Which statement describes TRICARE Prime benefits at the care level?

Which statement describes TRICARE Prime benefits at the care level?

• A. Most care received by the assigned Primary Care Manager (PCM).
• B. No enrollment is required for Prime.
• C. It charges a fee for all services.
• D. Enrollment in Prime is optional.

Answer: (A)

In TRICARE Prime, care is organized so that your assigned Primary Care Manager coordinates most of your medical needs. The PCM serves as your main point of contact and gatekeeper, handling routine care and coordinating referrals to specialists or hospitals when needed. Because of this setup, the majority of your care is delivered through the PCM rather than a wide mix of providers, so the statement that most care is received by the assigned Primary Care Manager best describes Prime benefits at the care level. It's important to note that Prime requires enrollment to participate, so statements saying there’s no enrollment or that enrollment is optional aren’t accurate. Also, Prime isn’t simply a blanket fee-for-all-services plan; you enroll and then pay defined copays or cost shares for services, rather than a flat charge for every visit.

In TRICARE Prime, care is organized so that your assigned Primary Care Manager coordinates most of your medical needs. The PCM serves as your main point of contact and gatekeeper, handling routine care and coordinating referrals to specialists or hospitals when needed. Because of this setup, the majority of your care is delivered through the PCM rather than a wide mix of providers, so the statement that most care is received by the assigned Primary Care Manager best describes Prime benefits at the care level.

It's important to note that Prime requires enrollment to participate, so statements saying there’s no enrollment or that enrollment is optional aren’t accurate. Also, Prime isn’t simply a blanket fee-for-all-services plan; you enroll and then pay defined copays or cost shares for services, rather than a flat charge for every visit.