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军队文职人员医疗计划(CHAMPUS);面向退休后备役人员的TRICARE退休后备役计划。有意见征求期的暂行最终规则。

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); TRICARE Retired Reserve for members of the Retired Reserve. Interim final rule with comment period.

出版信息

Fed Regist. 2010 Aug 6;75(151):47452-7.

PMID:20690232
Abstract

This interim final rule establishes requirements and procedures for implementation of TRICARE Retired Reserve. This interim final rule addresses provisions of the National Defense Authorization Act for Fiscal Year 2010 (NDAA-10). The purpose of this interim final rule is to establish the TRICARE Retired Reserve program that implements section 705 of the NDAA-10. Section 705 allows members of the Retired Reserve who are qualified for non-regular retirement, but are not yet 60 years of age, to qualify to purchase medical coverage equivalent to the TRICARE Standard (and Extra) benefit unless that member is either enrolled in, or is eligible to enroll in, a health benefit plan under Chapter 89 of Title 5, United States Code, as well as certain survivors. The amount of the premium that qualified members pay to purchase these benefits will represent the full cost as determined on an appropriate actuarial basis for coverage under the TRICARE Standard (and Extra) benefit including the cost of the program administration. There will be one premium for member-only coverage and a separate premium for member and family coverage. The rules and procedures otherwise outlined in Part 199 of 32 CFR relating to the operation and administration of the TRICARE Standard and Extra programs including the required cost-shares, deductibles and catastrophic caps for retired members and their dependents will apply to this program. The rule is being published as an interim final rule with comment period in order to comply with statutory effective dates.

摘要

本暂行最终规则规定了退休后备役军人医疗保健计划(TRICARE Retired Reserve)的实施要求和程序。本暂行最终规则涉及2010财年《国防授权法案》(NDAA - 10)的相关条款。本暂行最终规则的目的是设立退休后备役军人医疗保健计划,以实施NDAA - 10第705条规定。第705条允许符合非正规退休条件但未满60岁的退休后备役军人有资格购买等同于TRICARE标准(及额外)福利的医疗保险,除非该成员已参加或有资格参加美国法典第5编第89章规定的健康福利计划,以及某些遗属。符合条件的成员购买这些福利所需支付的保险费将代表根据适当精算基础确定的TRICARE标准(及额外)福利覆盖的全部费用,包括项目管理成本。单人保险有一项保险费,成员及其家属的保险有一项单独的保险费。32 CFR第199部分中关于TRICARE标准和额外计划的运营和管理的其他规则和程序,包括退休成员及其家属所需的费用分摊、免赔额和灾难性限额,将适用于本计划。本规则作为暂行最终规则发布并设有意见征求期,以符合法定生效日期。

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