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