TRICARE Fundamentals Course (TFC) 6hrs Practice Test

These questions are part of the practice quiz. Start practicing

• What is the main purpose of the TRICARE cost estimator tool?
• What is the maximum allowable charge for services under TRICARE typically influenced by?
• How often can TRICARE Select enrollment fees and related costs change?
• What does the term "network provider" mean in TRICARE?
• What additional payment responsibility do beneficiaries have when utilizing non-network providers?
• What distinguishes the cost-shares for TRICARE Select in-network versus out-of-network?
• What type of dental care does TRICARE provide?
• What is TRICARE Reserve Select?
• What must former active duty members have to be eligible for Transitional Care for Service-Related Conditions (TCSRC)?
• What impact does active duty status have on TRICARE coverage?
• Which of the following best describes the financial responsibility associated with non-network provider services under TRICARE?
• What type of agreement does a civilian network provider sign with the regional contractor?
• What is necessary for covering specialist visits under TRICARE Prime?
• What is the allowable charge under TRICARE?
• How does TRICARE Select provide beneficiaries with healthcare options?
• What type of Medicare coverage is necessary for TRICARE for Life to be effective?
• Which statement best describes the TRICARE Select program?
• Can TRICARE beneficiaries receive care from civilian providers?
• Which of the following options is considered direct-care only and does not constitute minimal essential coverage under the ACA?
• What procedures must beneficiaries follow for referrals within TRICARE Prime?
• When a service member is called to active duty, what eligibility change might occur for their family members?
• What is a common benefit received under the TRICARE pharmacy program?
• Who must approve enrollment in the TRICARE Plus program?
• How are emergency care costs covered under TRICARE?
• Which of the following is a valid option under the TRICARE Pharmacy Program?
• Which of the following is NOT a requirement for TRICARE Reserve Select eligibility?
• What benefit may family members of a service member experience when the service member is deployed?
• How can TRICARE assist active duty personnel on deployment?
• Which of the following cannot be appealed?
• Can retirees seek care from any TRICARE provider?
• What is an important aspect of TRICARE's mental health coverage?
• What resources does TRICARE offer for health and wellness?
• What is the purpose of the TRICARE Resource Center?
• What does the TRICARE Young Adult Program allow eligible service members' children to do?
• What is TRICARE Plus?
• What are the primary goals of the TRICARE program?
• What type of care is TRICARE typically for?
• What function does a military treatment facility (MTF) serve within the TRICARE system?
• What type of coverage do National Guard and Reserve members have when on active service for 30 days or less?
• In what scenario would TRICARE Plus not be available?
• What is TRICARE's primary mission?
• What potential financial impact do TRICARE beneficiaries face when opting for non-network providers?
• Enrollees whose sponsor initially enlisted or was commissioned before January 1, 2018, fall into which beneficiary category?
• What is a key benefit of TRICARE for Life for Medicare-eligible beneficiaries?
• Which claim resolution method is preferred according to TRICARE guidelines?
• What is the maximum allowable cost for urgent care under TRICARE?
• What is the primary function of the Defense Enrollment Eligibility Reporting System (DEERS)?
• When does TRICARE for Life apply?
• TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR) provide _____________ benefits to all covered individuals.
• What is the significance of the TRICARE enrollment process?
• Which of the following is a benefit of TRICARE Select?
• How much do active duty members and their family members pay for TRICARE Prime enrollment?
• If a beneficiary is declared ineligible for ECHO, what can be said about the decision?
• What type of benefits do TRICARE Reserve Select (TRS) and TRICARE Retired Reserve (TRR) provide?
• Who is permitted to file a claim with TRICARE?
• What services are not covered by TRICARE?
• What types of medications are included in the TRICARE pharmacy program?
• Which dental coverage options does TRICARE provide?
• When can a TRICARE enrollee change or enroll in a TRICARE Prime or TRICARE Select plan?
• What is expected of TRICARE beneficiaries regarding their benefits?
• TRICARE Prime Remote for Active Duty Family Members is considered:
• How can changes in military status affect TRICARE eligibility?
• What is the objective of the TRICARE Dual Eligible Demonstration Project?
• What is the Point of Service option in TRICARE Prime?
• What is the primary role of the TRICARE beneficiary advisor?
• Is it true that an individual retiree in Group B pays an enrollment fee for TRICARE Select?
• Which action might result in a late enrollment penalty for individuals becoming eligible for Medicare?
• Which group is primarily served by TRICARE Reserve Select?
• Define the term "TRICARE-covered services."
• What is the coverage limit for services under TRICARE Prime Remote based on?
• What is the purpose of the TRICARE formulary?
• In which situation might a TAMP beneficiary seek assistance with understanding their coverage?
• What should individuals do first after receiving a denied claim?
• TAMP beneficiaries are eligible for how many days of medical coverage?
• How does TRICARE determine payment rates for providers?
• What does direct care specifically refer to within the TRICARE system?
• What is the term used for the maximum out-of-pocket costs a beneficiary pays each calendar year for TRICARE-covered services?
• A beneficiary’s coverage under ECHO may be denied. What is true regarding the denial?
• Which group of individuals may access TRICARE services without needing a referral according to TRICARE Select?
• When may a TRICARE beneficiary need to seek assistance from a beneficiary advisor?
• Which Medicare part may individuals incur a late enrollment penalty for if they do not sign up when first eligible?
• What is a key feature of TRICARE Prime that distinguishes it from other plans?
• What should a beneficiary do if they have a complaint about their TRICARE provider?
• Enrollees whose sponsor enlisted or was commissioned before January 1, 2018, fall into which beneficiary category?
• What is a requirement for filing a claim with TRICARE?
• Which of the following may be a cost associated with TRICARE Prime?
• How would you best describe TRICARE Retired Reserve (TRR) coverage?
• Which TRICARE program allows coverage for only active duty families exclusively?
• How does TRICARE address medical emergencies?
• Who is covered by the Extended Care Health Option (ECHO) for services and supplies beyond the basic TRICARE benefit?
• What is the role of TRICARE's Primary Care Manager (PCM)?
• What type of care does TRICARE classify as emergency care?
• What is the name of the primary care program offered at some military hospitals or clinics that requires enrollment?
• When can beneficiaries make changes to their TRICARE enrollment?
• National Guard and Reserve members qualify for the same health care benefits as active duty members when what condition is met?
• Are chiropractic services covered under TRICARE?
• Who manages care for TRICARE Prime beneficiaries?
• What must active duty family members sign up for before their sponsor's retirement date to avoid a gap in TRICARE coverage?
• What is one of the primary benefits of TRICARE Select?
• What condition allows National Guard and Reserve members to access the same health care benefits as active duty members?
• What benefit does TRICARE offer to family members of active-duty service members in remote locations?
• What is the concept of “cost share” in TRICARE?
• What is NOT a requirement for being considered an "active duty member" in TRICARE?
• Who qualifies for TRICARE coverage?
• When is a beneficiary considered to be in Group B?
• What is a deductible in TRICARE?
• Which TRICARE plan exclusively serves Medicare-eligible beneficiaries?
• What types of care does TRICARE provide for veterans?
• What does the TRICARE Health Plan encompass?
• What is the function of a TRICARE regional contractor?
• What happens when TRICARE Select enrollees receive care from non-authorized, non-network providers?
• Which of the following statements is true regarding TRICARE coverage for maternity care?
• What is the role of a primary care manager (PCM) in TRICARE?
• What is the time frame within which the Continued Health Care Benefit Program must be purchased after TRICARE eligibility ends?
• Which online tool provides information about medications covered under the TRICARE pharmacy benefit?
• How is TRICARE for Life primarily funded?
• What is the first step to appeal a denial of TRICARE claims?
• In what scenario would a beneficiary face higher costs in TRICARE?
• What is a key feature of the Active Duty Dental Program (ADDP)?
• Who is NOT eligible for the Transitional Assistance Management Program (TAMP)?
• What must beneficiaries be aware of if choosing to receive care from non-network providers?
• How does TRICARE support mental health services?
• What is the first step a beneficiary must take to update TRICARE information?
• What is the purpose of the Formulary Search Tool?
• TRICARE Select is known for providing which type of access to healthcare services?
• Which program authorizes civilian dental care for active duty members to maintain dental health?
• What criteria can cause a change in TRICARE benefits?
• How is urgent care defined in the context of TRICARE?
• Which of the following is NOT a feature of TRICARE Prime?
• What is the relationship between TRICARE and the Affordable Care Act (ACA)?
• Which TRICARE Pharmacy Program option incurs a 50 percent point-of-service cost-share for TRICARE Prime enrollees?
• Which of the following is a feature of TRICARE for Life?
• Which healthcare options are available for non-active duty military family members?
• Which program requires enrollment for its services to be utilized by active duty family members residing in remote areas?
• Who qualifies for ECHO benefits under TRICARE?
• Which of the following benefits is associated with TRICARE Select?
• What is a key objective of TRICARE's integrated health care delivery system?
• What type of care does TRICARE cover for pregnant women?
• How can you appeal a TRICARE claim denial?
• What is a catastrophic cap in TRICARE?
• In what scenario would TRICARE utilization be most beneficial for pregnant beneficiaries?
• Who benefits from the services of a TRICARE beneficiary advisor?
• What is the typical cost-sharing structure in TRICARE Prime?
• TRICARE Prime Remote for Active Duty Family Members (TPRADFM) is characterized as being:
• Which dental option is available to retired members of the Uniformed Services and their eligible families?
• How is cost-sharing determined under TRICARE plans?
• Which of the following best describes the advocacy role of a TRICARE beneficiary advisor?
• What defines the TRICARE Network?
• For TRICARE Prime Remote, how far must members live from a military hospital or clinic?
• What proactive measure might family members of deployed service members consider regarding their health benefits?
• What is the primary purpose of TRICARE?
• What type of health care coverage does TRICARE provide for eligible members who are also enrolled in Medicare?
• What type of orders may be issued to National Guard and Reserve members who are called to active service for more than 30 consecutive days?
• What might occur to TRICARE coverage once a service member retires?
• The US Family Health Plan (USFHP) provides medical coverage with copayments similar to which TRICARE option?
• Which is NOT a main type of TRICARE plan?
• What should beneficiaries NOT do to resolve claims regarding TRICARE?
• What is required for a beneficiary if referred for specialty care under TRICARE Prime?
• Who is eligible for the Extended Care Health Option (ECHO)?
• What is the meaning of "managed care" in the TRICARE context?
• How do benefits differ for active duty service members compared to retirees under TRICARE?
• TRICARE-eligible retirees from Group B must enroll in which plan to avoid a premium?
• Which of the following preventive care services are covered by TRICARE?
• Can service members get care from civilian hospitals?
• How does TRICARE accommodate special populations such as pregnant women?
• Do pregnant women need prior authorization to access TRICARE maternity services?
• Which of the following best describes the enrollment method for TRICARE Retired Reserve (TRR)?
• What is typically true about the financial costs for active duty service members under TRICARE?
• What is the TRICARE "Wellness" program?
• What is an annual enrollment fee for TRICARE Prime?
• What kind of support does TRICARE provide for military families with special needs?
• Under what condition are newborn children of active duty family members automatically covered under TRICARE Prime?
• What is necessary for transitioning between different TRICARE plans?
• Which category of beneficiary is not eligible for TRICARE Select?
• Under which TRICARE health plan do retirees and their family members not qualify to purchase vision coverage through FEDVIP?
• What documents are necessary for a TRICARE enrollment application?
• How does TRICARE Select differ from TRICARE Prime?
• What does TRICARE cover regarding telehealth services?
• If a beneficiary visits a non-network participating provider, what payment method do they typically follow?
• Which entity reviews claims and approves payments for remote active duty members?
• Which of the following is covered under TRICARE?
• Under what condition are newborn children of active duty family members automatically covered under TRICARE Prime?
• How can beneficiaries file claims for TRICARE services?
• What does the TRICARE Overseas Program offer?
• What is required to obtain prior authorization for certain services in TRICARE?
• What does the TRICARE pharmacy program provide?
• What characterizes TRICARE Prime?
• How does TRICARE generally handle preventive services?
• Can TRICARE beneficiaries access telehealth services?
• What involves care through both military and civilian facilities under TRICARE?
• In TRICARE, when an enrollee is covered by multiple insurances, which determines the payment order?
• How does TRICARE assist with medical care for service members' families during deployment?
• How can TRICARE beneficiaries find information regarding their benefits?
• What may occur if a beneficiary does not enroll in TRICARE Prime within the enrollment period?
• Which of the following situations leads to a change in TRICARE eligibility?
• Can TRICARE beneficiaries receive care from any civilian provider?
• What does TRICARE primarily serve?
• What is an essential criterion for members to access dental care through TRICARE?
• Which of the following statements is true regarding late enrollment penalties for Medicare?
• How often can TRICARE beneficiaries change their enrollment option?
• How does TRICARE handle preventive health screenings?
• Which benefit is directly related to TRICARE's pharmacy program?
• What is typically NOT included in TRICARE pharmacy services?
• Which program is a managed care option for active duty and eligible family members in remote areas?
• What role does a Primary Care Manager (PCM) play in TRICARE Prime?
• Are alternative therapies included in TRICARE coverage?
• What is the TRICARE Young Adult program?
• What is the name of the voluntary dental insurance plan that provides worldwide coverage to eligible beneficiaries?
• Which of the following is NOT a main component of TRICARE?
• What happens if a TRICARE beneficiary does not notify the regional contractor after receiving emergency care?
• Can TRICARE beneficiaries seek mental health treatment without a referral?
• What is the qualifying distance from a military facility for TRICARE Prime Remote members?
• What should a beneficiary do if their military status changes?
• What is a referral in the context of TRICARE Prime?
• What advantage does TRICARE provide to pregnant women seeking care?
• What is a key feature of TRICARE during the deployment of a service member?
• When a beneficiary's health care services are covered by Medicare, TRICARE, and their Other Health Insurance (OHI), which payer acts last?
• When can beneficiaries enroll in TRICARE Prime?
• Which statement best describes TRICARE Prime?
• What are the annual enrollment fees for TRICARE Select?
• Are vision care services included in TRICARE benefits?
• In what way can beneficiaries update their TRICARE information?
• How does TRICARE address non-covered services?
• What causes TRICARE Reserve Select and TRICARE Retired Reserve members to lose eligibility?
• What is a consequence of using non-network providers under TRICARE?
• What does PCM stand for in the TRICARE system?
• What is the primary responsibility of the Defense Health Agency (DHA) in relation to TRICARE?
• Which aspect of TRICARE is NOT subject to appeal?
• When receiving care from a non-network, non-participating provider, up to what percentage may a beneficiary have to pay above the TRICARE-allowable charge?
• What defines a non-network provider in TRICARE?
• What defines an "active duty member" under TRICARE?
• Which of the following statements accurately describes the structure of TRICARE Prime Remote?
• What is the typical duration of supply and number of refills for medications received through Home Delivery?
• Are TRICARE beneficiaries allowed to seek care outside of the United States?
• What is the TRICARE appeals process for benefits?
• Who qualifies for TRICARE coverage?
• Who provides TRICARE-related customer support?
• What type of care is not covered under TRICARE Select when using non-authorized providers?
• What must beneficiaries consider when using TRICARE for telehealth services?
• What is the outpatient cost-share for TRICARE Select dependent on?
• What steps should a beneficiary take if they need to file a claim?
• What happens when beneficiaries receive care outside of the network?
• What is the role of the TRICARE Regional Contractors?
• What is a significant focus of the TRICARE for Life program?
• What should a beneficiary do in case of a medical emergency?
• Who is eligible for TRICARE Reserve Select coverage?
• Who is the primary audience for TRICARE services?
• How does TRICARE support telehealth services?
• What indicates the flexibility of TRICARE's coverage for vision care?
• What is the role of the TRICARE Operations Center (TOC)?
• What type of mental health services does TRICARE provide?
• What type of beneficiaries typically pay the annual enrollment fee for TRICARE Prime?
• What is the primary responsibility of the Defense Health Agency (DHA)?
• What is the purpose of TRICARE for Life?