TFC EA April 2024

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Across
  1. 2. The voluntary premium-based dental program for eligible beneficiaries.
  2. 6. The supply of medication that beneficiaries can obtain via retail pharmacies.
  3. 7. The deadline to file claims overseas.
  4. 8. The part of Medicare for which beneficiaries must sign up before their sponsor’s retirement date to avoid a break in TRICARE coverage.
  5. 10. The number of days of coverage provided by TAMP.
  6. 11. The wrap-around medical coverage for beneficiaries enrolled in Medicare parts A & B.
  7. 12. The person that Overseas ADSMs should file their appeals with.
  8. 14. The type of pharmacies where beneficiaries pay the full price upfront and file a claim for reimbursement.
  9. 17. The additional financial resource that covers services and supplies beyond the basic TRICARE benefit for ADFMs.
  10. 18. The action a beneficiary, provider, or representative takes when they don’t agree with a certain decision made by a TRICARE contractor or the Defense Health Agency (DHA).
  11. 21. The health care plan which does not qualify to purchase vision coverage through FEDVIP.
  12. 23. The time limit to submit a factual determination appeal to DHA.
  13. 24. The premium-based program for individuals who lose TRICARE eligibility or premium-based plan coverage ends.
  14. 25. The person who determines if an MTF will offer TRICARE Plus.
  15. 26. The position in which TRICARE pays on a claim when a beneficiary’s health care services are covered by Medicare, TRICARE, and their OHI.
  16. 27. The timeframe to purchase CHCBP when TRICARE eligibility ends. The amount of TRICARE Pharmacy options.
Down
  1. 1. The supply of medication that beneficiaries can obtain via home delivery and at military pharmacies.
  2. 3. The time limit to submit a non-expedited medical necessity appeal to TQMC.
  3. 4. The premium-based program for qualified young adults who will lose TRICARE eligibility due to age.
  4. 5. When a person or organization purposely deceives others to gain some sort of unauthorized benefit.
  5. 9. This benefit provides transitional heath care coverage to certain former members and their families.
  6. 11. This benefit provides extended transitional health care coverage for TAMP-eligible members with certain service-related conditions.
  7. 13. The online tool which shows information about medications covered under the pharmacy benefit.
  8. 15. The document send by the claim processor to explain how the claim was processed.
  9. 16. The person who can validate the service-related condition for TCRSC.
  10. 19. The voluntary dental option for retirees and their families.
  11. 20. The age at which beneficiaries age out of TYA.
  12. 21. The primary care enrollment program offered at certain military hospitals and clinics.
  13. 22. The dental program for active duty service members.
  14. 27. The age at which most people become eligible for Medicare.