If you are looking for greater flexibility in choosing your own health care provider, you may want to consider the TRICARE Standard health care plan. This article contains all the information you will need to know.
TRICARE Standard is the health care option being offered by TRICARE that allows a beneficiary to choose his or her own provider. Therefore, unlike the TRICARE Prime plan, there is plenty of choice and individuals have the freedom of seeing any non-network provider that they wish to consult. Under the TRICARE Standard health care plan, they will be required to make their own appointments.
Unlike the TRICARE Prime plan, you will not be required to consult any primary care manager prior to consulting a doctor, which means that you do not have to go through the process of obtaining a referral or any sort of authorization. However, you may need to consult your regional contractor in order to obtain authorization for certain services. The TRICARE website has a convenient search tool that can help you in the process of locating a doctor.
Like all TRICARE plans, this, too, meets the minimum requirements that have been set out by the Affordable Care Act. Among the various services available include ambulance services, inpatient and outpatient behavioral health, ambulatory surgery, preventive services, emergency care, laboratory tests and x-rays, skilled nurses, maternity services for the mother and newborn care services.
All beneficiaries of the TRICARE Standard health care plan have to pay a deductible on a yearly basis, which is a specific amount that they have to pay out of their own pockets before they can begin to receive coverage. In addition to this, a cost-share may also have to be paid. However, how much you end up paying depends on what your status is according to DEERS.
This option is available to the family members of actively serving members, members of the military forces and their family members, National Guard or Reserve members’ families, members of the National Guard or Reserve and their family members, all ex-spouses who are eligible, survivors, and people who have received the Medal of honor and their family members. You do not need to enroll for the TRICARE Standard health care plan; if you are registered with DEERS, then you will be automatically eligible for it.