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军队文职人员医疗计划(CHAMPUS);资格要求修订——国防部。拟议规则。

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); revisions to the eligibility requirements--DoD. Proposed rule.

出版信息

Fed Regist. 1997 Dec 23;62(246):67018-31.

Abstract

This proposed rule revises the comprehensive CHAMPUS regulation pertaining to basic CHAMPUS benefits in accordance with several statutory changes. This proposed rule: sets forth the requirements for reinstatement of CHAMPUS eligibility for beneficiaries under age 65 who would otherwise have lost eligibility for CHAMPUS due to eligibility for Medicare as a result of disability or end-stage renal disease (ESRD); establishes new classes of CHAMPUS eligibles; establishes the Transitional Assistance Management Program which provides transitional health care for members (and their dependents) who served on active duty in support of a contingency operation and for members (and their dependents) who are involuntarily separated from active duty; allows former spouses who buy a conversion health policy to keep CHAMPUS eligibility for twenty-four (24) months for preexisting conditions that are not covered by the conversion policy; and makes minor technical revisions to the double coverage provisions. This proposed rule also adds a new category of eligible beneficiary under the Continued Health Care Benefit Program.

摘要

本拟议规则根据多项法律变更,修订了与CHAMPUS基本福利相关的综合CHAMPUS条例。本拟议规则:规定了65岁以下受益人恢复CHAMPUS资格的要求,这些受益人原本会因残疾或终末期肾病(ESRD)而符合医疗保险资格,从而失去CHAMPUS资格;设立了新的CHAMPUS合格类别;设立了过渡性援助管理计划,为在支持应急行动中服现役的成员(及其家属)以及非自愿脱离现役的成员(及其家属)提供过渡性医疗保健;允许购买转换健康保险单的前配偶在转换保险单未涵盖的既往病症方面保留24个月的CHAMPUS资格;并对双重保险规定进行了细微的技术修订。本拟议规则还在持续医疗福利计划下增加了一类合格受益人。

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