Forum - Questions & Answers

Mar 5th, 2012 - melissacooke

Tricare reimburstment

If Tricare does not pay 100% of the Medicare coins or deductible can we bill the pt the difference, like with commercial insurance?

Mar 5th, 2012 - nmaguire   2,606 

re: Tricare reimburstment

If Medicare and CHAMPVA cover the service, patient will almost always have no
out-of-pocket expense.
If the service is covered by Medicare and not by CHAMPVA, patient will pay Medicare
co-pay.
If the service is not covered by Medicare, but is covered by CHAMPVA, you will pay
CHAMPVA cost share (typically 25%).
http://www.va.gov/hac/factsheets/champva/FactSheet04-01.pdf

Mar 5th, 2012 -

re: Tricare reimburstment

Thanks for the help, and for the link.



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