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Notification to TRICARE beneficiaries of coverage transition requirements

Division A · Title VII: Health Care Provisions · Subtitle B: Health Care Administration

Plain-language summaryAI

TRICARE beneficiaries must be notified electronically about any upcoming changes to their coverage that require them to make a new enrollment choice. These notices will be sent one year, 180 days, and 30 days before the change takes effect. Additionally, the Department of Defense will run public awareness campaigns and provide annual reports to Congress on how well these notifications and outreach efforts are working.

AI-generated from this section’s text — a quick orientation, not a substitute for the full text below. Not legal advice.

Section Text · Sec. 734.
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1097e. TRICARE program: notice of coverage transition requirements

(a) Provision of notice

(1)

The administering Secretaries shall provide each covered beneficiary with notices of a TRICARE coverage transition requirement that affects the individual.

(2)

The administering Secretaries shall provide notice under paragraph (1) through electronic means.

(b) Timing of notice

The administering Secretaries shall provide notices to a covered beneficiary under subsection (a)(1) as follows:

(1)

On the date that is one year before the covered beneficiary will experience a TRICARE coverage transition requirement.

(2)

On the date that is 180 days before the covered beneficiary will experience a TRICARE coverage transition requirement.

(3)

On the date that is 30 days before the covered beneficiary will experience a TRICARE coverage transition requirement.

(c) Outreach

The administering Secretaries shall conduct an outreach and public awareness campaign to inform covered beneficiaries of TRICARE coverage transition requirements, including through the TRICARE internet website, social media, and through family readiness groups.

(d) Reports

On an annual basis the Secretary of Defense, in consultation with the other administering Secretaries, shall submit to the appropriate congressional committees a report on the implementation of this section, including metrics relating to the outreach and public awareness campaign under subsection (c) and any recommendations to improve making covered beneficiaries aware of TRICARE coverage transition requirements.

(e) Definitions

In this section:

(1)

The term appropriate congressional committees means the following:

(A)

The congressional defense committees.

(B)

With respect to matters concerning members and former members of the Coast Guard and dependents of such members and former members, the Committee on Transportation and Infrastructure of the House of Representatives and the Committee on Commerce, Science, and Transportation of the Senate.

(2)

The term TRICARE coverage transition requirement means a requirement under this chapter for a covered beneficiary to make a different election under the TRICARE program to continue enrollment in the TRICARE program, including by reason of attaining a certain age as described in section 1086(d) or 1110b of this title.