Title 32 National Defense Civilian Health And Medical Program Of The Uniformed Services (CHAMPUS) Part 199.8 Double Coverage Revision: C-6, May 4, 2020 Rule: (a) Introduction. (b) Double coverage plan. (1) Insurance plan. (2) Medical service or health plan. (3) Third-party payer. (4) Exceptions. (c) Application of double coverage provisions. (1) TRICARE last pay. (2) TRICARE advance payment. (3) Primary medical insurer. (4) Waiver of benefits. (5) Lack of payment by double coverage plan. (d) Special considerations. (1) CHAMPUS and Medicare-- (i) General rule. (ii) Payment limit. (iii) Application of general rule. (iv) Examples of applications of general rule. (v) Application of catastrophic cap. (vi) Retroactive determinations of disability. (vii) Effect on enrollment in Medicare Advantage Prescription Drug (MA-PD) plan. (viii) Effect of other double coverage plans, including medigap plans. (ix) Effect of employer-provided insurance. (2) CHAMPUS and Medicaid. (3) TRICARE and Workers’ Compensation. (4) Extended Care Health Option (ECHO). (5) Primary payer. (6) Prohibition against financial and other incentives not to enroll in a group health plan-- (i) General rule. (ii) Application of general rule. (iii) Documentation. (iv) Remedies and penalties. (v) Definitions. (vi) Procedures. (e) Implementing instructions.