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TRICARE Reform Rules Fire a Curveball Over January 1 Fee Levels

October 10, 2017

From the website

Near-final regulations released last week by the Defense Health Agency (DHA) to implement sweeping TRICARE reforms on Jan. 1 include a surprise restructuring of appointment fees for active duty families, and retirees under 65 and their families, who get their health care outside of military treatment facilities.

Agency leaders insist the new “fixed dollar” fees for the newly renamed “Select” option, to replace TRICARE Standard and Extra, merely reflects “average” out-of-pocket costs occurring under the traditional cost-share method of charging users a percentage of TRICARE’s Maximum Allowable Charges per appointment.

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