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AFAP Issue Summary

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Issue Summary

Medical Coverage for Activated Reserve Component

Issue Number 523
Status Completed
Issue Title Medical Coverage for Activated Reserve Component
Scope Many activated Reserve Component soldiers are unable to maintain their existing civilian healthcare as a result of the Uniformed Service Employment Reemployment Act (USERA) provision allowing employers to charge soldiers up to 102% of the pre-deployment premium. Medical coverage becomes cost prohibitive and transferring to TRICARE frequently causes interruption of specialized medical care. The choice between added expense and interruption in care causes undue hardship for the family and soldier.
Issue Recommendation Establish a civilian healthcare allowance for activated RC soldiers to offset increased premiums to their existing civilian medical coverage. Mandate civilian health insurance providers reinstate pre-activation medical benefits if the soldier elects the TRICARE option.
Military Component Reserve Component
Demographic Group Family Members, Soldiers
Subject Area Medical
Geographic Area Continental U.S.
Entered AFAP Nov 2002
Final Action Date Jun 2006
Accomplishments A Government Accounting Office (GAO) study, directed by the FY05 NDAA estimates that it could cost DOD 45.5 percent more ($230M) over a 5-year period to provide health care stipends to dependents of activated RC members than to provide TRICARE to these individuals. The Uniformed Services Employment Reemployment Act (USERA) requires employers to offer RC members the option to continue their employer-sponsored healthcare plan for up to 18 months while on active duty and must reinstate RC members’ health coverage upon reemployment.
Outstanding Requirement
Submitting Command US Army Test & Evaluation Cmd
For any questions regarding this issue, please alert the point of contact via email.

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