FORCE HEALTH PROTECTION AND HEALTH CARE BENEFITS

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FORCE HEALTH PROTECTION AND HEALTH CARE BENEFITS
FOR MEMBERS WITH DEPENDENTS
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Health Benefits for Reserve Component Members
and their Families
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Mobilization Affects You Your Family
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What You Need To Know Before You Mobilize

• What are your health care benefits as a Reserve
  Component member?
• Where do you start to protect your familys
  health care needs?
• What are your family members health care
  benefits?
• They are different from your benefits
• What health options are best for your family?

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Your Health Dental BenefitsAs An RC Member
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Military MemberYour Health Benefits

• Inactive duty or active duty 30 days or less
• Healthcare coverage for any injury, illness or
  disease incurred or aggravated in the line of
  duty
• TRICARE Dental Program
• Active Duty more than 30 days
• Dental services at any military dental treatment
  facility
• TRICARE Prime benefits same as the Active
  Component

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Military Member Benefits TRICARE Prime Remote
(TPR)

• Eligibility
• RC member called to active duty for gt30 days
• Live and work more than 50 miles from a military
  treatment facility
• Enrollment required (Call toll free number in
  your region)
• Select a TRICARE network Primary Care Manager
  (PCM) if available
• Provides all services for routine care and will
  manage referrals to specialists if needed

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Military Member BenefitsTRICARE Transitional
Benefits

• Transitional Assistance Management Program (TAMP)
• Offers 180 days of continued TRICARE benefits
  following more than 30 days Active Duty while
  transitioning back to civilian employment health
  care benefits
• Ensure your are coded eligible in DEERS
• No Cost, Must re-enroll

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Military Member BenefitsTRICARE Dental Program

• Eligibility is verified by the Military Medical
  Support Office (MMSO) through DEERS (Defense
  Enrollment Eligibility System)
• Full spectrum of dental coverage including
  check-ups, restorative care, tooth extractions,
  emergency care
• Course of treatment exceeding 500.00 requires
  pre-authorization through MMSO.
• No enrollment required all Dentists accepted.

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Readiness is a Family Matter
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Ensure Your Family is Covered

• Enroll eligible family members in DEERS (Defense
  Enrollment Eligibility Reporting System)
• Key to benefits and entitlements
• Bring marriage, birth, divorce, custody, and
  adoption documents
• Get ID cards for eligible family members
• Spouse carry copy of any active duty orders

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TRICARE Family Benefits

• Orders less than 30 days
• No medical benefits
• Family may enroll in the TRICARE Dental Program
• Orders more than 30 days
• Space available medical dental care at military
  facilities
• TRICARE Extra contracted network providers
• TRICARE Standard non-network providers
• TRICARE Prime Remote enrolled with contracted
  network providers.

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TRICARE Medical Cost Shares

• TRICARE Prime Remote
• No deductible
• No enrollment fees
• TRICARE Extra
• 80/20 coverage with deductible
• TRICARE Standard
• 70/30 coverage with deductible

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TRICARE Family Dental Program

• TRICARE Dental Program administered by United
  Concordia
• Requires enrollment with contracted Dentist
• Monthly premiums
• Mandatory 12 month minimum enrollment
• Member must have 12 months remaining on their
  service contract

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Family Health Coverage Considerations

• May use TRICARE benefits alone
• Or use TRICARE with your employer health plan
• File claims with employers plan first
• Then file claim with TRICARE for amounts not
  paid by employers plan

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If youve taken care of them first...
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Youll be ready
to do this
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Reserve Affairshttp//www.defenselink.mil/ra/
TRICAREhttp//www.tricare.osd.mil/ Military
Medical Support Officehttp//mmso.med.navy.milU
nited Concordiahttp//www.ucci.com
Web Site Resources
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Phone [phone]
419-868-4120Fax [phone]
180th Medical Group Resources