civilian Health and Medical program of the Uniformed services.