CORONAVIRUS (COVID-19) RESOURCE CENTER Read More

Health Insurance

    Results: 38

  • CHIP Programs (1)
    NL-5000.1500

    CHIP Programs

    NL-5000.1500

    Organizations that help families obtain health insurance for their children under the State Children's Health Insurance Program (SCHIP), a program that is jointly financed by the federal and state governments and administered by the states. In some states, CHIP is an expansion of the Medicaid program and allows children of parents with higher incomes than were allowable in the past to participate and receive health insurance through Medicaid. In other states, CHIP is a separate program from Medicaid and covers children whose parents have incomes that are higher than the state's Medicaid eligibility levels. Within broad Federal guidelines, each state determines the design of its program, eligibility groups, benefit packages, payment levels for coverage, and administrative and operating procedures. The insurance pays for doctor visits, immunizations, hospitalizations and emergency room visits, but additional services may be available depending on the benefits defined by the state. Depending on the family's income, insurance premiums and co-pays may apply.
  • Dental Insurance (1)
    LH-3000.1700

    Dental Insurance

    LH-3000.1700

    Organizations that issue insurance policies which reimburse policy holders for all or a portion of the costs associated with diagnostic and preventive dental care, restorative work, oral surgery, crowns, inlays, dentures and other dental work.
  • Disability Benefits (6)
    NS-1800

    Disability Benefits

    NS-1800

    Public social insurance programs that replace income lost because of a physical or mental impairment severe enough to prevent a previously employed person from working. Monthly cash benefits are paid to the eligible individual with a disability and his or her eligible dependents throughout the period of disability.
  • General Health Insurance Information/Counseling (1)
    LH-3500.2500

    General Health Insurance Information/Counseling

    LH-3500.2500

    Programs that help people in need of health insurance evaluate the full range of alternatives available to them and select the coverage that best meets their needs.
  • Health Insurance Information/Counseling (1)
    LH-3500

    Health Insurance Information/Counseling

    LH-3500

    Programs that offer information and guidance for people who need assistance in selecting appropriate health insurance coverage and which may also answer questions about health insurance benefits and help people complete insurance forms.
  • Health Insurance/Dental Coverage (14)
    LH-3000

    Health Insurance/Dental Coverage

    LH-3000

    Organizations that issue insurance policies which reimburse policy holders for all or a portion of the cost of hospital, medical or dental care or lost income arising from an illness or injury.
  • Home/Community Based Care Waiver Programs (6)
    NL-5000.5000-800.30

    Home/Community Based Care Waiver Programs

    NL-5000.5000-800.30

    State Medicaid programs operating under a waiver that permits them to utilize Medicaid funds, normally available only to pay for care in a skilled nursing, intermediate care or other long-term care facility, to provide case management and home care services for eligible individuals as a means of avoiding premature institutionalization. Individuals must be Medicaid eligible, must be certified or certifiable for long-term care, and must meet other criteria as specified in the state waiver, e.g., age and disability requirements. States are allowed to make waiver services available to people at risk of institutionalization, without being required to make waiver services available to the Medicaid population at large. States use this authority to target services to particular groups, such as elderly individuals, technology-dependent children, seriously emotionally disturbed children, or persons with intellectual disabilities or developmental disabilities; or on the basis of disease or condition, such as AIDS. Covered services depend on the population(s) covered in the waiver. Those for older adults and adults with disabilities, for example, include but are not limited to case/care management, homemaker services, home health aides, personal care, adult day health care, habilitation and respite care. Services for children may also include wraparound facilitation/community support, independent living/skill building services and parent support and training. Every state has its own set of waiver programs that are unique.
  • Insurance Claims Assistance (1)
    FT-3900.3300

    Insurance Claims Assistance

    FT-3900.3300

    Programs that provide a variety of supportive services for individuals who need assistance in completing, filing and/or appealing decisions with regard to insurance claims and/or for organizations that need assistance in benefits administration.
  • Insurance Complaints (1)
    DD-1500.4800

    Insurance Complaints

    DD-1500.4800

    Programs that accept and, where possible, attempt to resolve complaints regarding the licensing, services, unethical or improper conduct of personnel or other inappropriate business practices of companies that sell insurance or settle insurance claims.
  • Insurance Issues (1)
    YZ-3450

    Insurance Issues

    YZ-3450

    Programs that provide information and/or services that deal with the topic of insurance.
  • Insurance Sales Agents (1)
    YO-7900.3300

    Insurance Sales Agents

    YO-7900.3300

    Individuals who help other individuals, families, and businesses select insurance policies that provide the best protection for their lives, health and property. Insurance agents may work for a single insurance company or may represent several companies and place insurance policies for their clients with the company that offers the best rate and coverage. In either case, insurance sales agents prepare reports, maintain records, seek out new clients and, in the event of a loss, help policyholders settle their insurance claims. Some agents also offer their clients financial analysis or advice on ways the clients can minimize risk.
  • Long Term Care Insurance (13)
    LH-3000.4500

    Long Term Care Insurance

    LH-3000.4500

    Private insurance companies, government programs and public/private partnership programs that issue individual and group insurance plans or policies which pay for nursing facility care, home health care, adult day health care, respite care, hospice care and/or home modifications to eliminate barriers for people who are chronically ill. Long-term care policies cover all levels of care including skilled, intermediate and custodial. Benefits may be triggered when an individual's doctor orders care, when s/he has some cognitive impairment or if s/he is unable to perform certain activities of daily living independently such as bathing, dressing, eating and toileting. A limited number of states participate in public/private partnerships which have provisions to protect participants from becoming impoverished in order to become eligible for Medicaid long-term care benefits.
  • Long Term Care Insurance Information/Counseling (2)
    LH-3500.4500

    Long Term Care Insurance Information/Counseling

    LH-3500.4500

    Programs that offer information and guidance for people who need assistance in determining whether they need long term care insurance, comparing and evaluating benefit plans and selecting a policy that will meet their needs or choosing an alternative to long term care insurance that is more beneficial given their situation.
  • Medicaid (10)
    NL-5000.5000

    Medicaid

    NL-5000.5000

    A combined federal and state program administered by the state that provides medical benefits for individuals and families with limited incomes who fit into an eligibility group that is recognized by federal and state law. Each state sets its own guidelines regarding eligibility and services within parameters established at the federal level. Many people are covered by Medicaid, though within these groups, certain additional requirements must be met. Eligibility factors include people's age, whether they are pregnant, have a disability, are blind, or aged; their income and resources (like bank accounts, real property or other items that can be sold for cash); and whether they are U.S. citizens or lawfully admitted immigrants. Families who are receiving benefits through TANF and individuals who receive SSI as aged, blind and disabled are categorically eligible groups. The rules for counting a person's income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes, for people served under the Medicaid Waiver program, for people served by Program of All-Inclusive Care for the Elderly (PACE) programs and for children with disabilities living at home. Medicaid makes payments directly to a person's health care provider; and some recipients may be asked to pay a small part of the cost (co-payment) for some medical services. Most states have additional "state-only" programs to provide medical assistance for specified low-income persons who do not qualify for the Medicaid program.
  • Medicaid Fraud Reporting (2)
    FN-1700.9500-500

    Medicaid Fraud Reporting

    FN-1700.9500-500

    Programs that provide a hotline, website or other mechanisms that Medicaid recipients and the public at large can use to report recipients or health care providers that make false statements or representations which result in an unauthorized payment by the Medicaid program to themselves or another. Examples of fraud include incorrect reporting of diagnoses or procedures to maximize payments; billing for services, medical supplies or equipment not furnished; misrepresentation of the dates and descriptions of services furnished, the identity of the recipient or the individual furnishing services; and billing for noncovered or nonchargeable services as covered items.
  • Medicaid Information/Counseling (4)
    LH-3500.4900

    Medicaid Information/Counseling

    LH-3500.4900

    Programs that offer information and guidance for people who may qualify for Medicaid with the objective of empowering them to make informed choices. Included may be information about the eligibility requirements for Medicaid and how to apply; Medicaid Managed Care options, benefits covered (and not covered) by the program including long-term care and home and community-based services; the payment process for co-payments; Medicaid "spend-down" (the process of reducing income and/or assets an individual possesses in order to qualify for Medicaid); and information about Medicare and the linkages between the two programs. The program may also answer questions about Medicaid services available to individuals with disabilities; and some programs may help people who qualify with enrollment and provide referrals to providers who accept State Medicaid health insurance.
  • Medical Care Expense Assistance for People Without Health Insurance / People With Inadequate Health Insurance (1)
    LH-5100.5000 * YJ-8800 * YJ-8780

    Medical Care Expense Assistance * People Without Health Insurance / People With Inadequate Health Insurance

    LH-5100.5000 * YJ-8800 * YJ-8780

    Programs that pay the hospital bills, doctor bills, laboratory expenses or other health care expenses of people who are unable to obtain necessary health care without assistance. Also included are programs that provide vouchers which enable eligible individuals to obtain medical care. Medical bill payment assistance programs may have age, income, disability, need or other eligibility requirements.

    Individuals and families who have no health care insurance coverage and who may not be receiving adequate medical care as a consequence.

    Individuals who do not have adequate coverage to address their medical needs including prescription drugs, doctor visits, medical tests, surgery or other medical procedures or interventions for catastrophic medical conditions.

  • Medicare (1)
    NS-8000.5000

    Medicare

    NS-8000.5000

    A federally funded health insurance program administered by the Centers for Medicare & Medicaid Services (CMS) under the U.S. Department of Health and Human Services for people age 65 and older; for individuals with disabilities younger than age 65 who have received or been determined eligible for Social Security Disability benefits for at least 24 consecutive months; and for insured workers and their dependents who have end stage renal disease and need dialysis or a kidney transplant. As with ESRD, the 24-month waiting period is waived for disability beneficiaries diagnosed with Amyotrophic Lateral Sclerosis (ALS, also called Lou Gehrig's disease). Premiums, deductibles and co-payments or out-of-pocket costs apply to Medicare coverage for most people. Special programs that assist with paying some or all of these costs are available for low income individuals who qualify. Medicare has four parts, but not every Medicare beneficiary has every part. Medicare Part A (Hospital Insurance) covers inpatient hospital stays, care in a skilled nursing facility, hospice care and home health care that meets the program eligibility criteria. Medicare Part B (Medical Insurance) covers services from doctors and other health care providers, outpatient care, home health care, durable medical equipment, preventive services and more. Together, Medicare Part A and Part B are called Original Medicare. Medicare Part C enables private insurance companies to offer Medicare Advantage (MA) Plans under contract with CMS that provide all Part A and Part B benefits to plan enrollees. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans and Medicare Medical Savings Account Plans. Some plans offer extra benefits and services that aren't covered by Original Medicare, sometimes for an extra cost; and most (but not all) include Medicare prescription drug coverage. Medicare Part D (Medicare prescription drug coverage) is an optional benefit that helps beneficiaries cover the cost of prescription drugs. The plans are offered by insurance companies and other private companies approved by Medicare and add prescription drug coverage to Original Medicare, some Medicare Private-Fee-for-Service Plans and Medicare Medical Savings Account Plans.
  • Medicare Advantage Plan Enrollment (2)
    NS-8000.5000-480

    Medicare Advantage Plan Enrollment

    NS-8000.5000-480

    Sponsors of Medicare Advantage (MA) health care plans approved by Medicare that accept applications for enrollment in one of the Medicare Advantage options that offer Part A (hospital) and Part B (medical) coverage. Prescription drug coverage may also be included. Many MA Plans offer extra benefits (e.g., vision coverage, dental coverage, hearing care, wellness services and nurse line support) and may offer lower co-payments than Original Medicare. However, MA plans may require participants to use physicians, hospitals and other providers that are part of the plan's provider network. Medicare Advantage Plans include: Medicare Health Maintenance Organization (HMO) Plans; Preferred Provider Organization (PPO) Plans; Private Fee-for-Service (PFFS) Plans; Medicare Special Needs Plans (SNP); and Medicare Savings Account Plans (MSA Plans). To join a MA Plan, an individual must be enrolled in Medicare Part A and Part B. In addition to paying the monthly Part B premium required by Medicare, MA Plans may require a monthly premium for the extra benefits provided by the Plan. Information about Medicare Advantage plans is available in the "Welcome to Medicare" handbook people receive when they enroll, by calling 1-800-MEDICARE or by using the Plan Finder on the Medicare website.
  • Medicare Appeals/Complaints (3)
    NS-8000.5000-520

    Medicare Appeals/Complaints

    NS-8000.5000-520

    Entities that are responsible for hearing appeals and resolving grievances that have been filed by people who have applied for or are receiving benefits through the Medicare program (including the Part D Prescription Drug Benefit and the subsidies that are available to low income beneficiaries enrolled in the Part D Benefit) and believe that an adverse action has been wrongly taken, including coverage denials, discrimination, violation of rights and/or failure to take an appropriate action.
  • Medicare Beneficiaries (1)
    YC-5100

    Medicare Beneficiaries

    YC-5100

    Individuals, age 65 and older or younger than age 65 with a disability, who have hospital, medical and prescription drug insurance through the federally-funded Medicare program.
  • Medicare Durable Medical Equipment Regional Carriers (2)
    NS-8000.5000-530

    Medicare Durable Medical Equipment Regional Carriers

    NS-8000.5000-530

    Private companies that contract with the Centers for Medicare & Medicaid Services (CMS), the federal government agency that operates Medicare, to pay bills for durable medical equipment such as wheelchairs, walkers or hospital beds as well as drugs that are used in conjunction with medical equipment. DME must be ordered by a doctor for use in the home and is paid for under both Medicare Part B and Part A for home health services. DMERCs are also responsible for answering questions about Medicare DME claims, service denials and adjustments for beneficiaries and providers (including how to bill for payment and how to process claims for primary and secondary payment); and, as part of their fraud and prevention function, actively accept the return of inappropriate Medicare payments.
  • Medicare Enrollment (3)
    NS-8000.5000-560

    Medicare Enrollment

    NS-8000.5000-560

    Social Security offices that accept applications for enrollment in and determine eligibility for the Medicare program. People who have signed up for early retirement benefits with the Social Security Administration or the Railroad Retirement Board receive their Medicare card in the mail automatically prior to their 65th birthday. Their application for retirement benefits serves as an application for Medicare Part A. Individuals who wait for full retirement age to sign up for SSA cash benefits will need to apply for Medicare approximately three months prior to their 65th birthday month at the Social Security office where they will do the paperwork and designate if they want Part A and/or B. They will get their Medicare card in the mail showing their enrollment (Part A and/or B) with an effective date, the first of their birthday month. These people are now enrolled in Original Medicare and can sign up with a supplement or Medicare Prescription Drug Plan (Part D), or have the option of receiving their Medicare benefits through a Medicare Advantage plan (HMOs, PPOs, special needs plans, private fee for service plans, Medicare savings account plans). If they choose to enroll in a Medicare Advantage plan, they will have to determine availability and which plan is best for them, and then will need to enroll directly with the plan of their choice. Information about Medicare Advantage plans is available in the Welcome to Medicare handbook people receive when they enroll, by calling 1-800-MEDICARE or by using the Plan Finder on the Medicare website.
  • Medicare Fraud Reporting (1)
    FN-1700.3350-550

    Medicare Fraud Reporting

    FN-1700.3350-550

    Programs that provide a hotline, website or other mechanisms that persons with Medicare and the public at large can use to report health care providers or beneficiaries who make false statements or representations which result in an unauthorized payment by the Medicare program to themselves or another. Also included are organizations that accept and investigate reports about fraudulent entities that misrepresent themselves as approved Medicare Part D Prescription Drug Plans; approved plans that use aggressive marketing tactics, discriminate against a beneficiary (e.g., prevent them from signing up for a plan based on their age, health status, race or income), entice beneficiaries to enroll in a more costly plan than they require, or erroneously charge beneficiaries for medication provided under the plan they have selected; or pharmacies that provide a different drug than the one prescribed by the physician. Examples of Medicare fraud include incorrect reporting of diagnoses or procedures to maximize payments; billing for services, medical supplies, equipment or medications not provided; misrepresentation of the dates and descriptions of services or medications provided, the identity of the recipient or the individual furnishing services; and billing for noncovered or nonchargeable services as covered items. Also included are programs that provide consumer education, counseling and assistance with the objective of helping people identify instances of fraud.
  • Medicare Information/Counseling (7)
    LH-3500.5000

    Medicare Information/Counseling

    LH-3500.5000

    Programs that offer information and guidance for older adults and people with disabilities regarding their health insurance options with the objective of empowering them to make informed choices. Included is information about benefits covered (and not covered); the payment process; the rights of beneficiaries; the process for eligibility determinations, coverage denials and appeals; consumer safeguards; and options for filling the gap in Medicare coverage (Medigap supplement insurance). Also available is information relating to an individual's eligibility for benefits and assistance with evaluating their options and enrolling in a Medicare plan (A, B, C, and/or D) that will best meet their needs. These programs also address coordination of benefits when beneficiaries have other types of health insurance in addition to Medicare (e.g. Medicaid, employer coverage or retiree insurance) and provide counseling and assistance regarding the subsidies that are available to low income beneficiaries enrolled in the Part D Prescription Drug Benefit (which help pay for Part D premiums and reduce the cost of prescriptions at the pharmacy) and the Medicare Savings Programs which help pay for Medicare out-of-pocket costs. They may also provide information about Medicaid and the linkages between the two programs, referrals to appropriate state and local agencies involved in the Medicaid program, information about other Medicare-related entities (such as peer review organizations, Medicare-approved prescription drug plans, Medicare administrative contractors), and assistance in completing related Medicare insurance forms.
  • Medicare Insurance Supplements (19)
    LH-3000.5000

    Medicare Insurance Supplements

    LH-3000.5000

    Organizations that offer insurance policies which pay for some health care costs that are not covered by Medicare. These generally include Medicare deductibles and co-payments, but not long-term care.
  • Medicare Part D Low Income Subsidy (Extra Help) Applications (1)
    NS-8000.5000-600

    Medicare Part D Low Income Subsidy (Extra Help) Applications

    NS-8000.5000-600

    Social Security offices and state Medicaid agencies that accept applications and determine eligibility for the subsidies that are available to low income beneficiaries enrolled in the Medicare Part D Prescription Drug Benefit. Beneficiaries may also apply for the subsidy through the online application available on the Social Security Administration website.
  • Medicare Part D Prescription Drug Plan Enrollment (1)
    NS-8000.5000-660

    Medicare Part D Prescription Drug Plan Enrollment

    NS-8000.5000-660

    Private Prescription Drug Plans that are approved by the Centers for Medicare & Medicaid Services (CMS) to offer prescription drug coverage for Medicare beneficiaries and accept applications for enrollment. Beneficiaries may also select a plan using the online enrollment application available on the CMS website. The application provides a tool for comparing different plans which vary in costs and specific drugs covered.
  • Medicare Savings Programs (2)
    NL-5000.5000-700

    Medicare Savings Programs

    NL-5000.5000-700

    Programs that cover all or a portion of Medicare costs for low income Medicare beneficiaries with limited resources/assets. Medicare Savings Programs (MSPs) are administered by Medicaid medical assistance offices, pay all or a portion of Medicare premiums and may pay Medicare deductibles and co-insurance. Included are the Qualified Medicare Beneficiary (QMB) program that pays Medicare premiums, deductibles and co-payments for people with combined incomes that do not exceed 100 percent of the federal poverty level; the Specified Low-Income Beneficiary (SLMB) program that pays Medicare Part B premiums for people with combined incomes between 100 and 120 percent of the federal poverty level; the Qualifying Individuals (QI) program that pays Medicare Part B premiums for people with combined incomes 120 and 135 percent of the federal poverty level; and the Qualified Disabled and Working Individuals (QDWI) program that helps pay the Part A premium for individuals under age 65 who have a disability and are working, have lost their premium-free Part A when they returned to work, are not receiving medical assistance from their state and meet income and resource limits required by their state. The QI program is a limited program (block grant to states), and is available on a first come, first serve basis. Asset/resource limits for these programs are adjusted each year and may vary by state.
  • PACE Programs (1)
    NL-5000.6800

    PACE Programs

    NL-5000.6800

    A capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing. For most participants, the comprehensive service package permits them to continue living at home while receiving services rather than being institutionalized. Capitated financing allows providers to deliver all services participants need rather than being limited to those reimbursable under the Medicare and Medicaid fee-for-service systems. The BBA established the PACE model of care as a permanent entity within the Medicare program and enables States to provide PACE services to Medicaid beneficiaries as a State option. The State plan must include PACE as an optional Medicaid benefit before it can enter into program agreements with PACE providers. Participants must be at least 55 years of age, live in the PACE service area, and be certified as eligible for nursing home care by the appropriate State agency. The PACE program becomes the sole source of services for Medicare and Medicaid eligible enrollees. PACE programs provide social and medical services primarily in an adult day health center, supplemented by in-home and referral services in accordance with the participant's needs. The care is overseen by an interdisciplinary team, consisting of professional and paraprofessional staff.
  • Railroad Workers Disability Insurance (1)
    NS-1800.6500

    Railroad Workers Disability Insurance

    NS-1800.6500

    A program administered by the Railroad Retirement Board that provides disability benefits for people who have at least 10 years of railroad employment and become totally disabled, and for individuals who have at least 20 years of service and become partially disabled.
  • Social Insurance Programs (1)
    NS

    Social Insurance Programs

    NS

    Programs that have been established by law and are generally compulsory in nature which provide cash income on a regular basis or payments to meet a designated need for people who are entitled to benefits based on their own or their employer's contributions to the program and their service to the country. Although there may be assessment procedures to confirm eligibility, there are no financial means or assets tests associated with these benefits.
  • Social Security Disability Insurance (1)
    NS-1800.8000

    Social Security Disability Insurance

    NS-1800.8000

    A federal program administered by the Social Security Administration that provides monthly cash benefits for disabled workers who are fully insured under the program, who are not capable of substantial gainful work and who have completed a five month waiting period.
  • State Medicaid Managed Care Insurance Carriers (1)
    NL-5000.5000-775

    State Medicaid Managed Care Insurance Carriers

    NL-5000.5000-775

    Private insurance companies that issue managed care policies to people who qualify under Medicaid, generally on the basis of a contractual arrangement with the state. Enrollment in a managed care plan may be voluntary or mandatory for some or all Medicaid recipients in a state; and participation requirements and associated criteria vary from state to state and in some cases, from area to area within the same state. Benefits covered by Medicaid vary by jurisdiction but generally include hospitalization, physician services, emergency room visits, family planning, immunizations, laboratory and x-ray services, outpatient surgery, chiropractic care, prescriptions, eye exams, eye glasses and dental care. Other covered services may include alcohol and drug treatment, mental health services, medical equipment and supplies and rehabilitative therapy. Medical benefits are administered by the insurance companies under terms of their contract.
  • State/Local Health Insurance Programs (2)
    NL-5000.8000

    State/Local Health Insurance Programs

    NL-5000.8000

    Programs that provide health insurance for people who do not qualify for Medicaid, do not have access to insurance provided by an employer or cannot afford privately purchased health insurance. Services covered by these programs vary by state but generally include hospitalization, physician services, emergency room visits, family planning, immunizations, laboratory and x-ray services, outpatient surgery, chiropractic care, prescriptions, eye exams, eye glasses and dental care. Other services may include alcohol and drug treatment, mental health services, medical and equipment and supplies and rehabilitative therapy. Eligibility requirements also vary. Included are state and/or local government health insurance programs which may be administered by the state or at the local level, and public/private partnerships between state and/or local government entities and health insurance companies or other private organizations. Health care is generally provided through participating managed care plans in the area.
  • Traditional Long Term Care Insurance (1)
    LH-3000.4500-850

    Traditional Long Term Care Insurance

    LH-3000.4500-850

    Private insurance companies that issue individual and group insurance plans or policies which pay for nursing facility care, home health care, adult day health care, respite care, hospice care and/or home modifications to eliminate barriers for people who are chronically ill. Long-term care policies cover all levels of care including skilled, intermediate and custodial. Benefits may be triggered when an individual's doctor orders care, when s/he has some cognitive impairment or if s/he is unable to perform certain activities of daily living independently such as bathing, dressing, eating and toileting.
  • TRICARE Standard (1)
    NS-8000.9000-850

    TRICARE Standard

    NS-8000.9000-850

    TRICARE Standard, formerly known as CHAMPUS, provides heath care benefits for active duty members of the uniformed services including the Coast Guard, NOAA and the Public Health Service; qualified family members; retirees and their family members; and the spouses and children of deceased active duty and retired personnel. The program is one of three TRICARE options and helps to pay the costs of inpatient, outpatient and emergency medical services obtained from civilian sources. Beneficiaries pay an annual deductible and a share of the costs and may select the authorized civilian health care provider of their choice. There is no enrollment required for families. TRICARE is a regional managed care program administered by the Department of Defense (DoD) Health Affairs Office in collaboration with civilian contractors.
  • Veteran/Military Health Insurance (2)
    NS-8000.9000

    Veteran/Military Health Insurance

    NS-8000.9000

    Programs administered by the Department of Defense (DoD) Health Affairs Office or the U.S. Department of Veterans Affairs that provide health benefits coverage for eligible military personnel, eligible veterans and eligible dependents.