Author Topic: Tricare Overseas Program (TOP)  (Read 1613 times)

Offline southern92

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Tricare Overseas Program (TOP)
« on: February 23, 2010, 09:43:10 AM »
Info on TRICARE for Overseas.  Derived from www.tricare.mil (look up overseas).  Once over 65 one would have to switch to TRICARE FOR LIFE/Medicare.  (falling under different rules)


Annual Outpatient Deductible
When using TOP Standard, you must meet an annual deductible
each FY for outpatient services before cost-sharing begins.
The annual deductible varies according to your beneficiary
category and type of coverage (individual or family).

Retired Service Members    Their Families, and All Others
$150/Individual                 $300/Family

?Outpatient Visit               25% of covered costs after the annual deductible is met

Durable Medical               25% of covered costs after the annual deductible is met
Equipment, Prosthetic
Devices, Medical Supplies

Hospitalization                25% of billed charges for institutional services, plus 25%
                                    of covered costs for separately billed professional services


Inpatient Skilled Nursing   25% of billed charges for institutional services, plus 25%
                                    of covered costs for separately billed professional services

Inpatient Behavioral Health  25% of billed charges for institutional services, plus
                                       25% of covered costs for separately billed professional
                                       services

Catastrophic Cap
The catastrophic cap is the maximum out-of-pocket expense you will pay each FY for TRICARE-covered services. You are not responsible for any amounts above the catastrophic cap in a given FY, except for services that are not covered, POS charges, and any amounts nonparticipating host nation providers charge that exceed the TRICARE-allowable charge. The catastrophic cap amount is based on your beneficiary category and is not affected by your program option.

Retirees, Their Families, and All Others:  $3,000 per family, per FY

More info:  http://www.tricare.mil/tma/pacific/tao-pacific.aspx
Jeff

 


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