Which statement describes TRICARE Standard and Extra in terms of claims processing?

Which statement describes TRICARE Standard and Extra in terms of claims processing?

• A. May pay for services upfront and file your own claims for reimbursement.
• B. Enrollment is required for eligibility.
• C. It provides secondary coverage to Medicare.
• D. It is limited to overseas use.

Answer: (A)

TRICARE Standard and Extra use a fee-for-service style of claims processing. This means you can receive care from TRICARE-authorized providers, pay for the service at the time of care, and then submit your own claim to TRICARE for reimbursement. The plan will reimburse a portion of the cost based on your eligibility and the plan’s rules, which is why this option accurately describes how claims are handled. Enrollment requirements are more characteristic of other TRICARE options like TRICARE Prime. The idea that these plans are secondary to Medicare describes TRICARE for Life, not Standard or Extra. And claiming these plans are limited to overseas use is incorrect, as Standard and Extra are available in many locations where TRICARE operates.

TRICARE Standard and Extra use a fee-for-service style of claims processing. This means you can receive care from TRICARE-authorized providers, pay for the service at the time of care, and then submit your own claim to TRICARE for reimbursement. The plan will reimburse a portion of the cost based on your eligibility and the plan’s rules, which is why this option accurately describes how claims are handled.

Enrollment requirements are more characteristic of other TRICARE options like TRICARE Prime. The idea that these plans are secondary to Medicare describes TRICARE for Life, not Standard or Extra. And claiming these plans are limited to overseas use is incorrect, as Standard and Extra are available in many locations where TRICARE operates.