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The TRICARE Senior Supplement Demonstration (TSSD), conducted from March 2000 through December 2002 in selected areas of California and Texas, offers Medicare-eligible military beneficiaries the option of enrolling in the TRICARE health care program as a supplement to Medicare. This book describes RAND's evaluation of the TSSD program. The authors found that enrollment in TSSD was very low because of several factors including confusion among beneficiaries about the demonstration overall and the specifics of the TSSD benefit, the temporary nature of the demonstration program, and the passage of the 2001 National Defense Authorization Act, which created the permanent TRICARE for Life (TFL) program that supercedes TSSD. At the same time, eligible beneficiaries who enrolled in TSSD reported generally high levels of satisfaction with the program. The authors conclude that implementation of TSSD as a permanent national program would be feasible and would benefit many Medicare-eligible military retirees, relative to the military health benefits for which they were eligible prior to TSSD and TFL.

Table of Contents

  • Preface PDF

  • Figures PDF

  • Tables PDF

  • Summary PDF

  • Acknowledgements

    Acknowledgments PDF

  • Acronyms PDF

  • Chapter 1

    Introduction PDF

  • Chapter 2

    Background on Medicare, Supplemental Coverage, and TSSD PDF

  • Chapter 3

    Evaluation Methods and Data Sources PDF

  • Chapter 4

    Focus Group Findings PDF

  • Chapter 5

    Mail Survey Findings PDF

  • Chapter 6

    Discussion and Conclusions PDF

  • Appendix A

    Focus Group Recruitment Letters PDF

  • Appendix B

    Mail Survey Cover Letters and Sponsor Endorsement Letter PDF

  • Appendix C

    Focus Group Protocol PDF

  • Appendix D

    Medigap Continuation Language from the TSSD Handbook PDF

  • Appendix E

    Sample TSSD Mail Survey Instrument PDF

  • Appendix F

    Selected TSSD Survey Comments PDF

  • Appendix G

    Maps of Demonstration Areas PDF

  • References PDF

The research described in this report was performed under the auspices of RAND's RAND Health and RAND's National Security Research Division.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.