Living In The Philippines Forum

Itís Your Money => U.S. Military Veteran Benefits => Topic started by: southern92 on February 23, 2010, 09:43:10 AM

Title: Tricare Overseas Program (TOP)
Post by: southern92 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