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<classification authority="sudocs">GA 1.13:GAO-07-48</classification>
<identifier type="uri">https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-48</identifier>
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 <reportNumber>GAO-07-48</reportNumber>
 <subject>Access to health care</subject>
 <subject>Beneficiaries</subject>
 <subject>Department of Defense contractors</subject>
 <subject>Federal law</subject>
 <subject>Health care programs</subject>
 <subject>Managed health care</subject>
 <subject>Medical fees</subject>
 <subject>Surveys</subject>
 <subject>DOD TRICARE Program</subject>
 <type>Other Written Product</type>
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<titleInfo>
 <title>Defense Health Care: Access to Care for Beneficiaries Who Have Not Enrolled in TRICARE&apos;s Managed Care Option</title>
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<abstract>The Department of Defense (DOD) provides health care through its
TRICARE program. Under TRICARE, beneficiaries may obtain care	 
through a managed care option that requires enrollment and the	 
use of civilian provider networks, which are developed and	 
managed by contractors. Beneficiaries who do not enroll may	 
receive care through TRICARE Standard, a fee-for-service option, 
using nonnetwork civilian providers or through TRICARE Extra, a  
preferred provider organization option, using network civilian	 
providers. Nonenrolled beneficiaries in some locations have	 
reported difficulties finding civilian providers who will accept 
them as patients. The National Defense Authorization Act (NDAA)  
for fiscal year 2004 directed GAO to provide information on	 
access to care for nonenrolled TRICARE beneficiaries. This report
describes (1) how DOD and its contractors evaluate nonenrolled	 
beneficiaries&apos; access to care and the results of these		 
evaluations; (2) impediments to civilian provider acceptance of  
nonenrolled beneficiaries, and how they are being addressed; and 
(3) how DOD has implemented the NDAA fiscal year 2004		 
requirements to take actions to ensure nonenrolled beneficiaries&apos;
access to care. To address these objectives, GAO examined DOD&apos;s  
survey results and DOD and contractor documents and interviewed  
DOD and contractor officials.</abstract>
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<identifier type="preferred citation">GAO-07-48</identifier>
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<subject>
 <topic>Access to health care</topic>
 <topic>Beneficiaries</topic>
 <topic>Department of Defense contractors</topic>
 <topic>Federal law</topic>
 <topic>Health care programs</topic>
 <topic>Managed health care</topic>
 <topic>Medical fees</topic>
 <topic>Surveys</topic>
 <topic>DOD TRICARE Program</topic>
</subject>
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 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 104 Page 1856</partNumber>
</titleInfo>
 <identifier type="Statute citation">104 Stat. 1856</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 117 Page 1392</partNumber>
</titleInfo>
 <identifier type="Statute citation">117 Stat. 1392</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 119 Page 3136</partNumber>
</titleInfo>
 <identifier type="Statute citation">119 Stat. 3136</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 511 (101st Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 101-511</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 136 (108th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 108-136</identifier>
</relatedItem>
<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 163 (109th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 109-163</identifier>
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