Defense Health Care: DOD Assessment Needed to Ensure TRICARE Behavioral Health Coverage Goals Are Being Met : Government Accountability Office (GAO) , December , 2023
Defense Health Care: DOD Assessment Needed to Ensure TRICARE Behavioral Health Coverage Goals Are Being Met : Government Accountability Office (GAO) , December , 2023
From the document: "The Department of Defense’s (DOD) TRICARE program offers comprehensive health coverage, including behavioral health services, to beneficiaries, including active duty service members, retirees, and their eligible family members. Managed by DOD’s Defense Health Agency (DHA), TRICARE offers several plan options. Most beneficiaries are covered under TRICARE Prime, a managed care option, or TRICARE Select, a self-managed, preferred provider organization option. TRICARE requires certain beneficiaries to share in the cost of covered services based on a number of factors set in law. Collectively, these factors can result in varying cost-sharing amounts for TRICARE beneficiaries who receive behavioral health services. For example • Beneficiary category. TRICARE allows active duty service members to obtain covered behavioral health services without cost sharing. Retirees are required to share in the costs of their services. • Plan option. TRICARE Prime beneficiaries generally face lower cost sharing than TRICARE Select beneficiaries."
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