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TRICARE Program Manuals - 2008 Edition (T-3)

These manuals serve for contracts awarded on or after 06/27/2008 for the North, South, and West Regions along with TQMC, CARS, TOP, and TPharm. The manuals will apply to the TDEFIC contract upon direction of the Contracting Officer

TRICARE Operations Manual, Change 23, August 25, 2010

Page Count: 1,414
Summary of Changes: This change updates existing procedures and policies related to the TRS health plan. 1) Following Office of General Counsel (OGC) review, it was determined that being eligible to enroll in a health benefits plan under Chapter 89 of the Title 5 USC, the Federal Employees Health Benefit Program (FEHBP) is NOT an exclusionary criteria for TRS members' survivors. 2) A second change is related to the timing of TRS coverage purchase following the termination of coverage under another TRICARE program. 3) Contractors will be directed to pend claims associated with a TRS member's newborn/adoptee for 60 days, or until the child is added to the TRS policy/plan. 4) The impact of the final proposed change is to not immediately disqualify and terminate coverage for TRS members who become eligible for FEHBP. Instead, such members will be allowed to continue their TRS coverage for a period of up to 45 days, allowing them time to transfer/change their coverage as they see fit. This change is published in conjunction with Feb 2008 TSM Change 20.

TRICARE Policy Manual, Change 34, August 10, 2010

TRICARE Reimbursement Manual, Change 34, August 10, 2010

TRICARE Systems Manual, Change 20, August 25, 2010

Other Manuals

Authority for the TRICARE Program is the 32 CFR 199. DHA is providing a version of Title 32 to the Code of Federal Regulations, Part 199 (32 CFR 199) and 10 United States Code Chapter 55 as a convenience for the DHA community.

32 CFR 199 (2005), Change 38, August 18, 2010

10 USC 55, Baseline, January 3, 2007

Superceded Manuals

TRICARE Operations Manual, Change 102, August 27, 2010

TRICARE Policy Manual, Change 127, August 9, 2010

TRICARE Reimbursement Manual, Change 119, August 27, 2010

TRICARE Systems Manual, Change 84, August 24, 2010