Administered by the Department of Defense, CHAMPUS
shares the costs of inpatient and outpatient medical care from civilian hospitals and doctors when care is not available through a military hospital or clinic.
They can use military treatment facilities (MTFs) operated by the various branches of the armed forces, or use an alternative insurance program called CHAMPUS
, which under certain circumstances provides insurance coverage for health care provided through civilian physicians and hospitals.
Tri-Care is the managed care program currently made available by CHAMPUS
throughout the country.
The company also serves approximately 90,000 CHAMPUS
beneficiaries in Nevada and Missouri.
The TRICARE program allows CHAMPUS
beneficiaries to select among three health care options: 1) TRICARE Standard -- the traditional, existing CHAMPUS
program; 2) TRICARE Extra -- a preferred provider organization (PPO); and 3) TRICARE Prime -- a health maintenance organization (HMO).
TRICARE program is an initiative to bring managed care to the CHAMPUS
population of both active and retired military personnel and their dependents.
Per the contract, Sierra and its 13 partners will implement a network of civilian hospitals and doctors along with other managed care support services to provide comprehensive health care services to the estimated 750,000 beneficiaries residing in CHAMPUS
Regions 7 and 8, which include Arizona, Colorado, Nevada, New Mexico, Utah, Montana, Wyoming, North Dakota, South Dakota, Iowa, Idaho, Texas (westernmost part), Kansas, Minnesota, Missouri and Nebraska.
Serving as a management service organization, TriWest is responsible for the implementation and management of the CHAMPUS
TRICARE contract, which offers an HMO, a PPO and an indemnity health care option for CHAMPUS
beneficiaries, who include dependents of active-duty military personnel, and retirees and dependents.
Contracts will be granted by the CHAMPUS
managed care support program.
TRICARE, formerly CHAMPUS
, is a triple-option health care program for active duty military personnel and their families and military retirees and their families.
This is the first time a full array of managed care products will be offered to CHAMPUS
participants in this part of the country.
The DoD Procurement Group, headed by David Kennell, consists of Lewin employees who work on Policy and Statistical Analysis Support Services Contracts for the DoD and CHAMPUS