A Secretary of the Air Force designee letter must contain the effective date, period covered and

• A. The specific provider who will follow the designee
• B. The specific primary care optimization team the designee is assigned to
• C. Determination as to wether the Air Force is providing aeromedical evacuation
• D. Confirmation that the designee is either a TRICARE prime, extra or standard member

Answer: (C)

The main concept is what information the Secretary of the Air Force designee letter must include to define authority and scope for medical responsibilities. The correct item is the determination as to whether the Air Force provides aeromedical evacuation, because this directly establishes who is responsible for patient transport and related medical logistics under the designation. Knowing whether AE is provided by the Air Force affects mission planning, readiness, and funding, making it the essential detail to accompany the designation. Including the effective date and the period covered ensures the designation has a clear, authorized timeframe. The other details listed—which provider follows the designee, a specific primary care optimization team, or the recipient’s TRICARE plan type—are not central to establishing the authority and responsibilities described in the letter.