• USFHP Basics • USFHP Advanced • Grievances and Appeals Benefits • Miscellaneous
100
5
How many plans does Martin’s Point offer?
100
21 or 23 if attending college full time
When do dependents age out of the plan?
100
No
Can members appeal OON charges?
100
Deductible 300/person 600/family then 50% COINS
May be subject to an additional 15%
What is the POS benefit?
100
NO
Do we offer our Insurance in New York City
200
Active and Retired uniformed Services personnel and their families
Who is eligible for Tricare?
200
Tricare for Life
What does TFL stand for?
200
CFS
Where do you file a grievance?
200
Travel Reimbursement Program
What is TRP
200
US Health Net and Humana
Who are the Tricare regional contractors?
300
Yes
Do we allow retro authorizations?
300
Prime
What type of Tricare plan is USFHP?
300
60
How many days does a member have to file a grievance?
300
ESRD
What is the only time Medicare and USFHP can be billed together?
300
Commercial
Is Tricare or Commercial Insurance typically Primary?
400
6
How many USFHP plans are available across the US?
400
Newborns
Who is eligible for conditional enrollment?
400
NO
If you are able to solve a members problem before the end of a call, would you still file a grievance?
400
3D mammograms and Chiropractic care
When can a USFHP member use Medicare to cover a benefit?
400
Moving from 1 Prime plan to another without dis-enrollment
What is porting?
500
Defense Enrollment Eligibility Reporting System
What is DEERS
500
The military beneficiary
Who is the sponsor?
500
Who, What, When, Where and Why
HOW
What are the 5 W's?
500
DEERS
Who keeps track of the OOPM?
500
In person, over the phone, online and by mail
What are the 4 ways you can update DEERS?






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