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Healthcare Coverage and Disability Evaluation for Reserve Component Personnel

Healthcare Coverage and Disability Evaluation for Reserve Component Personnel: Research for the 11th Quadrennial Review of Military Compensation

Susan D. Hosek
Copyright Date: 2012
Published by: RAND Corporation
Pages: 84
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  • Book Info
    Healthcare Coverage and Disability Evaluation for Reserve Component Personnel
    Book Description:

    As part of the 11th Quadrennial Review of Military Compensation, which is investigating the Reserve and National Guard’s compensation and benefits, this report analyzes healthcare coverage for RC members, including participation in the TRICARE Reserve Select (TRS) program, potential effects of national health reform on coverage rates, and disability evaluation outcomes for reservists.

    eISBN: 978-0-8330-7965-7
    Subjects: Health Sciences, Technology

Table of Contents

  1. Front Matter
    (pp. i-ii)
  2. Preface
    (pp. iii-iv)
  3. Table of Contents
    (pp. v-vi)
  4. Figures
    (pp. vii-viii)
  5. Tables
    (pp. ix-x)
  6. Summary
    (pp. xi-xiv)
  7. Acknowledgments
    (pp. xv-xvi)
  8. Abbreviations
    (pp. xvii-xviii)
  9. CHAPTER ONE Introduction
    (pp. 1-4)

    After September 11, 2001, the utilization of reserve component (RC) personnel increased dramatically and has remained high. At the beginning of 2011, more than 91,000 RC members were serving on active duty; over the decade, there have been roughly 800,000 activations. To put these numbers in context, there were only slightly more than 1 million individuals serving in RC units or as individual augmentees as of September 2010.¹

    At the same time, a decade of combat has focused the nation’s attention on meeting the needs of service members—both active component (AC) and RC—whose military service has led to...

  10. CHAPTER TWO Healthcare Coverage
    (pp. 5-22)

    All AC members have comprehensive healthcare coverage through the Military Health System while they are in service. In contrast, as part-time military personnel, RC members are guaranteed healthcare coverage only when they are activated for a period of more than 30 days and for health conditions that can be linked to their military service. At other times and for other health conditions, they must arrange for their own coverage through employer programs or other public and private options for which they may be eligible. Health insurance coverage of RC members is of public concern for two reasons: First, without insurance,...

  11. CHAPTER THREE Disability Outcomes for Reserve Component Members
    (pp. 23-44)

    Military personnel—both AC and RC—who develop a medical condition that may interfere with their ability to meet medical standards for continued service are referred to their service Disability Evaluation System (DES) for further evaluation, and if they are found to be no longer medically fit, for disability evaluation leading to possible compensation. Personnel who have a disability because of their military service are also eligible for disability benefits from the VA after they leave service.

    This chapter begins with an overview of the multistage military DES, including evaluation of medical fitness to serve, disability evaluation and rating, and...

  12. CHAPTER FOUR Conclusion
    (pp. 45-46)

    The important operational role the RC has assumed since 2001 raises questions about the structure of RC compensation and benefits, including the benefits provided through DoD health and disability programs. The research reported here supports consideration of this issue by the 11th QRMC. The major findings are:

    Thirty percent of RC members lack health insurance to cover care for non–service-related conditions. The TRS program offers the option of purchasing health insurance through the military on terms that compare favorably with typical employer benefits. Although an increasing number of eligible members are enrolling in TRS, the program does not appear...

  13. APPENDIX Variable Definitions, Descriptive Statistics, and Detailed Regression Results
    (pp. 47-62)
  14. Bibliography
    (pp. 63-66)