A affected person who has not been admitted to a hospital or different licensed institution as an inpatient. An organization or institution owned and operated by one or more nonprofit corporations or associations shaped pursuant to applicable state laws, no part of the web earnings of which inures, or may lawfully inure, to the advantage of any non-public shareholder or individual. A battle casualty whose whereabouts and standing are unknown, supplied the absence appears to be involuntary and the service member is not identified to be in a standing of unauthorized absence. An individual who is affiliated with a Service, both an active obligation member, Reserve member, energetic obligation retired member, or Retired Reserve member. Members in a retired standing are not former members. A pregnancy is low-risk when the idea for the continuing clinical expectation of a standard uncomplicated delivery, as defined by cheap and customarily accepted standards of maternal and fetal well being, is documented all through a generally accepted course of prenatal care.
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TRICARE Prime Remote for Active Duty Family Members will usually observe the foundations and procedures of TRICARE Prime, besides as offered in this paragraph and in any other case except to the extent the Director determines them to be infeasible because of the remote area. Except as specifically offered or licensed by this section, all benefits provided, and benefit limitations established, pursuant to this part, shall apply to TRICARE Prime and TRICARE Select. Health benefits for Prime enrollees for care obtained from civilian suppliers are these beneath § 199.4 and the extra benefits identified in paragraph of this section. Retirees, their dependents and survivors who usually are not enrolled in TRICARE Prime. For functions of this paragraph , survivors of members who died whereas on energetic responsibility are thought of as among dependents of lively responsibility service members.
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Each request for an exception to the submitting requirement might be considered by itself merits. The determination of the Director, OCHAMPUS, or a designee, on the request for an exception to the submitting requirement shall be last. In order to be considered advantages, all services and provides shall be rendered by, prescribed by, or furnished on the course of, or on the order of a TDP approved supplier training within the scope of his or her license. Disabling illness or damage of child age 21 or 22 who has eligibility primarily based on his or her scholar status. However, if restoration happens earlier than the twenty third birthday and there is resumption of a full-time course of higher education, the TDP could be continued till the twenty third birthday. The regular trip periods during a longtime college yr do not change the eligibility status of a dependent youngster twenty-one or twenty-two years old in full-time pupil status.