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1 1 (December 13, 2018)

handle is hein.crs/govxzv0001 and id is 1 raw text is: Defense Primer: Military Health System The Department of Defense (DOD) operates a health care provide a met delivery system that in fiscal year (FY) 2019 will serve an to combatant estimated 9.4 million beneficiaries. In the President's 2019 budget request of $50.6 billion, DOD's unified medical Beneficia program represents about 8% of DOD's total budget. In FY2017, th Beneficiaries may obtain care from DOD-operated and beneficiaries. staffed medical and dental facilities (referred to collectively as military treatment facilities) or through care from Figure 1. MF civilian providers purchased through an insurance-like program known as TRICARE. Purchased care accounts for approximately 60% of the total cost of care delivered through the Military Health System (MHS). 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 Source: Defen U.S.C. §2358). Fiscal Year 2018 Note: Number Organization The Under Secretary of Defense for Personnel and Military T Readiness (USD(P&R)) is the principal staff assistant and On October 1 advisor to the Secretary and Deputy Secretary of Defense MTFs began for Total Force Management as it relates to readiness issues the DHA. Mo including health affairs (see 10 U.S.C. §136). respective Sei range of clinli Key MHS Organizations and level of c outpatient me * Office of the Assistant Secretary of Defense for The ailit Health Affairs (OASD (HA)) and aeltics * Defense Health Agency (DHA) contract persc * Surgeons General of the Army, Navy, and Air Force TRICARE With the exce The Assistant Secretary of Defense for Health Affairs are assigned t (ASD(HA)) reports to the USD(P&R). The ASD(HA) is the of-pocket cos principal advisor to the Secretary of Defense on all DOD beneficiaries health policies, programs and activities and has primary depending up responsibility for the MHS (see Department of Defense member, retir Directive 5136.01). Reporting to the USD(P&R) through family covera the ASD(HA), the Defense Health Agency (DHA) is a location. Eact joint, integrated combat support agency whose purpose is to sharing featur enable the Army, Navy, and Air Force medical services to enrollment fe copayments, Updated December 13, 2018 lically ready force and a ready medical force commands in both peacetime and wartime. ries ere were 9.42 million total MHS S Beneficiaries, FY201 7 Total Beneffmiles = 9A4 million se Health Agency, Evaluation of the TRICARE Pro gram: Report to Congress, Washington, DC, 2018, p. I8. smay not add up to total because of rounding. reatment Faciities (MTFs) 2018, administration and management of te to transfer from each Military Department to st MTFs are currently administered by each rvice Surgeon General and provide a wide cal services depending on its size, mission, apabilities. These include inpatient and dical care, dental, and veterinary services. tal of 681 MTFs, with 126 located overseas. are generally on or near a U.S. military base lly staffed by military, civil service, and innel. Options ption of active duty service members (who o te TRICARE Prime option and pay no out- ts for TRICARE coverage), MHS may have a choice of TRICARE plan options on their status (e.g., active duty family ee, reservist, child under age 26 ineligible for ge, Medicare-eligible, etc.) and geographic plan option has different beneficiary cost- es. Cost sharing may include an annual e, annual deductible, montly premiums, mad an annual catastrophic cap. Pharmacy

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