[HEALTH.MIL] Most TRICARE Beneficiaries Meet ACA Coverage Requirements

  • From: HEALTH.MIL@xxxxxxxxxxxxx
  • To: <HEALTH.MIL@xxxxxxxxxxxxx>
  • Date: Fri, 11 Oct 2013 10:00:43 -0500

Most TRICARE Beneficiaries Meet ACA Coverage Requirements

Defense Health Agency


Oct. 10, 2013


The Affordable Care Act, also known as the health care law (and ObamaCare), was
created to expand access to affordable health care coverage, lower costs, and
improve quality and care coordination for all Americans.


Under the health care law, people will have health coverage that meets a minimum
standard (called "minimum essential coverage") by January 1, 2014, qualify for
an exemption, or may be required to pay a fee if they have affordable options,
but remain uninsured. Because of this, many TRICARE beneficiaries may be
wondering how this new law will affect them and their families.


Simply speaking, the Affordable Care Act will have very little impact on TRICARE
beneficiaries. The biggest change they will notice may be an extra letter in
their mailbox every January, and an extra box to check on their tax forms every


Beneficiaries who receive TRICARE benefits, whether at no cost, by electing to
pay an enrollment fee, or by paying monthly premiums, have minimum essential
coverage under the Affordable Care Act. This includes: TRICARE Prime, Prime
Remote and Standard; TRICARE Reserve Select (TRS); TRICARE Young Adult (TYA);
TRICARE Retired Reserve (TRR); and the Continued Health Care Benefit Program


Eligibility alone for premium-based TRICARE benefit plans - TRS, TYA, TRR and
CHCBP -- does not constitute minimum essential coverage. Eligible beneficiaries
must purchase and be in good standing, by paying their premiums to have coverage
in force, in order for these TRICARE programs to qualify as minimum essential
coverage. There are two groups of TRICARE beneficiaries who do not meet the
minimum essential coverage requirement: those getting care for line of duty only
related conditions, and those only eligible to receive care in military
hospitals or clinics.


Beginning with the 2014 tax season, and every tax year after that, the
Department of Defense will send every TRICARE beneficiary the same information
it sends the Internal Revenue Service. This notification will detail whether
sponsors and their dependents had minimum essential coverage during the previous
year. Sponsors can then use this information when they file their tax forms.


Because the information sent to the IRS is generated using beneficiaries' Social
Security numbers, it's essential for sponsors to make sure their family's
Defense Enrollment Eligibility Reporting System (DEERS) information is correct
and up to date.

Related Sites:
TRICARE <http://www.defense.gov/news/www.tricare.mil> 

Related Articles:
New Defense Health Agency to Streamline Functions


SOURCE:  American Forces Press Service News Release at




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