Before any CHAMPUS advantages may be extended, extra necessities, as set forth in different sections of this part, must be met. Additionally, using CHAMPUS could also be denied if a Uniformed Service medical treatment facility able to offering the needed care is on the market. CHAMPUS depends totally on the Defense Enrollment Eligibility Reporting System for eligibility verification.
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Beneficiaries who paid a cost-share for preventive services listed in paragraph through of this section on or after October 14, 2008, may request reimbursement till January 28, 2013 based on procedures established by the Director, TRICARE Management Activity. Effective for dates of service on or after October 14, 2008, beneficiaries, subject to the limitation in paragraph of this part, shall not pay any cost-share for preventive services listed in paragraph through of this part. The beneficiary shall not be required to pay any portion of the worth of these preventive services even if the beneficiary has not happy the deductible for that yr. Under the Defense Authorization Act for Fiscal Year 2001, the cap for beneficiaries other than dependents of lively obligation members was lowered from $7,500 to $3,000 efficient October 30, 2000. Prior to this, the Defense Authorization Act for Fiscal Year 1993 lowered this cap from $10,000 to $7,500 on October 1, 1992. The cap stays at $1,000 for dependents of energetic duty members.
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Penalties for violation of this paragraph embrace a civil financial penalty of up to $5,000 for every violation. The provisions of section 1128A of the Social Security Act, forty two U.S.C. 1320a-7a, (other than subsections and ) apply to the civil financial penalty in the same method as the provisions apply to a penalty or proceeding beneath part 1128A. Request for exception to claims submitting deadline.