Kurapa kwechiuto kwemauto ikozvino kunonzi TRICARE
Nhoroondo yeMasoja Okurapa Makomborero
Pakazosvika ma1980, pakanga paine nzira mbiri dzevashandi vehondo, vatiza uye vemhuri kuti vawane rubatsiro rwemagariro ehondo.
Nhengo dzemasoja dzakatambira kurapwa mune zvekurapa zvechiuto, uye vatorwa uye vemhuri vakagamuchira kurapwa pasina rusununguko (zvichienderana nekuwanika kwenzvimbo) kune zvipatara zvechiuto, kana kuti vangashandisa purogiramu inozivikanwa seCAMPUS (Civil Civilian Health and Medical Program Uniformed Services) kugamuchira hurumende -kuchengetwa kwehutano hwakanaka kubva kuvanhu vasiri vanhu.
Pfungwa yekuchengetwa kwemauto emhuri yemhuri yevashandi-vanoita mabasa eunifomu dzakasvika kumakore ekuma1700. Muna 1884, Congress yakarayira kuti "vanachiremba veMasoja uye vashandi vezvipatara vese vese kana zvichikwanisika kupinda misangano yemapurisa nemasoja pasina mari."
Kuchinja Kunobatsira MuHondo Yenyika II
Ikoko kwakanga kusina kuchinja kuduku kusvikira Hondo Yenyika II. Vazhinji vaipinda muhondo iyoyo vaiva varume vechidiki vainge vane madzimai ekuberekwa kwezera. Nzira yekuchengetwa kwechiuto, iyo yaiva panguva yehondo yekufamba, yakanga isingakwanisi kutakura nhamba yakawanda yekuberekwa, kana kutarisira vana vaduku zvikuru.
Muna 1943, Congress yakagamuchira Emergency Maternal uye Infant Care Program (EMIC). EMIC yakagadzirirwa kuchengetwa kwekurera uye kuchengetwa kwechecheche kusvika kune rimwe gore rezera kumadzimai nevana vemasangano ekubatira mumadhora mana ekubhadhara. Yakanga ichitungamirirwa ne "Children's Bureau," kuburikidza nehutano huri hurumende.
Kuchinja MuKorean Conflict
Hondo yeKorea zvakare yakaderedza simba rehutano hwehutano hwemauto. Musi waDec. 7, 1956, the Dependents Medical Care Act yakasimbiswa mumutemo. Muna 1966 kushandurwa kwechiito ichi kwakagadzira izvo zvaizodanwa CHAMPUS kutanga muna 1967. Mutemo wakabvumira kuburitswa uye kutarisira kwepfungwa kwevashandi-vanoita nhengo dzemhuri, kubudirira munaOctober 1, 1966. Vakabhadhara, vemhuri dzavo uye vamwe vomumhuri vari vapenyu vehondo yakafa vatsigiri vakaunzwa mupurogiramu pana Jan. 1, 1967. Mari yeCAMPUS yegore reHutori 1967 yaiva $ 106 mamiriyoni. Dhiyabhorosi hairatidzi kuti zvikwangwani zvakadini zvakaiswa muna FY 1967, asi iyo yose ingangodaro yakanga isina kudarika zvuru zvishoma.
Kuchinja Kwokurapa Mari Yezvokurapa uye Kuvandudza Kuwana
Mumakore ekuma1980, kutsvaga nzira dzekuvandudza kusvikidzwa kwehutano hwepamusoro-soro, nekuchengetedza mari inotungamirirwa, kwakatungamirira kumakambani akawanda eCAMPUS "kuratidza" mapurogiramu munzvimbo dzakasiyana-siyana dzeU.America Mukutanga pakati peiyi yaiva "CHAMPUS Reform Initiative" (CRI ) muCalifornia neHawaii.
Kutanga muna 1988, CRI yakapa mhuri dzebasa sarudzo yenzira dzavangashandisa nadzo hutano hwemauto ehondo. Makore mashanu ekubudirira kwekushanda uye huwandu hwehugutsikana hwegariro hunoita kuti vakuru veDhipatimendi rekudzivirira vaifanira kuwedzera nekuvandudza pfungwa dze CRI, sehurongwa hwekufananidza munyika yose.
Purogiramu itsva, inozivikanwa seTrICARE, ikozvino yakazara munzvimbo.
Muna FY 1996, chirongwa che TRICARE / CHAMPUS chaive chinodarika $ 3.5 mabhiriyoni, uye zvinopfuura mamiriyoni makumi maviri ezvimhosva zvakagamuchirwa. Nhasi, vanhu vanosvika mamiriyoni 5,5 vanokwanisa kuwana TRICARE.
Mhando dze TRICARE
Apo TRICARE yakatanga kuiswa, paive nemhando mitatu chete. Mumakore mashomanana apfuura, mamwe maitiro eSPICARE yezvirongwa zvehutano akaiswa. Enda kune webhusayithi ye TRICARE kuti uwane mashoko akazara pane zvese zvirongwa zve TRICARE:
- TRICARE Prime
- TRICARE Prime Remote
- TRICARE Prime Overseas
- TRICARE Prime Remote Overseas
- TRICARE Standard uye Extra
- TRICARE Standard Overseas
- TRICARE For Life
- TRICARE Reserve Sarudza
- TRICARE Retired Reserve
- TRICARE Young Adult
- US Family Health Plan
TRICARE Prime
Iyi sarudzo yakafanana neHMO mune pfungwa. Zvinoda kuti munhu anyorese purogiramu yacho (nhengo dzebasa dzinoshanda dzakanyoresa).
Vanhu vanyoresa kuTrICARE Prime inopiwa kune mukuru wekutarisira (PCP), iyo inowanzotarisirwa kushandiswa kwemauto ehurumende (chipatara chepamusoro).
Kuti vawane rubatsiro rwehutano, vanyori vanofanira kunyorwa nePPP yavo. Pasi purogiramu iyi, hapana chekubhadhara mari kana kugoverana mari kune vashandi vanoshanda uye nhengo dzemhuri yekushanda.
Kune vakwegura (pasi pemakore makumi matanhatu nemashanu) uye nhengo dzemhuri dzevakabhadhara (pasi pemakore makumi matanhatu), kune mari yekunyora yeTICICARE Prime iyo inowedzera gore negore. Mumwe anogona kuwana mafomu kuti anyore ku TRICARE Prime online.
Chinhu chitsva chinoshandiswa pasi peT TRICARE Prime ndiChishanu chePoint of Service (POS). Kazhinji pasi pe TRICARE Prime, unofanira kutumidzwa neCPP kuitira kuti uwane chero kubhadhara kwekurapa kwakagamuchirwa kubva kune ani zvake kunze kwePPP. Asi, kana ukasarudza sarudzo yePOS panguva yekunyorwa, unogona kushandisa TRICARE Prime uye uchiri kushandisa TRICARE Standard kana kuti TRICARE Zvimwe zvingasarudzwa zviri pasi apa.
TRICARE Standard uye Extra
Iyi purogiramu inopa zvakawanda kugadzirisa kupfuura TRICARE Prime, asi zvinogona kuguma kuwedzera mari. Iwe haufaniri kunyoresa mberi kuti ushandise TRICARE Extra. Pasi purogiramu iyi, unoona chero Authorized TRICARE Provider, shandisai Dhidhi yako yeAdhi uye ugamuchire kurapwa.
I TRICARE Authorized Providers vane kambani nemasoja ekugadzirisa mari kune mari yakatarwa. Pasi pe TRICARE Zvimwe, nhengo dzinoshanda dzemhuri dzinobhadhara chikwereti chegore negore (gore rinotanga maOctober):
- Rongai E4 uye pasi iribhadhara $ 50 pamunhu mumwe nomumwe, asi kwete kudarika $ 100 pamhuri
- Rure E5 uye pamusoro apa kuribhadharira $ 150 pamunhu mumwe nomumwe, asi kwete kudarika $ 300 pamhuri
Kune vakwegura uye vamiriri vemhuri vari pasi pemakore (pasi pemakore makumi matanhatu nemashanu), chirongwa chacho chinodhura zvishoma, kunyange gore rinodarika rakafanana ($ 150.00 pamunhu mumwechete kana $ 300 pamhuri) Shanyira TRICARE Standard uye Extra Costs webpage yezvimwe zvose zvinodhura.
Pasi pe TRICARE Extra, mutapi wezvokurapa anozadza TRICARE Claim Forms kwauri, uye vanowana kubhadhara zvakananga kubva ku TRICARE nokuda kwemugove wavo. Iwe unongoribhadharira chikamu chako chemari.
TRICARE for Life
Kusvikira munguva pfupi yapfuura, apo mukana wekusununguka kana wekusununguka wemhuri akazosvika pamakore makumi matanhatu nemashanu, vakanga vasisakwanisi kutora TRICARE. Pane kudaro, vaitarisirwa kugamuchira kurapwa pasi pezvirongwa zveMedare. Izvi zvakashandurwa muna 2001 nekuiswa kwe TRICARE for Life (TFL). Zvakare, hapana chikonzero chekunyoresa mberi (kunze kwekuti munhu anyore ku Medicare Part B). Uyezve, mhaka chete yepurogiramu iyi ndeyemwedzi miviri yeMedare Medicare Part B. Pasi purogiramu iyi, unoona Medicare Provider ane kodzero uye unoisa yako ID Card. TRICARE zvino inova wechipiri mubhadharo uye inotora chero mari iyo Medicare haina kuvhara.
Kunyange zvazvo Medicare isingabatanidzi maitirwo akapihwa kunze kwenyika yeUnited States, vashandirwi vanogara kune dzimwe nyika vanogona kutora mukana weTFL nokuti TRICARE ndiyo inonyanya kukosha kwehutano hwakanaka kwavari.
Kufanana nevaya vanogara muUnited States, kuti vave vakakodzera kunze kwevanoshandira muchengeti kune dzimwe nyika vanofanira kunyoresa ku Medicare Chikamu B. TRICARE yeupenyu huchapa huwandu hwakafanana hwekubhadhara vanobhadhara mari pasi pemakore makumi matanhatu nemashanu uye vachava nekutarisana nekopi yeCARICARE mari uye mari uye pasi pemakumi matanhatu nevatasununguka. Sezvo nhamba yakawanda yevakabhadhara vari kunze kwemakungwa vasina kunyora muChikamu B nokuti Medicare haina kubata kurapwa kwakagamuchirwa kune dzimwe nyika, mamwe masangano ane chokuita nehondo ari kusundira kubvisa chikamu chechikamu B chinosanganisira chikamu chezana chezana gore negore munhu wacho akakodzera Chikamu B asi haana kunyora. Zvisinei, hapana ikozvino mumabasa anoratidza kuregererwa kwakadai kuri kuuya.
Pharmacy Inobatsira ne TRICARE
Kune nzira dzakawanda dzekuzadza mishonga yemishonga inopinda neTrICARE:
Military Pharmacies
Iwe unogona kuva nemitemo yakazadzwa (kusvikira kune mazuva 90 emishonga yemishonga yakawanda) panzvimbo yerapi yekurapa (MTF) pharmacy pasina mari. Ndapota cherechedzai kuti haisi mishonga yose inowanikwa pamashamba eTMF. Nzvimbo imwe neimwe inotarisirwa kuita kuti kuwanikwe mishonga inoratidzwa mumutambo wekutanga wepamusoro (BCF). IkoMTF, kuburikidza neFarmacy & Therapeutics Committee yavo, inogona kuwedzera mamwe mishonga kune avo vanogara munzvimbo yavo yakatarwa maererano nehuwandu hwekuchengetedzwa paTMF.
TRICARE Mail Order Pharmacy (TMOP)
Iwe unogona kurayira mishonga paIndaneti kana kuburikidza netsamba. Iwe unogona kugamuchira kusvika kune mazuva makumi mapfumbamwe ekupa (kwemishonga yakawanda). Generic formulary mari ye $ 0, asi zita rechirongwa formulary iri $ 20. Izvo zvisina-formulary cost is $ 49 kunze kwekuti une chiremba chinodiwa.
Network Pharmacies
Iwe unogona kugamuchira kusvika kune mazuva makumi matatu ekupa mishonga yemishonga kubva kune imwe mishonga muTARICARE Pharmacy Network. Mutengo we generic formulary ndeye $ 10, uye mari yezita rechigadzirwa formulary is $ 24. Non-formulary i $ 50 kunze kwekuti iwe uine chiremba unoda.
Kwete-network Pharmacies
Mari inoshandiswa pamasitomasi asiri e-network anobva pane zvauri, iwe uri uye mune dzimwe nguva, chirongwa chipi chauri kushandisa. Iwe unogona kudiwa kubhadhara mberi uye kuisa kuda kubhadharwa.
Iko mari inowanzove yakakwirira, zvisinei, kune vasiri vashandi vanobhadhara basa. Nhengo dzebasa rekushandira dzinenge dzichatsigirwa zvakakwana. Kuti uwane zvizere zvakakwana uye mari yevatsigiri, shanyira TRICARE chirongwa chebhadha reji yewebhu.
Kushanda Duty / Reserve Reserve Care Care
Dental kuchengetedza basa rinoshanda, zvechokwadi, rakasununguka kuburikidza neMhare yeDental Clinic. TRICARE haina, asi, inopa zvirongwa zvemazino zvekuda kwemhuri dzemhuri yekushanda nesimba uye nhengo dzeVarindi / Reserves nemhuri dzavo. Aya mapurogiramu anoda premium yemwedzi. Mapurogiramu anobhadhara mari yose yekutarisira mazino, pamwe nemari-mugove kune mamwe mazino. Mazuva ano purogiramu yemwedzi ndeye (2003):
- Basa rinoshanda - Mumwe wemhuri, $ 8.11 pamwedzi. Vaviri kana kupfuura nhengo dzemhuri, $ 20.27 pamwedzi.
- Sarudzo dzakasarudzwa - Kune nhengo yeuto, $ 8.11 pamwedzi. Kune imwe nhengo yemhuri, $ 20.27 pamwedzi. Kune vanopfuura imwe nhengo yemhuri, $ 50.67 pamwedzi. Kune nhengo yeuto uye mhuri yake, $ 58.78 pamwedzi.
- Mumwechete Wekugadzirira Zvokuchengetedzwa (IRR) - Kune mutungamiriri weuto, $ 20.27 pamwedzi. Kune imwe nhengo yemhuri, $ 20.27 pamwedzi. Kune vanopfuura imwe nhengo yemhuri, $ 50.67 pamwedzi. Kune nhengo yeuto uye mhuri yake, $ 70.94 pamwedzi.
TRICARE Dental Programs
TRICARE inopa zvirongwa zvitatu zvemadzinza zvakasiyana, mumwe nomumwe kuburikidza nedare rakasiyana-siyana reinishuwarenzi:
- Kushanda Duty Program Dental Program: United Concordia
- TRICARE Dental Program: Metlife
- TRICARE Retiree Dental Program: Delta Dental
Mipiro yeParamende Dental Program inobva pane yaunogara, uye nhamba yemhuri yemhuri yakavharwa.
VA Zvekurapa
Ndinomhanyira kuvarume nguva dzose vanofunga kuti chero musarudzo dzechiuto kana chero munhu wekare angawana rusununguko rwezvehutano kubva kuVeterans Administration. Haisi chokwadi. Kuti uwane rubatsiro kubva kune VA, iwe unofanira kunge uri Mhare (mazuva anopfuura 180 ebasa rechiuto), uve nekukudzwa kunoremekedzwa uye uine hutano hwakabatana, hukuvadzwa kana urema, kana iwe unofanirwa kupinda mune imwe hurombo hwehurombo.
Mamwe mashoko pamusoro peAra Medical Care anowanika paWe Web Site.