Health & Safety

December 21, 2012

Ask the Doc

99th Medical Group


Q. I’m a Medicare-eligible former active duty service member. Do I file my claims with Medicare for care authorized under the Transitional Care For Service-Related Conditions (TCSRC) Program?
A. No. Since the Transitional Care For Service-Related Conditions benefit provides care as if you were on active duty, all claims for authorized care must be filed with your TRICARE regional claims processor, not through Medicare. Make sure your provider understanding the difference. For claim forms, information, and mailing addresses go to http://www.tricare.mil/claimshttp://www.tricare.mil/claims.
Learn more about your regional TRICARE contractor by entering a profile at www.tricare.milhttps://www.tricare.mil, or find contact information at www.tricare.mil/contactus https://www.tricare.mil/contactus.
Q. If I am approved for the Transitional Care For Service-Related Conditions Program (TCSRC), when does my coverage begin and end and what if I am no longer in my Transitional Assistance Management Program (TAMP) benefit period?
A. If approved, your coverage starts on the date the Department of Defense physician validates you qualify for coverage and ends 180 days later.
If you applied for coverage during your Transitional Assistance Management Program (TAMP) benefit period and get approved, you still get the 180-day benefit, even if you are no longer in your TAMP period.
Notes:

  • If you need care beyond 180 days, contact your Service to find out if you qualify for Line of Duty care, care under Veterans Affairs, or other TRICARE Program options like TRICARE Reserve Select or the Continuing Health Care Benefits Program, or your own commercial insurance (if you have other health insurance).
  • Out-of-pocket costs you pay before receiving authorization for care will not be reimbursed.Until then, you may be able to seek care through the Veteran’s Administration, speak to your Service about a possible Line-of-Duty determination, or seek care your own commercial insurance (if you have other health insurance).

Send your questions to askthedoc@nellis.af.mil




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