Tricare
TRICARE
TRICARE is a health care program of the United States Department of Defense Military Health System. It provides civilian health benefits for U.S. Armed Forces military personnel, military retirees, and their dependents, including some members of the Reserve Component.
History
TRICARE was originally known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) and was established in 1966. The program was rebranded as TRICARE in the 1990s to better reflect its mission of providing comprehensive health care services to military families.
Structure
TRICARE is managed by the Defense Health Agency (DHA) and is divided into several regions, each managed by a regional contractor. The program offers several different plans, including TRICARE Prime, TRICARE Select, and TRICARE for Life, among others.
TRICARE Prime
TRICARE Prime is a managed care option similar to a health maintenance organization (HMO). It requires enrollment and offers the lowest out-of-pocket costs for beneficiaries.
TRICARE Select
TRICARE Select is a preferred provider organization (PPO) plan that allows beneficiaries to see any TRICARE-authorized provider without a referral, although seeing network providers results in lower costs.
TRICARE for Life
TRICARE for Life is a Medicare-wraparound coverage available to TRICARE beneficiaries who are enrolled in Medicare Part A and B.
Eligibility
Eligibility for TRICARE is determined by the Defense Enrollment Eligibility Reporting System (DEERS). Active duty service members, retirees, and their families are eligible for TRICARE benefits. Certain members of the National Guard and Reserve components are also eligible under specific conditions.
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