| |
who become entitled (at any age) to hospital
insurance benefits under Medicare Hospital Insurance
(Medicare Part A) lose their eligibility for all types
of civilian care under CHAMPUS. Such individuals
retain eligibility for care in uniformed services
facilities, however, even after age 65.
Nonavailability Statements
Dependents of active-duty members who reside
with their sponsors must use uniformed services
facilities for their inpatient medical care if a facility
capable of providing the appropriate care is available
in the area in which they reside. CHAMPUS will pay
for civilian inpatient care costs for such persons only
if a certificate indicating the care was not available at
the facility is submitted with the CHAMPUS claim or
if the care was provided in an emergency.
Medical Care for Parents or Parents-In-Law
Under certain circumstances the parents or
parents-in-law of active-duty or retired (with pay)
service members are eligible for medical care from
uniformed services facilities.
At the time of the
members death, the parents or parents-in-law must
be, or must have been, dependent on the member for
over one-half of their support and residing in a
dwelling provided or maintained by the service
member.
Maternity Care in Civilian Facilities
For the most current information on dependent
maternity care in civilian facilities, consult the
CHAMPUS Handbook. Health benefits advisers at
military medical facilities can provide you with a
copy of this handbook.
HEALTH CARE COVERAGE UPON
SEPARATION
Upon your release from active duty, you can
enroll in the United Services Voluntary Insurance
Program (USVIP). This health insurance program
covers you, your spouse, and your children. Your
personnel office will have details on this program.
DENTAL CARE FOR DEPENDENTS
Your family is eligible for dental care from any
uniformed service dental facility on a space-available
or emergency basis. Availability depends upon such
factors as the physical capacity of the dental clinic,
the number of active-duty members the clinic must
support, the staff assigned to the clinic, and the
amount of dependents and retirees requesting care.
Overseas dental facilities are normally staffed to
provide primary dental care to dependents who
accompany their military sponsors. Stateside clinics,
however, are staffed only to meet the needs of the
active-duty population.
To address this lack of stateside coverage, the
uniformed services offer the active-duty Dependents
Dental Plan (DDP). Participation in the plan, which is
administered by a civilian contractor and supervised
by the Office of CHAMPUS, is voluntary. The plan
provides basic dental benefits to spouses and children
of active-duty personnel. Dependents enrolled in this
plan may go to any licensed civilian dentist.
The
government pays most of the programs cost. The
service members share of the monthly premium is
$5.20 for one dependent or $10.00 for two or more
dependents.
If the DDP beneficiary uses a
participating dentist, all covered diagnostic and
preventive services are free.
A member pays 20
percent of the cost for covered restorative services,
such as fillings. You can get additional information
on DDP benefits from your Health Benefits Adviser.
LIFE INSURANCE
The advantages of a sound life insurance program
for naval officers are many and unquestioned, but
some bear repeating to ensure you know about them.
SERVICEMENS GROUP LIFE
INSURANCE (SGLI)
Public Laws 98-289 and 97-66 provide the
Servicemens Group Life Insurance Program.
The
program provides a $100,000 insurance policy on the
life of every active-duty member of the uniformed
services subject to a call to active duty or to orders
that do not specify a period of 30 days or less. A small
amount of money is automatically deducted from
each members pay to cover a portion of the premium.
The service concerned pays the remaining premium
cost.
A member may elect to submit SGLI-8286
requesting coverage in any $5,000 increments below
$100,000 or choose not to be covered.
Under SGLI each member may elect any
person(s) or entity(ies) as beneficiary(ies) for the
insurance proceeds. Each member may also elect that
the insurance proceeds be paid in a lump sum or 36
4-10
|