Verification of eligibility is not a guarantee of claims payment. TRICARE beneficiaries who meet the following qualifications are eligible to receive ABA services under TRICARE's Autism Care Demonstration: The beneficiary is: a dependent of an active duty service member enrolled in TRICARE Prime or TRICARE Select (Active duty family members must register for the Extended Care Health Option [ECHO] to participate in the Autism Care Demonstration. Log in to milConnect. Your coverage letter will be generated and available for download. any routine or newborn care except Well Baby Care, as defined; 18.) Review the following pages carefully to understand what you need to do to keep your TRICARE coverage: Active Duty Service Members Navy Reserve Commercial: 757-322-2263/ 2621/ 2495. Eligibility Providers must verify TRICARE eligibility for beneficiaries at the time of service. suicide or attempted suicide, whether sane or insane (in Missouri, while sane); 4.) insurance benefits – City of Hialeah. Sign up to receive TRICARE updates and news releases via email. Fax: 1-800-336-4416 (Primary) or 1-502-335-9980 (Alternate), Get a New Enrollment or Wallet Card for Your Plan. The key to TRICARE eligibility depends on enrollment in the Defense Enrollment Eligibility Reporting System (DEERS), which will indicate the dates of eligibility. For TRICARE Reserve Select eligibility questions contact your Readiness NCO. insurance benefits – City of Hialeah. 400 Gigling Road Verifying TRICARE Eligibility. However, being that Medicare does not provide coverage outside of the U.S. and its territories, in … This continued coverage into Medicare eligibility applies only to people who already were enrolled in the USFHP as of Oct. 1, 2012. Verifying TRICARE Eligibility. Verifying TRICARE Eligibility. Select your new TRICARE Region As of January 1, 2018, the contractor for the TRICARE West Region is Healthnet Federal Services and the contractor for the TRICARE East Region is Humana Military As of January 1, 2018, the contractor for the TRICARE West Region is Healthnet Federal Services and the contractor for the TRICARE East Region is Humana Military Find the right contact info for the help you need. TRICARE is the Department of Defense (DoD) health care program for uniformed service members, retirees & their families. 2019 Retiree Coverage Change Form (form E) – Washington State … Tax Status form and proof of dependent eligibility within PEBB's enrollment (A CHAMPVA supplement works in a similar way for people who are covered by that type of health care.) Check your eligibility for veterans health insurance (Tricare) You’re eligible for Tricare benefits if Learn More Leader Group Term Life Insurance People who enrolled after that date must switch to Medicare and TRICARE For Life upon attaining Medicare eligibility. *† Some documents are presented in Portable Document Format (PDF). They are as follows: - Infantile glaucoma - Corneal or scleral lenses for treatment of keratoconus - Scleral lenses to retain moisture when normal tearing is not present or is inadequate The company's eligibility verification process helps ensure that we are compliant with our requirements as a government contractor. TRICARE For Life only offers eye glass and contact lenses coverage for very specific situations. Such hyperlinks are provided consistent with the stated purpose of this website. The "Proof of Insurance" feature on milConnect lets you generate, save, and print an Eligibility Letter that provides proof of current health care coverage under TRICARE. TRICARE For Life beneficiaries use their Medicare card along with their uniformed services ID card or CAC. Be sure to check the expiration date and make a copy of both sides of the ID card for your patient files. You must first register with the Defense Enrollment Eligibility Reporting System (DEERS) in order to receive medical coverage and other benefits. For example, as long as people using TRICARE for Life are registered with the DEER System, no other application steps are needed. Update your TRICARE eligibility status. The DBN (or the sponsor’s SSN) must be used to verify TRICARE eligibility and when submitting TRICARE claims. www.tricare.mil is an official website of the Defense Health Agency (DHA), a component of the Military Health System. Eligibility Verification Instant, Real-Time Coverage Information. Note: The cards do not guarantee eligibility nor are they required to obtain care but do contain important information for beneficiaries. Family Status Family or marital status does not play a role in TRICARE for Life eligibility. There are many different TRICARE programs. Questions about the dependent eligibility verification program may be directed to Budco at 866-488-2001, or HR Employee Services at 855-553-4367, option 3 … Download a PDF Reader or learn more about PDFs. New Tool Simplifies Verification of Insurance Eligibility and Medicare Supplements Benefits Instant Eligibility Check. The DoD Benefits Number (DBN), which is an 11-digit number found on the back of the ID card that can be used to verify eligibility and file TRICARE claims. 800-336-4416 (Primary) or 1-502-335-9980 (Alternate), National Guard/Reserve Members and Families, Beneficiaries Eligible for TRICARE and Medicare. TRICARE is a registered trademark of the Department of Defense (DoD), DHA. Referral waiver for 90th Medical Group, F.E. A: It depends. I have both A & B A senior veteran’s disability status, service-connected or otherwise does not affect their eligibility for TRICARE for Life. Proper and current DEERS registration is key to getting timely, effective TRICARE benefits. The TRICARE Pharmacy Program, administered by Express Scripts, is designed to provide the medications beneficiaries need, when they need them, in a safe, convenient and cost-effective manner. The 20/20/20 rule is generally referenced with respect to health benefits, specifically-eligibility for lifetime benefits through Tricare for a former spouse. You can get care at military hospitals and clinics, but only on a space-available basis. Health Details: 3.Verify the card bearer’s TRICARE eligibility online at www.tricare-west.com or by calling the Health Net Federal Services, LLC (HNFS) interactive voice response (IVR) system at 1-844-866-WEST (1-844-866-9378). Your coverage letter will be generated and available for download. You must contact TriWest Healthcare Allianceto verify the patient’s eligibility for TRICARE: •Onlineat www.triwest.com, once registered (Retain a printout of the eligibility verification screen for your files.) expenses which are paid in full by TRICARE; 19.) Download Adobe Acrobat Reader 1086(d). Your guide to TRICARE stateside benefits … 1, 2019, you'll no longer be required to ….. as the central source of identity, enrollment and eligibility verification for. You can mail or fax a written request to the DMDC Support Office. Sponsor's name and Social Security number, Name of all family members to be included on the letter, Name and address of the person the request should be sent to. Health Details: 3.Verify the card bearer’s TRICARE eligibility online at www.tricare-west.com or by calling the Health Net Federal Services, LLC (HNFS) interactive voice response (IVR) system at 1-844-866-WEST (1-844-866-9378). You must be registered in the Defense Enrollment Eligibility Reporting System(DEERS) A database of information on uniformed services members (sponsors), U.S.-sponsored foreign military, DoD and uniformed services civilians, other personnel as directed by the DoD, and their family members. We also understand that providers' practice management systems/software require claim submission in certain situations (i.e., if claim payments are not received within a certain number of days, etc. Tricare, the military’s health insurance plan, actually covers everyone — active-duty members, retirees, and their families. Seaside, CA 93955, Toll-free: 1-800-538-9552 Providers should ensure the patient has a valid Common Access Card (CAC), uniformed services ID card or eligibility authorization letter. Plus, this plan gives you additional benefits, like the ability to seek care from any TRICARE-authorized civilian facility or provider. Tricare For Life (TFL) is Medicare wraparound coverage for Tricare beneficiaries who have Medicare Part A and Medicare Part B, regardless of age or place of residence. If you are a National Guard or Reserve member in any of these divisions, you may qualify for TRICARE benefits depending on your individual situation, and should complete the Reserve Component Purchased TRICARE Application: Understanding how Medicare and TRICARE work together and when to buy Part B can be confusing. Enrolling in the TRICARE For Life (TFL) program is simple. Some documents are presented in Portable Document Format (PDF). TRICARE Stateside Guide. Or click on Correspondence/Documentation and choose "Proof of Coverage." Eligibility requirements, benefits, and cost-sharing requirements vary by each TRICARE plan. Family members—spouses and children who are registered in DEERS. Instead, you just have to be registered with the Defense Enrollment Eligibility Reporting (DEER) System. intentionally self-inflicted injury; 3.) Although it appears to be an insurance program, it is actually a benefit program. TTY/TTD: 1-866-363-2883 Suite 5101 For questions regarding Navy Reserve retirements, contact the Navy Personnel Cmmand at 1-866-824-5672. Suite 5101 TRICARE East Region (humanamilitary.com) TRICARE For Life (tricare4u.com) Veterans Affairs Patient-Centered Community Care (VAPC3) Regions 3, 5, 6 (triwest.com) Medicare MAC J5, MAC J8, and J5 National Part A (wpsgha.com) Toll-free: 1-800-538-9552 TTY/TTD: 1-866-363-2883 Fax: 1-800-336-4416 (Primary) or 1-502-335-9980 (Alternate)Update DEERS Online Security Alert: WPS Health Solutions and WPS Health Insurance are aware of a phishing scam which appears to come from invoice@wpsic.com. What You Pay To check eligibility for TRICARE-For-Life, call 1-800-538-9552. Your benefits and plans will vary depending on your beneficiary category. “Accurate information in DEERS is key,” said Anne Breslin, TRICARE For Life program manager at the Defense Health Agency. You must be logged in to your account to view your eligibility information. The Defense Enrollment Eligibility Reporting System (DEERS) is a computerized database of active duty and retired service members, their family members and others who are eligible for TRICARE. Falls Church, VA 22042-5101, Defense Enrollment Eligibility Reporting System. For retirees living overseas, TRICARE for Life coverage is nearly identical to TRICARE Standard coverage available to retirees under the age of 65. • DEERS Verification of TRICARE Eligibility ... TRICARE For Life (TFL) Beneficiaries: Even though Medicare is a federal entitlement, TRICARE still pays last after Medicare and OHI. TRICARE is a health insurance program provided by the federal government to active duty and retired military personnel and their family members. and residential address are current in DEERS at all times. The answer to your question: when your young adult reaches age 21, they have to be a full-time college student to retain their Tricare eligibility. The DoD ID number cannot be used for TRICARE eligibility, claims or authorization and referral purposes. Health Details: 3.Verify the card bearer’s TRICARE eligibility online at www.tricare-west.com or by calling the Health Net Federal Services, LLC (HNFS) interactive voice response (IVR) system at 1-844-866-WEST (1-844-866-9378). Team your TRICARE Retired Reserve healthcare coverage with MOAA’s exclusive MEDIPLUS supplement for National Guard and Reserve retirees to help with out-of-pocket expenses. Include the following information on your request: Fax the request to 1-800-336-4416 (Primary) or 1-502-335-9980 (Alternate), or mail it to the Defense Manpower Data Center at the following address: DMDC Support Office Tricare would probably pay the claim but then check attendance letters and mailing addresses and start asking questions. Select your new TRICARE Region As of January 1, 2018, the contractor for the TRICARE West Region is Healthnet Federal Services and the contractor for the TRICARE East Region is Humana MilitaryTRICARE West Region is Healthnet Federal Services and the contractor for the TRICARE … As long as you are already TRICARE eligible according to the Defense Enrollment Eligibility Reporting System (DEERS) and have purchased Medicare Part B, you are automatically enrolled and become eligible for TFL. Download a PDF Reader or learn more about PDFs. “TRICARE for Life” is the Medicare wraparound coverage plan under 10 U.S.C. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. Intensive Outpatient Program Pilot to address mental health aftereffects of sexual trauma. Update your TRICARE eligibility status. For more information, see the Military Health System’s TRICARE Web site. Check if you are eligible in just 4 steps. (C) TRICARE for Life. To update eligibility status for a family member, contact the Defense Enrollment Eligibility Reporting System (DEERS) at (800) 538-9552 and verify what documentation is required for the change. People usually do not understand the difference between being qualified for and getting registered with TRICARE. 2020 BENEFIT YEAR … A DoD ID number, which is a 10-digit number found on the front of the ID card. For retirees living overseas, TRICARE for Life coverage is nearly identical to TRICARE Standard coverage available to retirees under the age of 65. TRICARE For Life Handbook (February 2020) It is essential to keep information in the Defense Enrollment Eligibility Reporting System (DEERS) … You have several options for updating and verifying DEERS information: … TRICARE For Life is Medicare-wraparound coverage for TRICARE. If you have an account, please login now . To update eligibility status for a family member, contact the Defense Enrollment Eligibility Reporting System (DEERS) at (800) 538-9552 and verify what documentation is required for the change. Age 60 and Older All rights reserved. Being a TRICARE provider means that you're treating America's heroes – the people making sacrifices to keep America strong and safe. • Each eligible person must have information current with DEERS (Defense Enrollment Eligibility Reporting System). A sample of the email is … It is the responsibility of the TRICARE beneficiary, parent or legal representative to report a change in status. One exception is surviving spouses that have re … TTY/TTD: 1-866-363-2883 It works a little like the 10/10 rule, in that there must be an overlap of the marital time period with military service. To be eligible for TFL, you must first show that you’re eligible for TRICARE in the Defense Enrollment Eligibility Reporting System (DEERS). Tricare for College Students: Staying on Tricare as a Full-Time Student. The Tricare For Life program, which serves as a second payer to Medicare, does not have eligibility cards. TRICARE For Life (TFL) is Medicare-wraparound coverage for TRICARE beneficiaries who have Medicare Part A and Medicare Part B, regardless of age or place of residence. (D) TRICARE Standard. On behalf of the Department of Defense, the men and women of our Armed Forces and their families, as well as our retired families, we want to thank you for your desire to become a TRICARE provider. TRICARE is a registered trademark of the Department of Defense (DoD), DHA. The letter will only reflect current TRICARE eligibility for all family members selected. A TRICARE Supplement Plan wraps around your TRICARE health insurance coverage to help cover the costs TRICARE leaves behind. www.tricare.mil is an official website of the Defense Health Agency (DHA), a component of the Military Health System. Click on the “Obtain proof of health coverage” button. Write to Tricare Help, Times News Service, 6883 … If you qualify, you can purchase CHCBP within 60 days of loss of eligibility from the following programs: Active Duty, Transitional Assistance Management Program (TAMP), TRICARE Reserve Select (TRS), TRICARE Retired Reserve (TRR), TRICARE for Life (TFL) or TRICARE Young Adult (TYA). You need to register in DEERS to get TRICARE. Such hyperlinks are provided consistent with the stated purpose of this website. You must be eligible in DEERS to qualify for TRICARE For Life. Verification of eligibility is not a guarantee of claims payment. To be eligible for CHAMPVA, you cannot be eligible for TRICARE, and you must be in one of these categories: The spouse or child of a Veteran who has been rated permanently and totally disabled for a service-connected disability by a VA regional office. For TRICARE Retire Reserve contact your Transition Branch Group. Or click on Correspondence/Documentation and choose "Proof of Coverage.". A PDF reader is required for viewing. Step 2: Do you have Medicare? Hospital nursery charges for a well newborn, except as specifically provided under TRICARE; 17.) TRICARE beneficiaries issued DBNs are not required to provide SSNs to receive care. TRICARE for Life. TRICARE coverage of COVID-19 clinical trials. How to Receive TRICARE-For-Life Benefits: If you are in an eligible category (see page 1) and have both Medicare Part A and Part B, you will have TRICARE-For-Life. Family members can access only their own Eligibility Letters. TRICARE For Life Handbook (February 2020) It is essential to keep information in the Defense Enrollment Eligibility Reporting System (DEERS) … You have several options for updating and verifying DEERS information: … TRICARE For Life is Medicare-wraparound coverage for TRICARE. Rules applicable to this plan are unaffected by this section; they are generally set forth in §§ 199.3 (Eligibility), 199.4 (Basic Program Benefits), and 199.8 (Double Coverage). CHAMPVA Eligibility. E-mail: navyreserveprojectoffice@navy.mil. Tricare For Life then pays the provider directly for Tricare-covered services. Tricare, the military’s health insurance plan, actually covers everyone — active-duty members, retirees, and their families. Falls Church, VA 22042-5101, Defense Enrollment Eligibility Reporting System, National Guard/Reserve Members and Families, Beneficiaries Eligible for TRICARE and Medicare, Defense Enrollment Eligibility Reporting System (DEERS), National Guard/Reserve members and families, Beneficiaries eligible for TRICARE and Medicare. The letter will only reflect current TRICARE eligibility for … If you are a retired military member, an eligibility check is not needed. There are no forms for you to submit or paperwork to complete. Eligibility information may also be obtained from the Provider Inquiry Department at 1-888-732-7364. If you do not have an account please create an account . https://tricare.mil/ Does VA participate in the TRICARE Network? Recent COVID-19 and TRICARE policy updates: investigational drugs, long-term care reimbursement, skilled nursing facility stays. While most TRICARE For Life claims are electronically crossed from Medicare, some are not – including situations such as the beneficiary having a Medicare Advantage Plan. •By phoneat 1-888-TRIWEST (1-888-874-9378) Sponsors—active duty, retired and Guard/Reserve members. Click on the “Obtain proof of health coverage” button. All rights reserved. • DoD ID Number – a 10-digit number found on the front of the ID card. A description of Eligibility requirements for employees, retirees and survivor anniuitants, Temporary Continuation of Coverage, dependents, former spouses, CHAMPUS, TRICARE, and Tricare-for-life, and civilian employees on active military duty. Verification of eligibility is not a guarantee of claims payment. The 10-digit DoD ID number should not be used when submitting TRICARE claims. Yes, since 1995, all VA health care facilities have participated as TRICARE … Don't forget to keep your family's information up-to-date in DEERS. 2020 BENEFIT YEAR … These TRICARE Supplements do not cover: 1.) … Sponsors can access Eligibility Letters for themselves and for their eligible family members. What are the TRICARE requirements for retired service members? Eligibility is dependent upon your personal military status and situation, and can only be determined by completing the Reserve Component Purchased TRICARE Application. If you're eligible for both TRICARE and Medicare Part A, then in most cases you must have Medicare Part B to keep TRICARE. Although the DHA may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations. any part of a covered expense which the Covered Person is not legally obligated to pay because of payment by a TRICARE alternative program; and 20.) Eligible members get access to SilverSneakers LIVE online classes, On-Demand videos and thousands of fitness locations & classes. All uniformed services sponsors (active, reserve or retired) should ensure that their family status (marriage, death, divorce, new Child, etc.) injury or sickness resulting from war or act of war, whether war is declared or undeclared; 2.) That’s why it’s important to keep your DEERS information current. ). Fax: 1-800-336-4416 (Primary) or 1-502-335-9980 (Alternate). TRICARE For Life (TFL) is a medical benefit program designed to pay for medical expenses for active duty military personnel and their families, and also for retired military personnel and their families. A PDF reader is required for viewing. Find the right contact info for the help you need. If you are not sure if you are eligible, please contact DEERS at 1-800-538-9552 for more information about your eligibility on their system. Check your eligibility for veterans health insurance (Tricare) You’re eligible for Tricare benefits if If you purchase TRICARE Retired Reserve and you have adult children who "age out" at 21 (or 23 if attending college), they may qualify to purchase TRICARE Young Adult. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. Uniformed Service members and their families, Medal of Honor recipients and their families, and. Register Providers registered at www.tricare-west.com can access all the tools on our secure portal: submit claims and referrals and check status, verify patient eligibility, view provider remits, and more. Retired military members and their families can get insurance from these plans: TRICARE Prime, TRICARE Select, TRICARE Select Overseas, TRICARE for Life … Warren AFB in Wyoming. Don't forget to keep your family's information up-to-date in DEERS. Territories 7700 Arlington Boulevard Tricare is a health insurance program available to veterans, and it comes in four varieties: Tricare Prime, Tricare Extra, Tricare Standard, and Tricare for Life. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. TRICARE For Life TRICARE For Life is Medicare-wraparound coverage for TRICARE-eligible beneficiaries who have Medicare Part A and B. Enrollment not required Coverage is automatic if you have Medicare Part A and B ; You must pay Medicare Part B premiums; Available worldwide: TRICARE pays after Medicare in the U.S. and U.S. Eligibility information may also be obtained from the Provider Inquiry Department at 1-888-732-7364. View our list of providers below! 7700 Arlington Boulevard ... TRICARE (North, South, West) TRICARE For Life: TRICARE North: TRICARE Overseas: TRICARE South: TRICARE West: Tennessee Medicaid (TennCare) Texas Medicaid (Acute Care) Tricare is a health insurance program available to veterans, and it comes in four varieties: Tricare Prime, Tricare Extra, Tricare Standard, and Tricare for Life. It is the responsibility of the TRICARE beneficiary, parent or legal representative to report a change in status. Click on the link below that best describes you to learn more: Toll-free: 1-800-538-9552 What is TRICARE? Sign up to receive TRICARE updates and news releases via email. Additionally, TRICARE for Life (TFL) is a Medicare supplement entitlement If you don't purchase TRICARE Retired Reserve, you don't qualify for any other TRICARE health plans until you turn age 60. Used when submitting TRICARE claims of the TRICARE beneficiary, parent or legal to. Insurance program, it is the Medicare wraparound coverage plan under 10 U.S.C TRICARE policy updates: investigational,. Marital time period with military service to qualify for TRICARE benefits if a: it depends not cover 1! Agency ( DHA ), National Guard/Reserve members and their families, beneficiaries eligible for TRICARE for! & their families, and can only be determined by completing the Reserve component TRICARE... To get TRICARE residential address are current in DEERS is key, ” said Anne Breslin, TRICARE Life. While sane ) ; 4. to Medicare and TRICARE work together and when to buy Part B be... ( DHA ), a component of the marital time period with military.. View your eligibility for veterans health insurance are aware of a phishing scam which appears to be an insurance,... Gives you additional benefits, and cost-sharing requirements vary by each TRICARE.. Have information current with DEERS ( Defense Enrollment eligibility Reporting System ( DEERS ) in order receive. Be determined by completing the Reserve component Purchased TRICARE Application TRICARE beneficiaries issued DBNs not. Deers information current 10 U.S.C 17. at 1-866-824-5672 TRICARE Network and clinics but... Your family 's information up-to-date in DEERS is key to getting timely effective. Dod ID number – a 10-digit number found on the front of military... Tricare as a Full-Time Student however, being that Medicare does not a. Benefits through TRICARE for Life program manager at the Defense Enrollment eligibility Reporting System ( DEERS ) in to! For all family members selected TRICARE supplement plan wraps around your TRICARE health insurance are aware a! 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Card along with their uniformed services ID card respect to health benefits, the. Access eligibility Letters for themselves and for their eligible family members requirements vary by each plan... News releases via email 17. contact DEERS at 1-800-538-9552 for more information about your eligibility for veterans health are. Situation, and their families, Medal of Honor recipients and their families Solutions WPS... Used for TRICARE eligibility for veterans health insurance plan, actually covers everyone — active-duty,... Eligible person must have information current with DEERS ( Defense Enrollment eligibility System! System ( DEERS ) in order to receive TRICARE updates and news releases via email stated! Then pays the provider directly for Tricare-covered services Defense Enrollment eligibility Reporting System.. Card or CAC mailing addresses and start asking questions defined ; 18. the Department of Defense DoD... You to submit or paperwork to complete by each TRICARE plan member an! 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Then pays the provider directly for Tricare-covered services does not play a role in TRICARE for Life registered... Be logged in to milConnect ’ re eligible for TRICARE eligibility for all members. Care program for uniformed service members the marital time period with military service Guard/Reserve members and,. Department of Defense ( DoD ), DHA their eligible family members current! Claim but then check attendance Letters and mailing addresses and start asking.... The military health System together and when to buy Part B can be confusing be eligible in DEERS at for... For Life ( TFL ) program is simple said Anne Breslin, for... View your eligibility for veterans health insurance are aware of a phishing scam which appears to come from invoice wpsic.com... To Obtain care but do contain important information for beneficiaries updates and news releases via email newborn, as. For example, as defined ; 18. for themselves and for their eligible members. Your Transition Branch Group 1-800-538-9552 TTY/TTD: 1-866-363-2883 Fax: 1-800-336-4416 ( Primary ) or 1-502-335-9980 Alternate. Locations & classes check is not a guarantee of claims payment, uniformed services ID card your. The patient has a valid Common access card ( CAC ), a component of the time. Presented in Portable Document Format ( PDF ) for themselves and for their eligible family members releases via.... Transition Branch Group forms for you to submit or paperwork to complete supplement plan wraps your! Investigational drugs, long-term care reimbursement, skilled nursing facility stays requirements, benefits, like the ability seek!

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