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Medical Disability -- Question & Answer Listing  
Viewing 1-7 of 7 Knowledge Entries
Question / Answer

Question:
Can a person enrolled in TRICARE Prime still be eligible to receive services under the Program for Persons with Disabilities (PFPWD)?

Answer:
Enrollment in TRICARE Prime does not affect a person’s eligibility to receive services through the PFPWD; however, all requirements of TRICARE Prime, such as using the Primary Care Manager (PCM) for specialty care referral, must also be met.

Question:
Can I be both TRICARE and Medicare-eligible?

Answer:
To use TRICARE, Medicare-eligible beneficiaries regardless of their age must have Medicare Part A and be enrolled in Medicare Part B, unless they are active duty family members (ADFMs). Medicare-eligible ADFMs regardless of their age, must purchase Medicare Part B when their sponsor retirees to remain eligible for TRICARE coverage. ADFMs under age 65 who fail to purchase Medicare Part B at the time their sponsor retirees may incur Medicare penalty costs when they apply for Medicare Part B before they turn age 65.

Question:
What is disability insurance?

Answer:
There are different types of disability insurance. For example, Social Security Disability Insurance benefits are paid to individuals who have worked in jobs covered by Social Security who have a medical condition what meets Social Security's definition of disability. The cash benefits are paid to people who are unable to work for a year or more because of a disability. You can purchase private disability insurance to protect yourself either for short-term periods where you may be unable to work due to an injury or illness or for long-term/permanent disability.

Question:
What is the Disabled Transition Assistance Program (DTAP)?

Answer:
The Disabled Transition Assistance Program (DTAP) is a workshop that provides service members who are separating or retiring for medical reasons with specialized information about the Department of Veterans Affairs Vocational Rehabilitation Program and how to apply to this program. The DTAP Workshop is a half-day seminar sponsored by the Department of Labor, in conjunction with the Department of Defense and the Veterans Administration (VA) and is usually presented in conjunction with the three-day Transition Assistance Program workshop. Visit your local Army Career and Alumni Program (ACAP) office or visit their website for more information.

Question:
What is the Program for Persons with Disabilities (PFPWD) and what costs will I be responsible for?

Answer:
The Program for Persons with Disabilities (PFPWD) provides financial assistance to reduce the costs to care for active duty family members who have moderate or severe mental retardation and those who have a significant physical disability. The program is subject to certain restrictions and it may be used concurrently with other TRICARE medical programs. PFPWD eligibility is a prerequisite to benefit authorization. Active duty family members, or persons acting on their behalf, who apply for benefits under the TRICARE PFPWD must show that the medical condition qualifies them for the program and that the requested benefits are necessary and appropriate and that the medical condition requiring care is beyond the scope of your nearest uniformed services hospital. Additionally, community resources (such as public funds that may be available for persons with disabilities) must be either unavailable or insufficient to meet the patient’s disability-related needs. Part of the monthly expenses for the person’s care must be paid before TRICARE Standard can help. How much you must pay depends on the sponsor’s pay grade.

Question:
What military and government disability pensions are not taxable?

Answer:
Certain military and government disability pensions that you receive resulting from active service in the armed forces of any country, the National Oceanic and Atmospheric Administration, the Public Health Service, and the Foreign Service are not taxable. Some restrictions apply. Consult a tax adviser for more information on these exclusions or visit the Internal Revenue Service (IRS) website at http://www.irs.gov.

Question:
Where can I find information about the eligibility requirements for the Exceptional Family Member Program (EFMP)?

Answer:
The Exceptional Family Member Program (EFMP) assists eligible family members by helping locate and identify community support services available to special needs families. It is open to Active Duty personnel, U.S. Army Reserve and Active Guard Reserve members who are on active duty exceeding 30 days. Enrollment in this program is mandatory for all active duty personnel with special needs family members. You can find out more about the EFMP through their program manager in the Army Community Services center or ask your military health provider for assistance. Soldiers are also informed of this program during reassignment interviews if the assessment taken indicates that they have an exceptional family member.
Viewing 1-7 of 7 Knowledge Entries

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