Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Operations Manual 6010.59-M, April 1, 2015
TRICARE Overseas Program (TOP)
Chapter 24
Section 25
Continued Health Care Benefit Program (CHCBP)
Revision:  C-6, October 20, 2017
1.0  GENERAL
All TRICARE requirements regarding the CHCBP shall apply to the TRICARE Overseas Program (TOP) unless specifically waived or superseded by the provisions of this section or the TRICARE contract for health care support services outside the 50 United States (U.S.) and the District of Columbia (hereinafter referred to as the “TOP contract”). See the TRICARE Policy Manual (TPM), Chapter 10, Section 4.1 for additional instructions.
2.0  ELIGIBILITY AND ENROLLMENT
2.1  CHCBP enrollees in overseas locations are not eligible for enrollment in TOP plans.
2.2  CHCBP claims for claims involving services received through December 31, 2017, in overseas locations are processed as Standard. For services received in overseas locations on or after January 1, 2018, claims are processed by the CHCBP contractor as TRICARE Select. For purposes of coverage, the beneficiary deductible, catastrophic cap and cost-share provisions of the TRICARE Select plan applicable to Group B shall apply based on the category of beneficiary (e.g., Active Duty Family Member (ADFM) or Retiree Family) to which the CHCBP enrollee last belonged, except that for separating active duty members, amounts applicable to TRICARE Select ADFMs shall apply.
3.0  CONTRACTOR RESPONSIBILITIES
3.1  The TOP contractor shall not develop purchased care sector provider networks to support the CHCBP beneficiary population.
3.2  The TOP contractor shall not provide Guarantee of Payment or implement other business processes to provide CHCBP enrollees with cashless, claimless care.
3.3  The TOP contractor shall not make appointments with purchased care sector providers for CHCBP enrollees. However, upon beneficiary request, the contractor shall provide CHCBP enrollees with the name, telephone number, and address of network or non-network providers of the appropriate clinical specialty located within the beneficiary’s geographic location.
3.4  The TOP contractor shall provide general CHCBP program information and enrollment forms upon request.
- END -

Utility Navigation Links

DoD Seal

tricare.mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Frequently Asked Questions page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.7.7887.17454

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.