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TRICARE
Tricare (styled TRICARE) is a health care program of the United States Department of Defense Military Health System. Tricare provides civilian health benefits for U.S Armed Forces military personnel, military retirees, and their dependents, including some members of the Reserve Component. Tricare is the civilian care component of the Military Health System, although historically it also included health care delivered in military medical treatment facilities. Tricare functions similar to a single-payer healthcare system. The Tricare program is managed by the Defense Health Agency (DHA). Before 1 October 2013, it was managed by the Tricare Management Activity (TMA) under the authority of the Assistant Secretary of Defense (Health Affairs). On that date, TMA was disestablished and Tricare responsibility was transferred to the newly established DHA. The Department of Defense operates a health care delivery system served approximately 9.4 million beneficiaries in 2018. The Dep ...
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Military Health System
The Military Health System (MHS) is a form of nationalized health care operated within the United States Department of Defense that provides health care to active duty, Reserve component and retired U.S. Military personnel and their dependents. The missions of the MHS are complex and interrelated: * To ensure America’s 1.4 million active duty and 331,000 reserve-component personnel are healthy so they can complete their national security missions. * To ensure that all active and reserve medical personnel in uniform are trained and ready to provide medical care in support of operational forces around the world. * To provide a medical benefit commensurate with the service and sacrifice of more than 9.5 million active duty personnel, military retirees and their families. The MHS also provides health care, through the TRICARE health plan, to: * active duty service members and their families, * retired service members and their families, * Reserve component members and their fa ...
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US Family Health Plan
The US Family Health Plan (USFHP) is a U.S. Department of Defense-sponsored healthcare plan that serves military family members exclusively. US Family Health Plan operates in six regions, sixteen states, including the District of Columbia. Services USFHP delivers full TRICARE Primbenefits to more than 150,000 beneficiaries, including the family members of active-duty military, activated Guard and Reserve, and military retirees and their family members. In 2013,US Family Health Plan achieved an overall patient satisfaction rating of 92.5 percent—far surpassing industry standards for nineteen consecutive years. Coverage The US Family Health Plan provides a full continuum of care, from preventive and wellness programs to more intensive disease and case management initiatives for members with chronic or multiple conditions. It currently offers more than 40 disease and case management programs across all of its sites. Enrollment in the US Family Health Plan is offered through ...
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Defense Health Agency
The Defense Health Agency (DHA) is a joint, integrated combat support agency that enables the U.S. Army, U.S. Navy, U.S. Air Force, and U.S. Space Force medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime. The DHA supports the delivery of integrated, affordable, and high quality health services to MHS beneficiaries and is responsible for driving greater integration of clinical and business processes across the MHS. The DHA’s global workforce of almost 140,000 civilians and military personnel is committed to medical excellence, health care improvement and ensuring military personnel are ready to perform combat operations and humanitarian missions at home and abroad. * LeaHealth Care Marketsto manage military hospitals and clinics * ProvidCombat Supportto Combatant Commands * Deliver thTRICARE Health Planto 9.6 million beneficiaries worldwide * DeploMHS GENESIS the new electronic health record, to milit ...
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Assistant Secretary Of Defense (Health Affairs)
The Assistant Secretary of Defense for Health Affairs (ASD(HA)) is chartered under United States Department of Defense Directive (DoDD) 5136.1 in 1994. This DoDD states that the ASD(HA) is the principal advisor to the U.S. Secretary of Defense on all "DoD health policies, programs and activities." In addition to exercising oversight of all DoD health resources, ASD(HA) serves as director of the Tricare Management Activity. The ASD(HA) reports to the Undersecretary of Defense (Personnel and Readiness), or USD(P&R). A political appointee responsible for the United States Department of Defense's Military Health Syste the ASD(HA) is aExecutive Service Level IVofficial. He or she is nominated by the President of the United States, and confirmed by the United States Senate. History This position was originally established in 1949 as the ''Chairman, Armed Forces Medical Policy Council.'' Reorganization Plan No. 6 (1953) abolished the council and transferred its functions to a new pos ...
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Health Benefits (insurance)
Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization, such as a government agency, private business, or not-for-profit entity. According to the Health Insurance Association of America, health insurance is defined as "coverage that provides for the payments of benefits as a result of sickness or injury. It includes insurance for losses from accident, medical expense, disability, or accidental death and dismemberment". Background A health ...
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United States
The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territories, nine Minor Outlying Islands, and 326 Indian reservations. The United States is also in free association with three Pacific Island sovereign states: the Federated States of Micronesia, the Marshall Islands, and the Republic of Palau. It is the world's third-largest country by both land and total area. It shares land borders with Canada to its north and with Mexico to its south and has maritime borders with the Bahamas, Cuba, Russia, and other nations. With a population of over 333 million, it is the most populous country in the Americas and the third most populous in the world. The national capital of the United States is Washington, D.C. and its most populous city and principal financial center is New York City. Paleo-Americ ...
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Base Realignment And Closure
Base Realignment and Closure (BRAC) is a process by a United States federal government commission to increase United States Department of Defense efficiency by coordinating the realignment and closure of military installations following the end of the Cold War. More than 350 installations have been closed in five BRAC rounds: 1988, 1991, 1993, 1995, and 2005. These five BRAC rounds constitute a combined savings of $12 billion annually. Background The Federal Property and Administrative Services Act of 1949, passed after the 1947 reorganization of the National Military Establishment, reduced the number of US military bases, forts, posts, and stations. The subsequent 1950s buildup for the Cold War (e.g., during the Korean War) resulted in large numbers of new installations, such as the of Permanent System radar stations and Semi Automatic Ground Environment (SAGE) control centers. By 1959, plans for even larger numbers of Cold War installations were canceled (e.g., DoD's June ...
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Medicare (United States)
Medicare is a government national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by the SSA, including people with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). In 2018, according to the 2019 Medicare Trustees Report, Medicare provided health insurance for over 59.9 million individuals—more than 52 million people aged 65 and older and about 8 million younger people. According to annual Medicare Trustees reports and research by the government's MedPAC group, Medicare covers about half of healthcare expenses of those enrolled. Enrollees almost always cover most of the remaining costs by taking additional private insurance and/or by joining a public Part C ...
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Deductible
In an insurance policy, the deductible (in British English, the excess) is the amount paid out of pocket by the policy holder before an insurance provider will pay any expenses. In general usage, the term ''deductible'' may be used to describe one of several types of clauses that are used by insurance companies as a threshold for policy payments. Deductibles are typically used to deter the large number of claims that a consumer can be reasonably expected to bear the cost of. By restricting its coverage to events that are significant enough to incur large costs, the insurance firm expects to pay out slightly smaller amounts much less frequently, incurring much higher savings. As a result, insurance premiums are typically cheaper when they involve higher deductibles. For example, health insurance companies offer plans with high premiums and low deductibles, or plans with low premiums and high deductibles. One plan may have a premium of $1,087 a month with a $6,000 deductible, while ...
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Coinsurance
In insurance, co-insurance or coinsurance is the splitting or spreading of risk among multiple parties. In the United States In the U.S. insurance market, co-insurance is the joint assumption of risk between the insurer and the insured. In title insurance, it also means the sharing of risks between two or more title insurance companies. In health insurance In health insurance, copayment is fixed while co-insurance is the percentage that the insured pays after the insurance policy's deductible is exceeded, up to the policy's stop loss. It can be expressed as a pair of percentages with the insurer's portion stated first, or just a single percentage showing what the insured pays. Once the insured's out-of-pocket expenses equal the stop loss the insurer will assume responsibility for 100% of any additional costs. 70–30, 80–20, and 90–10 insurer-insured co-insurance schemes are common, with stop loss limits of $1,000 to $3,000 after which the insurer covers all expenses. In p ...
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Out-of-pocket Expenses
An out-of-pocket expense (or out-of-pocket cost, OOP) is the direct payment of money that may or may not be later reimbursed from a third-party source. For example, when operating a vehicle, gasoline, parking fees and tolls are considered out-of-pocket expenses for a trip. Car insurance, oil changes, and interest are not, since the outlay of cash covers expenses accrued over a longer period of time. The services rendered and other in-kind expenses are not considered out-of-pocket expenses; the same goes for depreciation of capital goods or depletion. Organizations often reimburse out-of-pocket expenses incurred on their behalf, especially expenses incurred by employees on their employers' behalf. In the United States, out-of-pocket expenses for such things as charity, medical bills, and education may be deductions on US income taxes, according to IRS regulations. To be out of pocket is to have expended personal resources, often unexpectedly or unfairly, at the end of some ent ...
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California
California is a state in the Western United States, located along the Pacific Coast. With nearly 39.2million residents across a total area of approximately , it is the most populous U.S. state and the 3rd largest by area. It is also the most populated subnational entity in North America and the 34th most populous in the world. The Greater Los Angeles area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions respectively, with the former having more than 18.7million residents and the latter having over 9.6million. Sacramento is the state's capital, while Los Angeles is the most populous city in the state and the second most populous city in the country. San Francisco is the second most densely populated major city in the country. Los Angeles County is the country's most populous, while San Bernardino County is the largest county by area in the country. California borders Oregon to the north, Nevada and Arizona to the east, t ...
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