Shared Flashcard Set

Details

Tricare
Prime, Standard, Extra
23
Medical
Professional
11/04/2013

Additional Medical Flashcards

 


 

Cards

Term
WHICH TRICARE HAS HMO?
Definition
PRIME
Term
WHICH TRICARE HAS A FEE FOR SERVICES?
Definition
STANDARD
Term
WHICH TRICARE HAS A PPO?
Definition
EXTRA
Term
WHO HAS A LIMITED CHOICE PROVIDER?
Definition
PRIME
Term
WHO HAS AN ASIGNED PCM?
Definition
PRIME
Term
WHAT IS AN HMO?
Definition
HEALTH MAITENENCE ORGANIZATION
Term
WHAT DOES  PPO STAND FOR?
Definition
PREFERRED PROVIDER ORGANIZATION
Term
WHAT IS PCM?
Definition
PRIMARY CARE MANAGER
Term
WHO IS KNOWN AS THE GATE KEEPER?
Definition
PCM/ PRIMARY CARE MANAGER
Term
WHICH TRICARE(S) DOES NOT HAVE A PCM?
Definition
STANDARD AND EXTRA
Term
WHO HAS THE GREATEST OUT OF POCKET EXPENSES?
Definition
STANDARD
Term
WHAT IS FIVE PERCENT LESS THAN STANDARD?
Definition
EXTRA
Term
WHICH TRICARE(S) WILL FILE THE CLAIMS?
Definition
PRIME AND EXTRA
Term
WHO HAS THE LEAST OF POCKET EXPENSES?
Definition
PRIME
Term
A _________ PROVIDER HAS A CONTRACTUAL RELATIONSHIP WITH TRICARE.
Definition
NETWORK
Term
WHO IS ELIGIBLE FOR MPF?
Definition
ANY ELIGABLE BENEFICIARY
Term
DEFINE ACCESS
Definition
PATIENTS ABILITY TO OBTAIN MEDICAL CARE
Term
DEFINE BENEFICIARY
Definition
ANY PERSON WHO IS ELIGIBLE FOR MTF
Term
DEFINE CO-PAYMENT
Definition
FIXED AMOUNT RETIREES PAY FOR CARE IN A CIVILIAN NETWORK.
Term
DEFINE COST SHARE
Definition
BENEFICIARY WILL PAY THIS AMOUNT AS A REMAINDER OF WHAT TRICARE DID NOT PAY.
Term
DEFINE DEDUCTIBLE
Definition
ANNUAL AMOUNT A PATIENT MUST PAY OUT OF POCKET BEFORE TRICARE BEGINS TO PAY.
Term
DEFINE ENROLLMENT
Definition
TOTAL NUMBER OF COVERED PERSONS IN  A HEALTH PLAN
Term
HMO (HEALTH MAITENANCE ORGANIZATION)
Definition
PAY AFIXED PREMIUM FOR SERVICES/ ELIMINATE UNECESSARY COSTS AND CARE
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