(a) Establishment of System.—The Secretary of Defense, after consultation with the other administering Secretaries, shall establish a system of health care enrollment for covered beneficiaries who reside in the United States.
(b) Description of System.—Such system shall—(1) allow covered beneficiaries to elect to enroll in a health care plan, or modify a previous election, from eligible health care plans designated by the Secretary of Defense during—(A) an annual open enrollment period; and
(B) any period based on a qualifying event experienced by the beneficiary, as determined appropriate by the Secretary; or
(2) if necessary in order to ensure full use of facilities of the uniformed services in a geographical area, assign covered beneficiaries who reside in such area to such facilities.
(c) Health Care Plans Available Under System.—A health care plan designated by the Secretary of Defense under the system described in subsection (a) shall provide all health care to which a covered beneficiary is entitled under this chapter. Such a plan may consist of any of the following:(1) Use of facilities of the uniformed services.
(2) A plan under the TRICARE program.
(3) Any other health care plan contracted for by the Secretary of Defense.
(4) Any combination of the plans described in paragraphs (1), (2), and (3).
(d) Payment Options.—(1) A member or former member of the uniformed services, or a dependent thereof, eligible for medical care and dental care under section 1074(b) or 1076 of this title shall pay a premium for coverage under this chapter.
(2) To the maximum extent practicable, a premium owed by a member, former member, or dependent under paragraph (1) shall be withheld from the retired, retainer, or equivalent pay of the member, former member, or dependent. In all other cases, a premium shall be paid in a frequency and method determined by the Secretary.
(e) Regulations.—The Secretary of Defense, after consultation with the other administering Secretaries, shall prescribe regulations to carry out this section.
Structure US Code
Subtitle A— General Military Law
CHAPTER 55— MEDICAL AND DENTAL CARE
§ 1071. Purpose of this chapter
§ 1073. Administration of this chapter
§ 1073a. Contracts for health care: best value contracting
§ 1073b. Recurring reports and publication of certain data
§ 1073c. Administration of Defense Health Agency and military medical treatment facilities
§ 1073d. Military medical treatment facilities
§ 1073e. Protection of armed forces from infectious diseases
§ 1073f. Health care fraud and abuse prevention program
§ 1074. Medical and dental care for members and certain former members
§ 1074c. Medical care: authority to provide a wig
§ 1074d. Certain primary and preventive health care services
§ 1074f. Medical tracking system for members deployed overseas
§ 1074g. Pharmacy benefits program
§ 1074h. Medical and dental care: medal of honor recipients; dependents
§ 1074i. Reimbursement for certain travel expenses
§ 1074j. Sub-acute care program
§ 1074k. Long-term care insurance
§ 1074l. Notification to Congress of hospitalization of combat wounded members
§ 1074n. Annual mental health assessments for members of the armed forces
§ 1074o. Provision of hyperbaric oxygen therapy for certain members
§ 1075a. TRICARE Prime: cost sharing
§ 1076. Medical and dental care for dependents: general rule
§ 1076a. TRICARE dental program
§ 1076c. Dental insurance plan: certain retirees and their surviving spouses and other dependents
§ 1076d. TRICARE program: TRICARE Reserve Select coverage for members of the Selected Reserve
§ 1077. Medical care for dependents: authorized care in facilities of uniformed services
§ 1077a. Access to military medical treatment facilities and other facilities
§ 1078. Medical and dental care for dependents: charges
§ 1078a. Continued health benefits coverage
§ 1079. Contracts for medical care for spouses and children: plans
§ 1079a. TRICARE program: treatment of refunds and other amounts collected
§ 1079c. Provisional coverage for emerging services and supplies
§ 1080. Contracts for medical care for spouses and children: election of facilities
§ 1081. Contracts for medical care for spouses and children: review and adjustment of payments
§ 1082. Contracts for health care: advisory committees
§ 1083. Contracts for medical care for spouses and children: additional hospitalization
§ 1084. Determinations of dependency
§ 1085. Medical and dental care from another executive department: reimbursement
§ 1086. Contracts for health benefits for certain members, former members, and their dependents
§ 1086a. Certain former spouses: extension of period of eligibility for health benefits
§ 1088. Air evacuation patients: furnished subsistence
§ 1089. Defense of certain suits arising out of medical malpractice
§ 1090. Identifying and treating drug and alcohol dependence
§ 1090a. Identifying and treating eating disorders.
§ 1090b. Commanding officer and supervisor referrals of members for mental health evaluations
§ 1091. Personal services contracts
§ 1092. Studies and demonstration projects relating to delivery of health and medical care
§ 1092a. Persons entering the armed forces: baseline health data
§ 1093. Performance of abortions: restrictions
§ 1094. Licensure requirement for health-care professionals
§ 1094a. Continuing medical education requirements: system for monitoring physician compliance
§ 1095a. Medical care: members held as captives and their dependents
§ 1095b. TRICARE program: contractor payment of certain claims
§ 1095c. TRICARE program: facilitation of processing of claims
§ 1095d. TRICARE program: waiver of certain deductibles
§ 1095e. TRICARE program: beneficiary counseling and assistance coordinators
§ 1095f. TRICARE program: referrals and preauthorizations under TRICARE Prime
§ 1095g. TRICARE program: waiver of recoupment of erroneous payments caused by administrative error
§ 1096. Military-civilian health services partnership program
§ 1097a. TRICARE Prime: automatic enrollments
§ 1097b. TRICARE program: financial management
§ 1097c. TRICARE program: relationship with employer-sponsored group health plans
§ 1097d. TRICARE program: notice of change to benefits
§ 1098. Incentives for participation in cost-effective health care plans
§ 1099. Health care enrollment system and payment options
§ 1100. Defense Health Program Account
§ 1101. Resource allocation methods: capitation or diagnosis-related groups
§ 1102. Confidentiality of medical quality assurance records: qualified immunity for participants
§ 1103. Contracts for medical and dental care: State and local preemption
§ 1104. Sharing of health-care resources with the Department of Veterans Affairs
§ 1104a. Shared medical facilities with Department of Veterans Affairs
§ 1105. Specialized treatment facility program
§ 1106. Submittal of claims: standard form; time limits
§ 1107. Notice of use of an investigational new drug or a drug unapproved for its applied use
§ 1107a. Emergency use products
§ 1109. Organ and tissue donor program
§ 1110. System for tracking and recording vaccine information; anthrax vaccine immunization program
§ 1110a. Notification of certain individuals regarding options for enrollment under Medicare part B