Getting Care on Terminal Leave
You'll stay enrolled in your Prime option until you separate or retire. If you have any changes in your medical status, you must report it to:
- The transition point personnel
- Your TRICARE Prime enrollment site
|When You Have A
||Your Prime Enrollment Site Is
||The military hospital or clinic where you're enrolled
|Defense Health Agency (DHA), Great Lakes (formerly known as MMSO)
Military Hospitals and Clinics
- You can get care in any military hospital or clinic
- You continue to have the first priority for care
- You must have a referral and authorization from your enrollment site
Routine medical care is only authorized when it's:
- Part of your active health care needs
- Pre-planned and pre-authorized with your enrollment site
Veterans' Affairs (VA) Facilities
If you live near a VA medical facility, you can get routine or urgent care at that facility.
- You must have a referral from your PCM
- Coordinate with your enrollment site for a single authorization for your entire span of terminal leave
- The authorization won't include authorization for any non-VA care
If you stay overseas on terminal leave and you need urgent care in the overseas civilian network, you must have a referral and authorization from the military hospital or clinic where you are enrolled or from to from the TRICARE Overseas Program contractor, International SOS.
If traveling or returning to the United States while on terminal leave, you should contact International SOS for a referral and authorization to a TRICARE-authorized provider.