Search results
Results from the WOW.Com Content Network
Tricare Overseas claims and Tricare for Life – Wisconsin Physicians Service Insurance Corporation; In 2009, the Tricare Overseas Program contract consolidated the following: Overseas enrollment; Tricare Overseas claims processing; Three area Tricare Service Center contracts; Tricare Global Remote Overseas; Tricare Puerto Rico Prime
On July 21, 2016, the U.S. Department of Defense awarded Humana Government Business the TRICARE 2017 contract for the East Region, with WPS MVH as a subcontractor. WPS will provide information technology support, claims processing, and customer service functions. The East Region includes 30 states and approximately 6 million TRICARE beneficiaries.
In 1996, TriWest Healthcare Alliance was established in order to compete for a U.S. Government contract to manage civilian health care benefits under the newly established TRICARE program within the 16-state TRICARE Central Region, also known as Regions 7 and 8. In 1996, TriWest was awarded the contract for the TRICARE Central Region and began ...
Under most current Tricare plans (with the exception of Prime), the health benefit is not considered "insurance" and does not cover women's contraceptives at 100% with no cost-sharing, deductibles, or co-payments. [12]
It also serves as proof of eligibility for medical care delivered either directly within the military health system or non-military providers via the TRICARE medical system. [1] The modern military identification card is a smart card commonly known as a Common Access Card (CAC) used by servicemembers and DoD civilians. It works with specialized ...
In 1993, the USTFs developed a managed care plan, called the Uniformed Services Family Health Plan, and in 1996, became “TRICARE Designated Providers”—the first DoD-sponsored, full-risk managed health care plan and the first to serve the military 65 and older population (other than on a limited demonstration basis).
DEERS was created in the late 1970s as a Joint Medical/Personnel Database, and first put into operation in 1982. In 1997, DEERS fielded RAPIDS. In 2001, it implemented the National Enrollment Database, which provided medical portability. The Next Generation of TRICARE Contracts (TNEX), including additional DEERS capabilities, was created in 2004.
Recent claim experience—whether better or worse than average—is a strong predictor of future costs in the near term. But the average health status of a particular small employer group tends to regress over time towards that of an average group. [91] The process used to price small group coverage changes when a state enacts small group ...