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TRICARE Reserve Family Demonstration
Project
The
TRICARE Reserve Family Demonstration Project was established following
the attacks of September 11, 2001, to remove barriers to health care
access and limit out-of-pocket expenses for National Guard and Reserve
members activated for more than 30 days in support of a contingency
operation and their eligible family members.
National Guard and Reserve Members
National Guard and Reserve members who are called to active duty for
more than 30 days become eligible for TRICARE as active duty service
members. All care is provided at military treatment facilities (MTFs) or
from network providers. When the National Guard or Reserve member is no
longer on active duty orders and TRICARE eligibility ends, care may
still be received in an MTF for injuries or illnesses incurred while on
active duty.
Note: When active duty ends, the National Guard or Reserve member may be
eligible for extended TRICARE coverage through the Transitional
Assistance Management Program (TAMP).
National Guard and Reserve Family Members
Family members of National Guard and Reserve members who are called to
qualifying active duty may qualify for the TRICARE Reserve Family
Demonstration Project. The demonstration project offers the following
benefits for family members who do not, or cannot, enroll in TRICARE
Prime:
Waiver of TRICARE Standard and Extra Annual Deductible:
Family members who decide to use TRICARE Standard and Extra are not
required to pay the annual outpatient deductible (up to $300). They are
only responsible for applicable cost shares. This covers all outpatient
care through October 31, 2008.
Waiver of the TRICARE Maximum Allowable Charge: If eligible family
members see nonparticipating providers who bill in excess of the TRICARE
maximum allowable charge, the Department of Defense will pay up to 115%
of the TRICARE maximum allowable charge, less the applicable cost share
owed by the family member. This covers all care through October 31,
2008.
Waiver of Non-availability Statement Requirement for Nonemergency
Inpatient Mental Health Care: Family members who decide to use TRICARE
Standard are not required to get a Non-availability Statement before
TRICARE will pay for covered non-emergency inpatient mental health care.
This covers all inpatient mental health care through October 31, 2008.
RELATED
LINKS:
All
About The Army Benefits For Soldiers and Family Members
Find
out about the benefits that are afforded to your soldier, yourself as an
Army wife and your children.
How
To Read A Military LES
Learn
how to read the Leave Earnings Statement (LES) line by line.
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