![handle is hein.crs/govejlk0001 and id is 1 raw text is: Updated November 18, 2022
Defense Primer: Military Health System
The Department of Defense (DOD) administers a statutory and a ready m
health entitlement (under Chapter 55 of Title 10, U.S. peacetime anc
Code) through the Military Health System (MHS). The B
MHS offers health care benefits and services through its In FY2021, i
TRICARE program to approximately 9.62 million
beneficiaries composed of servicemembers, military (see Figure 1
retirees, and family members. Health care services are Figure 1. MH
available through DOD-operated hospitals and clinics,
referred to collectively as military treatment facilities
(MTFs), or through civilian health care providers
participating in the TRICARE program.
Purpose
The fundamental reason for an MHS is to support medical
readiness. The medical readiness mission involves
promoting a healthy and fit fighting force that is medically
prepared to provide the Military Departments with the
maximum ability to accomplish their deployment missions
throughout the spectrum of military operations. The MHS
also serves to create and maintain high morale in the
uniformed services by providing an improved and uniform
program of medical and dental care for members and
certain former members of those services, and for their
dependents (10 U.S.C. §1071). In addition, the resources
of the MHS may be used to provide humanitarian assistance
(10 U.S.C. §401) and to perform medical research (10
U.S.C. §4001).
Source: Defen
Organization Fiscal Year 2022
The Under Secretary of Defense for Personnel and Note: Number
Readiness (USD[P&R]) is the principal staff assistant and Military T
advisor to the Secretary of Defense and to the Deputy
Secretary of Defense for Total Force Management as it facilities admre
relates to readiness issues, including health affairs (see 10 acesre e
U.S.C. §136). are tree type
services depe
Key MHS Organizations capabilities: (
* Office of the Assistant Secretary of Defense for Health Affairs ambulatory c
military, civil
(OASD[HA]) there were 70
* Defense Health Agency (DHA) TRICARE
With te exce
* Army Medical Command, Navy Bureau of Medicine and assigned to th
Surgery, and the Air Force Medical Readiness Agency pocket costs f
The Assistant Secretary of Defense for Health Affairs may have a ct
(ASD[HA]) reports to the USD(P&R). The ASD(HA) is the upon teir stai
principal advisor to the Secretary of Defense on all DOD Medicare-elil
health policies, programs and activities and has primary option has dif
responsibility forthe MHS (see DOD Directive 5136.01). sharing may ii
Reporting to the USD(P&R) through the ASD(HA), the deductible, mi
Defense Health Agency (DHA) is a joint combat support catastrophic c
agency whose purpose is to enable the Army, Navy, and Air separately anc
Force medical services to provide a medically ready force option. The ci
edical force to combatant commands in both
d wartime.
ries
here were 9.62 million total MHS beneficiaries
IS Beneficiaries, FY202 I
Total Beneficiaries = 962 million
se Health Agency, Evaluation of the TRICARE Program:
Report to Congress, Washington, DC, 2022, p. 33.
s may not add up to total due to rounding.
reatment Facilities (MTFs)
ters all MTFs worldwide. Generally, these
ocated on or near a U.S. military base. There
s of MTFs that provide a range of clinical
nding on facility size, mission, and level of
1) medical centers, (2) hospitals, and (3)
are centers. MTFs are typically staffed by
service, and contract personnel. In FY2021,
6 MTFs, with 144 located overseas.
Options
ption of active duty servicemembers (who are
e TRICARE Prime option and pay no out-of-
or TRICARE coverage), MHS beneficiaries
hoice of TRICARE plan options depending
tus (e.g., active duty family member, retiree,
d under age 26 ineligible for family coverage,
ible) and geographic location. Each plan
ferent beneficiary cost-sharing features. Cost
nclude an annual enrollment fee, annual
onthly premiums, copayments, and an annual
ap. Pharmacy copayments are established
d are the same for all beneficiaries under each
urrent major plan options are listed below.
Reserve
:omponent
Members
2%
(o.22M)
Zongress boa Research Serv ce
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