| LONG DESCRIPTION |
TRICARE Health Plan
Retiree Family and Reserve Select enrollees
* VA/DoD Health Care Resource Sharing Agreements not applicable (ref.
VA/DoD Direct Resource Sharing Agreements)
- (e.g. dual eligible Veteran elects Veteran benefit vs TRICARE
Health Plan)
* If patient has a Veteran status and on Active Duty Orders, then all
Active Duty rules apply
- Even if treatment is Service Connected - Patient considered TRICARE
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Prime enrollee
- Includes active Reserve and National Guard - Federal orders must
exceed 30 days
Patient receiving care at a VAMC as a TRICARE patient of the Department
of Defense:
* TRICARE Authorization:
- Required for TRICARE Prime patients - Retiree and Retiree Family
enrollees
- NOT required for TRICARE Select patients - AD Family, Retiree,
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