[HEALTH.MIL] Certificates of Creditable Coverage No Longer Needed for Beneficiaries Losing TRICARE Coverage

  • From: HEALTH.MIL@xxxxxxxxxxxxx
  • To: <HEALTH.MIL@xxxxxxxxxxxxx>
  • Date: Mon, 12 Jan 2015 13:35:12 -0600

Certificates of Creditable Coverage No Longer Needed for Beneficiaries Losing
TRICARE Coverage 



TRICARE will no longer send beneficiaries certificates of creditable coverage
when they lose TRICARE eligibility. These certificates are no longer needed when
beneficiaries transition off TRICARE. Beneficiaries will instead receive notice
that their TRICARE coverage is ending. 

The Patient Protection and Affordable Care Act (ACA) passed by Congress in 2011
changes the law so that insurers cannot deny you coverage based on preexisting
conditions. Before this law went into effect, when you switched health plans,
you had to prove to your new plan that you had coverage before joining them;
otherwise they might not cover you for prior illnesses or injuries you had. With
this change in the law, you don't need a certificate to prove you had coverage.

TRICARE beneficiaries can lose their coverage for several reasons. Some of the
most common include separating from active duty, aging out or choosing to stop
paying for a premium based TRICARE plan. When beneficiaries receive notice that
their coverage is ending, it will include relevant information about other
TRICARE options like the Transitional Assistance Management Program (TAMP) and
ways for beneficiaries to explore their options on the state ACA health

All TRICARE health plans exceed the ACA requirement that health coverage must
offer a level of minimal essential coverage.  If you are looking for other
health insurance, you're encouraged to explore your options through the Market
Place at  <http://www.healthcare.gov> www.healthcare.gov. The current open
season runs from November 15 through February 15, 2015.

Beneficiaries eligible to purchase TRICARE premium based plans (TRICARE Retired
Reserve, TRICARE Reserve Select, TRICARE Young Adult, and the Continuing Health
Care Plan Benefit) who choose not to purchase this coverage, may qualify for
premium assistance or state Medicaid based on income, family size, and state of
residence.  They should go to  <http://www.healthcare.gov> www.healthcare.gov or
contact their state marketplace for assistance.

Last Updated 1/12/2015 

SOURCE:  TRICARE News Release at




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