[20211206]IN11532_2022年TRICARE成本分摊变化.pdf

CRS INSIGHT Prepared for Members and Committees of Congress INSIGHTINSIGHTi i TRICARE Cost-Sharing Changes in 2022 Updated December 6, 2021 The Department of Defense (DOD) administers a statutory health entitlement (under Chapter 55 of Title 10, U.S. Code) through the Military Health System (MHS). The MHS offers health care benefits and services through its TRICARE program to approximately 9.6 million beneficiaries composed of servicemembers, military retirees, and family members. Health care services are available through DOD-operated hospitals and clinics, collectively referred to as military treatment facilities (MTFs), or through civilian health care providers participating in the TRICARE program. The Defense Health Agency (DHA) manages the TRICARE program, in collaboration with the military departments. With the exception of active duty servicemembers, beneficiaries are subject to certain cost-sharing requirements based on beneficiary category, health plan or benefit program, and the sponsors initial enlistment or appointment date. Beneficiary cost-sharing requirements include premiums (i.e., enrollment fees), deductibles, co-payments, coinsurance, and a catastrophic cap. Peri