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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