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Extended Care Health Options (ECHO) Managed Care Support Contractor (MCSC) Transfer Form Sponsor/Beneficiary Information Sponsor SSN: Sponsor Name: Beneficiary Name: Last First Sponsor Address: Street.

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ECHO is available to active duty family members (ADFMs) who meet the qualifications of a specific physical, developmental and/or mental disability. The program provides beneficiaries with coordinated ECHO services and supplies to reduce the disabling effects of the qualifying condition or disorder.

The coverage limit for all ECHO benefits combined, excluding ECHO Home Health Care (EHHC), is $36,000 per beneficiary, per calendar year. The ECHO benefit cap is applied based on a calendar year (January 1 – December 31). Costs cannot be shared between Family members.

TRICARE covers echocardiogram for dental and invasive procedures to: Evaluate the valves and chambers of the heart. Aid the diagnosis of cardiomyopathies. Detect atrial tumors or pericardial effusions.

Moderate or severe intellectual disability. Serious physical disability. Extraordinary physical or psychological condition.

The Extended Care Health Option (ECHO) is a supplemental benefit program that provides services and supplies beyond the basic TRICARE military health care program. ECHO is available to active duty family members (ADFMs) who meet the qualifications of a specific physical, developmental and/or mental disability.

The cost-share applies only once per month, not per service. If there is more than one family member receiving ECHO services, only one cost-share is required. The monthly cost-share is paid directly to the ECHO authorized provider....Costs. Pay GradeMonthly Cost-shareE-1 to E-5$25E-6$30E-7, O-1$35E-8, O-2$408 more rows

The TRICARE Extended Care Health Option (ECHO) provides supplemental services to active duty family members (ADFMs) with qualifying mental, developmental, or physical disabilities.

The TRICARE Extended Care Health Option (ECHO) provides supplemental services to active duty Family members (ADFMs) with qualifying mental or physical disabilities. ECHO offers integrated services and supplies beyond those offered by your TRICARE program option (such as TRICARE Prime and TRICARE Select).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232