Office staffed by TRICARE Health Care Finders and beneficiary service representatives that has information for beneficiaries about TRICARE Prime enrollment, Health Care Finder (HCF) services, and more.

Health care program offered to spouses and dependents of service personnel with uniform core health care benefits and fees implemented nationwide by the federal government; also known as “the old CHAMPUS program.” Standard allows beneficiaries to see any TRICARE-certified (authorized), non-network civilian providers. Beneficiaries pay an annual deductible and a 25% cost share of covered treatment and services.

Health insurance that generally pays what is left over after TRICARE Standard pays a beneficiary’s covered benefits. Such a policy may cover certain cost-share amounts.

Particular level when an insurance company is responsible for payment of benefits with a stated minimum premium.

In a life insurance policy, provision that pays an amount (three times the face value) in addition to the policy’s basic death benefit if death is due to an accident. There are exclusions for the type of accident and time and age limits (e.g., the insured must die within a specific number of days of the accident and be of a certain age or younger).

Type of managed care plan that allows a member a choice of one of three service alternatives (health maintenance organization [HMO], preferred provider organization [PPO], or traditional indemnity plan) each time he or she requires medical care. Scope of covered services is the same for each option, but the level of cost shared by the enrollee is different among the options. Also called point-of-service (POS) program .

Eligible members or enrollees who have not received any medical services through a managed care plan as evidenced by the absence of a medical record and any encounter data. True negatives signify potential access problems and should be investigated by the managed care plan.

Invalid diagnostic code in which an extra digit has been added to a four-digit code to make it five digits. Medicare payers return such claims as unprocessable.

Legal entity (trustee) in which property and funds are held and managed by either a person or third party for a beneficiary. Two types are living trust and testamentary trust.
***
UK: An arrangement under which property is transferred to a person called the trustee or several such persons. Trustees are under an obligation to keep the property or deal with it for the benefit of others, the beneficiaries. The trust is created by a trust deed. Occupational pension schemes are set up under trust deeds. See PARTNERSHIP; MARRIED WOMEN’S PROPERTY ACT 1882; TRUST POLICIES.
***
An arrangement under which a donor transfers property to a trustee who manages and distributes the property in accordance with the terms of a trust agreement for the benefit of a trust beneficiary.

Legal document that sets up a trust fund, allocates specific assets contained in the trust, and states rules for carrying out the duties and responsibilities of the trustee for investing and administration.
***
An agreement under which certain assets are deposited by one party (the grantor), for the sole benefit of another party (the beneficiary), into an account managed by a third party (the trustee). In reinsurance, such an agreement is typically established to permit a licensed cedant to take credit for non-admitted reinsurance up to the value of the assets in trust.