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Overseas Care -- Question & Answer Listing  
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Question / Answer

Question:
Are both TRICARE Prime and TRICARE Standard offered to military families OCONUS?

Answer:
The TRICARE Overseas Program is a dual-option benefit consisting of TRICARE Overseas Prime and TRICARE Overseas Standard. The Prime option offers enrollees clinical preventive services with no enrollment fees, co-payments or deductibles. Any care received that has not been referred by the primary care manager (PCM) or that is not an emergency may cost shares and deductibles. The TRICARE Overseas Program Standard option is identical to the CONUS TRICARE Standard option. Consult TRICARE’s website or your local TRICARE benefit representative for specifics on the overseas program.

Question:
Are my family members expected to obtain special shots and immunizations when we relocate overseas?

Answer:
Family members may require certain shots and/or immunizations when accompanying their sponsor on an overseas assignment. However, specific requirements vary according to the location of the assignment.

Question:
Are the casualty assistance services the same for family members of service members who die OCONUS?

Answer:
The casualty assistance provided to family members of service members who die in CONUS or OCONUS is the same. The Army or other branch of service to which the service member is affiliated will assist with the transportation of remains back to the U.S., if applicable, and will assist the service member's family with their stateside relocation, in addition to the other casualty-related services.

Question:
As a TRICARE Prime enrollee overseas, will I only be cared for by military medical treatment facilities?

Answer:
Depending on the care required, you may be seen by both military and local civilian providers overseas.

Question:
As a veteran, where can I find information regarding overseas medical benefits?

Answer:
The Veterans Administration (VA) will pay for medical services for the treatment of service-connected disabilities and related conditions or for medical services needed as part of a vocational rehabilitation program for veterans living overseas or traveling outside the U.S. Certain restrictions apply. Consult your local Veterans Health Administration (VHA) office for more information.

Question:
Can I bring my pets with me when I move OCONUS?

Answer:
Generally, it is acceptable to bring your pets with you when you move OCONUS, at your own expense. Note that some countries have a mandatory pet quarantine requirement. Reimbursement for mandatory pet quarantine fees is authorized not to exceed $550 per Permanent Change of Station (PCS) move.

Question:
What do I need to do to ensure that have the proper health care coverage when I PCS OCONUS?

Answer:
You will need to enroll in TRICARE Prime, as you would stateside when you have a Permanent Change of Station (PCS) move to another TRICARE region. Eligible beneficiaries will typically be given the opportunity to enroll in Prime during initial inprocessing to their new overseas duty assignment. Beneficiaries may also visit their local TRICARE service center to enroll. Beneficiaries may enroll in Prime at any time and enrollment remains effective for the overseas tour length of the active duty sponsor unless the family member chooses to disenroll.

Question:
What happens if my family member, who is enrolled in TRICARE Prime, uses a non-network provider of care without getting an advance authorization from the regional military service center?

Answer:
A designated health care finder at the local TRICARE service center authorizes referrals for routine or specialty care. Care received that has not been referred by the Primary Care Manager (PCM) is only payable under the point-of-service option (with the exception of emergency care). The following cost shares and deductibles apply: fiscal year deductible for outpatient claims is $300 per individual or $600 per family; beneficiary cost share for inpatient and outpatient claims is 50% of the covered costs after the deductible has been met.

Question:
What is the Adolescent Substance Abuse Counseling Service (ASACS)?

Answer:
The Adolescent Substance Abuse Counseling Service (ASACS) provides prevention and education; identification and referral, and outpatient substance abuse treatment services to active-duty U.S. military dependents and their families throughout Europe and the Pacific-Rim.

Question:
What is the TRICARE Overseas Program (TOP)?

Answer:
The TRICARE Overseas Prime (TOP) Program is only for active duty service members and their families. Under this program there are no "allowable charge" fee schedules overseas-TRICARE pays billed charges (in almost all cases); while co-pays are required in CONUS, they may not be required overseas; pre-authorization is not necessary when overseas enrollees who are traveling in the US require health care; and when overseas enrollees receive care in the U.S., they will have to pay Prime co-payments.
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