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TRICARE; Reserve and Guard family member benefits. Final rule.
Fed Regist. 2008 Aug 12; 73(156):46808-9.FR

Abstract

This final rule implements sections 704 and 705 of the Ronald W. Reagan National Defense Authorization Act for Fiscal Year 2005. These provisions apply to eligible family members who become eligible for TRICARE as a result of their Reserve Component (RC) sponsor (including those with delayed effective date orders up to 90 days) being called or ordered to active duty for more than 30 days in support of a federal/contingency operation and choose to participate in TRICARE Standard or Extra, rather than enroll in TRICARE Prime. The first provision gives the Secretary the authority to waive the annual TRICARE Standard (or Extra) deductible, which is set by law (10 U.S.C. 1079(b)) at $150 per individual and $300 per family ($50/$100 for families of members in pay grades E-4 and below). The second provision gives the Secretary the authority to increase TRICARE payments up to 115 percent of the TRICARE maximum allowable charge, less the applicable patient cost share if not previously waived under the first provision, for covered inpatient and outpatient health services received from a provider that does not participate (accept assignment) with TRICARE. These provisions help ensure timely access to health care and maintain clinically appropriate continuity of health care to family members of Reservists and Guardsmen activated in support of a federal/contingency operation; limit the out-of-pocket health care expenses for those family members; and remove potential barriers to health care access by Guard and Reserve families.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18956496

Citation

Office of the Secretary, DoD. "TRICARE; Reserve and Guard Family Member Benefits. Final Rule." Federal Register, vol. 73, no. 156, 2008, pp. 46808-9.
Office of the Secretary, DoD. TRICARE; Reserve and Guard family member benefits. Final rule. Fed Regist. 2008;73(156):46808-9.
Office of the Secretary, DoD. (2008). TRICARE; Reserve and Guard family member benefits. Final rule. Federal Register, 73(156), 46808-9.
Office of the Secretary, DoD. TRICARE; Reserve and Guard Family Member Benefits. Final Rule. Fed Regist. 2008 Aug 12;73(156):46808-9. PubMed PMID: 18956496.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - TRICARE; Reserve and Guard family member benefits. Final rule. A1 - ,, PY - 2008/10/30/pubmed PY - 2008/11/1/medline PY - 2008/10/30/entrez SP - 46808 EP - 9 JF - Federal register JO - Fed Regist VL - 73 IS - 156 N2 - This final rule implements sections 704 and 705 of the Ronald W. Reagan National Defense Authorization Act for Fiscal Year 2005. These provisions apply to eligible family members who become eligible for TRICARE as a result of their Reserve Component (RC) sponsor (including those with delayed effective date orders up to 90 days) being called or ordered to active duty for more than 30 days in support of a federal/contingency operation and choose to participate in TRICARE Standard or Extra, rather than enroll in TRICARE Prime. The first provision gives the Secretary the authority to waive the annual TRICARE Standard (or Extra) deductible, which is set by law (10 U.S.C. 1079(b)) at $150 per individual and $300 per family ($50/$100 for families of members in pay grades E-4 and below). The second provision gives the Secretary the authority to increase TRICARE payments up to 115 percent of the TRICARE maximum allowable charge, less the applicable patient cost share if not previously waived under the first provision, for covered inpatient and outpatient health services received from a provider that does not participate (accept assignment) with TRICARE. These provisions help ensure timely access to health care and maintain clinically appropriate continuity of health care to family members of Reservists and Guardsmen activated in support of a federal/contingency operation; limit the out-of-pocket health care expenses for those family members; and remove potential barriers to health care access by Guard and Reserve families. SN - 0097-6326 UR - https://www.unboundmedicine.com/medline/citation/18956496/TRICARE L2 - http://edocket.access.gpo.gov/2008/pdf/E8-18597.pdf DB - PRIME DP - Unbound Medicine ER -