Providers
Chapter 11
Section 2.2
Employer-Operated Medical
Facilities
Issue Date: January 23, 1984
Revision:
1.0 ISSUE
Whether benefits may be extended for care provided
by employer-operated medical facilities.
2.0 BACKGROUND
Medical facilities operated by employers, labor
unions or other organizations for the benefit of their employees
ordinarily do not impose charges for their services.
3.0 POLICY
Benefits are provided on the basis of incurred
expenses; that is, the beneficiary must actually be billed for a
service and have a legal obligation to pay the bill. When no charge
is incurred by the patient, TRICARE will not cost-share or apply
any amounts to satisfy a deductible or cost-share.
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