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General Medical -- Question & Answer Listing  
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Question / Answer

Question:
How do I obtain a referral from my Primary Care Provider (PCP)?

Answer:
If the medical care or treatment you require is not something your current Primary Care Provider (PCP) can provide, he/she will issue a referral to allow you to seek treatment from another source.

Question:
How do pre-existing conditions impact health care coverage?

Answer:
In many cases, pre-existing medical conditions will increase the cost of civilian health care coverage and may, in some cases, prevent an individual from getting health insurance.

Question:
What are my patient rights within the military health care system?

Answer:
The Department of Defense (DoD) established a Patient Bill of Rights and Responsibilities in the Military Health System (MHS) that outlines information about a patient's choice of provider, access to emergency services, participation in treatment decisions, respect and nondiscrimination, confidentiality, complaints and appeals, etc. Contact your nearest Military Treatment Facility for more information.

Question:
What are the circumstances by which a service member may be medically retire?

Answer:
There are several steps a Soldier must go through in order to be medically retired. First, a Medical Evaluation Board (MEB) must assess a Soldier’s condition. After a MEB has determined that a Soldier is unable to meet the medical retention standards as prescribed in AR 40-501, the case is referred to a Physical Evaluation Board (PEB), in accordance with AR 635-40. The PEB makes a determination as to whether or not the Soldier is physically fit. The case is reviewed by other counsels throughout the process and the Soldier has the right to concur or not with the results. When a Soldier is determined physically unfit, he/she is placed on the permanent disability retired list (PDRL) or the temporary disability retired list (TDRL), or he/she may be separated with or without benefits. Contact your local military treatment facility (MTF) for more information on the specifics of the MEB/PEB process.

Question:
What are the eligibility requirements for Transitional Health Care?

Answer:
Service members who were released from active duty on or after January 1, 2002 can obtain transitional health care benefits in the military health system. To be eligible, the service member categories include: a member who is involuntarily separated from active duty; a reserve component member who is separated from active duty and who was called up or ordered in support of a contingency operation for an active duty period of more than 30 days; a member who is separated from active duty and is involuntarily retained in support of a contingency operation; a member who is separated from active duty following a voluntary agreement to stay on active duty for a period of less than one year in support of a contingency mission. Other restrictions apply. For more information about eligibility for the transitional health care benefits, contact a service personnel representative in the individual service branches (Army, Air Force, Navy, Marine Corps, Coast Guard, Public Health Service, or the National Oceanic & Atmospheric Administration) or visit the TRICARE Web site at www.tricare.osd.mil.

Question:
What are the remote care requirements for geographically separated units (GSUs)?

Answer:
Geographically separated units (GSUs) and their family members can obtain healthcare through the TRICARE Prime Remote plan. Active duty personnel who live and work more than 50 miles from a military hospital or clinic must enroll in TRICARE Prime Remote. In areas where there are TRICARE network providers, service members can select a primary care provider from the network as their Primary Care Manager (PCM). If there are no network providers, service members may select any local, TRICARE-certified provider. Service members will no longer need to call the nearest military hospital or clinic in order to schedule an appointment for primary care services.

Question:
What is a Patient Recording Card and where do I get it?

Answer:
A Patient Recording Card (PRC) is the Medical Service Outpatient Card that is used to imprint patient data on medical documents. Typically you will receive this card when in-processing at your Military Treatment Facility (MTF). If one is not provided to you at this time, one can be prepared by the Outpatient Records section during your first appointment.

Question:
What is a Primary Care Manager (PCM)?

Answer:
Under TRICARE Prime you will be assigned a Primary Care Manager (PCM) who will handle & manage your care, including referrals to specialists.

Question:
What is meant by "open enrollment" periods?

Answer:
Open enrollment periods are those periods of time when individuals can choose to make adjustments to their current health care coverage (typically applies only to civilian employees).

Question:
What is meant by the term "Medical Hold?"

Answer:
Medical Hold refers to the personnel status of a service member who is awaiting medical care and/or resolution of their deployment or separation status because of a medical issue.
Viewing 11-20 of 39 Knowledge Entries
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