R151619Z DEC 14
MARADMIN 650/14
MSGID/GENADMIN/CMC WASHINGTON DC MRA RA//
SUBJ/INFORMATION CONCERNING THE CONTINUED HEALTH CARE BENEFIT PROGRAM (CHCBP)//
POC/K.J. CONANT/MAJ/CMC(RAP)/TEL: (703)784-9138/EMAIL: KEVIN.CONANT(AT)USMC.MIL//
GENTEXT/REMARKS/1. PURPOSE.
   A. TO PROVIDE BASIC INFORMATION ON THE CONTINUED HEALTH CARE BENEFIT PROGRAM (CHCBP) AVAILABLE TO FORMER UNIFORMED SERVICE MEMBERS AND THEIR FAMILIES.
   B. TO PROVIDE GUIDANCE ON ELIGIBILITY, ENROLLMENT, AND COST (PREMIUMS).
2. BACKGROUND. THE CHCBP IS A VOLUNTARY, PREMIUM-BASED HEALTH CARE PROGRAM ADMINISTERED BY HUMANA MILITARY HEALTH CARE SERVICES THAT OFFERS TEMPORARY CONTINUED HEALTH CARE BENEFITS WHEN A MARINE AND/OR FAMILY MEMBER(S) ARE NO LONGER ENTITLED TO MILITARY MEDICAL BENEFITS. THE CHCBP PROGRAM ACTS AS A TEMPORARY BRIDGE BETWEEN MILITARY HEALTH BENEFITS AND A NEW CIVILIAN HEALTH PLAN FOR 18 TO 36 MONTHS. CHCBP IS NOT A TRICARE PROGRAM, BUT IT OFFERS COVERAGE COMPARABLE TO TRICARE STANDARD WITH SIMILAR BENEFITS.
   A. CHCBP IS AVAILABLE TO FORMER UNIFORMED SERVICE MEMBERS, THEIR QUALIFIED FAMILY MEMBERS, FORMER SPOUSES WHO HAVE NOT REMARRIED, ADULT CHILDREN, AND UNMARRIED CHILDREN BY ADOPTION OR LEGAL CUSTODY.
   B. IF THE MEMBER QUALIFIES, THE MEMBER CAN PURCHASE CHCBP WITHIN 60 DAYS AFTER THE LOSS OF THE FOLLOWING PROGRAMS: ACTIVE DUTY, TRANSITIONAL ASSISTANCE MANAGEMENT PROGRAM, TRICARE RESERVE SELECT, TRICARE RETIRED RESERVE, TRICARE FOR LIFE OR TRICARE YOUNG ADULT.
   C. CHCBP MAY ALLOW ACCESS TO THE SAME PROVIDER THAT WAS AVAILABLE VIA TRICARE RESERVE SELECT (TRS).
   D. CHCBP MAY ENTITLE THE MEMBER TO PRE-EXISTING CONDITION COVERAGE OFTEN NOT COVERED BY A NEW EMPLOYER’S BENEFIT PLAN.
3. QUALIFICATION CRITERIA AND DURATION OF COVERAGE. THE CRITERIA LISTED IN THIS MARADMIN IS NOT ALL-INCLUSIVE. FOR ADDITIONAL INFORMATION,VISIT THE CHCBP WEBSITE LISTED AT THE END OF THIS MARADMIN.
   A. QUALIFICATION CRITERIA AND DURATION OF COVERAGE UP TO 18 MONTHS.
       (1)  FORMER ACTIVE DUTY SERVICE MEMBERS AND THEIR FAMILY MEMBERS MAY QUALIFY FOR CHCBP COVERAGE WHEN: THE SPONSOR IS RELEASED OR DISCHARGED FROM ACTIVE DUTY UNDER OTHER THAN ADVERSE CONDITIONS, THE SPONSOR WAS ENTITLED TO MEDICAL CARE UNDER A MILITARY HEALTH PLAN, AND THE SPONSOR AND THEIR FAMILY MEMBERS ARE NOT ELIGIBLE FOR ANY BENEFITS UNDER TRICARE OR THE TRANSITIONAL ASSISTANCE MANAGEMENT PROGRAM (TAMP).
       (2)  FOR MEMBERS AND THEIR FAMILIES OF THE SELECTED RESERVE OF THE READY RESERVE AND MEMBERS OF THE RETIRED RESERVE, CHCBP 18-MONTH ELIGIBILITY BEGINS AT THE END OF THE ACTIVE DUTY SERVICE OR TAMP PERIOD, OR UPON TERMINATION OF COVERAGE UNDER TRICARE RESERVE SELECT OR TRICARE RETIRED RESERVE.
   B. QUALIFICATION CRITERIA AND DURATION OF COVERAGE FOR UP TO 36 MONTHS.
       (1)  FORMER SPOUSES WHO HAVE NOT REMARRIED MAY QUALIFY FOR CHCBP WHEN THEY ARE COVERED UNDER TRICARE OR TAMP AS DEPENDENTS OF A CURRENT OR FORMER SERVICE MEMBER ON THE DAY BEFORE THE DATE OF THE FINAL DECREE OF DIVORCE, DISSOLUTION, OR ANNULMENT AND THEY ARE NOT ELIGIBLE FOR TRICARE AS A FORMER SPOUSE OF A MEMBER OR FORMER MEMBER OF THE UNIFORMED SERVICES.
       (2)  DEPENDENTS OF SPONSORS MAY QUALIFY FOR CHCBP WHEN: THEY CEASE TO MEET REQUIREMENTS AS A DEPENDENT OF A MEMBER OR FORMER MEMBER OF THE UNIFORMED SERVICES; THEY WERE COVERED UNDER TRICARE, TAMP, OR TRICARE YOUNG ADULT AS DEPENDENTS OF A MEMBER OR FORMER MEMBER OF THE UNIFORMED SERVICES ON THE DAY BEFORE CEASING TO MEET THE REQUIREMENTS FOR BEING CONSIDERED A DEPENDENT; OR IF THEY WOULD NOT OTHERWISE BE ELIGIBLE FOR ANY BENEFITS UNDER TRICARE.
4. TO ENROLL IN CHCBP, THE MEMBER WILL BE REQUIRED TO SUBMIT A COMPLETE CHCBP APPLICATION (DD FORM 2237), PAYMENT IN FULL FOR THE FIRST 90 DAYS OF COVERAGE, AND A CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY (DD FORM 214)(IF APPLICABLE). ONCE HUMANA MILITARY VERIFIES THE PREREQUISITES AND COMPLETES THE ENROLLMENT PROCESS, THE MEMBER WILL RECEIVE A CHCBP ENROLLMENT CARD BY MAIL.
5. PREMIUMS FOR FY15 ARE 1,275 DOLLARS PER QUARTER (INDIVIDUAL ONLY) AND 2,868 DOLLARS PER QUARTER (INDIVIDUAL AND FAMILY). CHCBP COVERAGE IS PURCHASED IN 90 DAY INCREMENTS; PREMIUMS ARE BILLED QUARTERLY.
6. GENERAL INFORMATION ON THE CHCBP CAN BE FOUND AT HTTP:(SLASH)(SLASH)WWW.HUMANAMILITARY.COM/SOUTH/BENE/TRICAREPROGRAMS /CHCBP.ASP OR CALL THE CUSTOMER SERVICE CENTER AT 1-800-444-5445.
7. THIS MARADMIN IS APPLICABLE TO THE INDIVIDUAL READY RESERVE (IRR).
8. RELEASE AUTHORIZED BY COL R. T. TOBIN, DIRECTOR RESERVE AFFAIRS DIVISION, ACTING//