RESPONSES:
a. No.
You were incorrect if you gave a "no" response. If eligible for hospitalization
under TRICARE, this family member would be covered under the Federal Medical Care
Recovery Act for injuries incurred due to an act by a third party creating a tort liability.
b. Yes.
"Yes" is the correct response. When inpatient care is furnished to an eligible
beneficiary under TRICARE, payment is made by the United States Government to the
civilian hospital. If it appears that such care was necessitated by an injury involving some
third party, appropriate statement of causative factors and other available information
specifically requested (required) for injury cases must be submitted.
c. I'm uncertain.
"Yes" is the correct response. When inpatient care is furnished to an eligible
beneficiary under TRICARE, payment is made by the United States Government to the
civilian hospital.
SITUATION 5
If an injury involving a third party results in a member of the Uniformed Services
being hospitalized, appropriate statement of causative factors and other available
information specifically requested (required) for injury cases must be submitted.
QUESTION : Who is responsible for submitting these documents to the proper
legal authorities or officials of the uniformed services?
a. The civilian hospital where the patient was receiving care.
b. The nearest U.S. Army medical treatment facility (MTF).
c. The Triple Option Benefit Program and the Civilian Health and
Medical Program of Uniformed Services.
MD0755
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