Line of Duty Care
As a National Guard or Reserve member, you qualify for line of duty care if you are injured or become severely ill in the line of duty. This includes when traveling directly to or from your place of duty. To receive health care for these injuries or illness, your unit must issue a Line of Duty (LOD) determination, or a Notice of Eligibility (NOE), if you belong to the U.S. Coast Guard.
LOD/NOE determinations are used to establish, manage, and authorize health care for any specific injury, illness or disease that results in emergency or urgent care while serving on drill weekends or annual training. LOD/NOE coverage is separate from any other TRICARE coverage, including:
Line of duty care alone isn't considered minimum essential coverage under the Affordable Care Act. If you have no other TRICARE coverage (i.e. TAMP, TRICARE Reserve Select, etc.), then you don't have minimum essential coverage.
Documenting Eligibility and Getting Care
When your unit approves your LOD/NOE determination:
- File it with your local military hospital or clinic or with the Reserve and Service Member Support Office, (R&SMSO), Great Lakes.
- Send a copy to any providers who cared for your LOD/NOE injury or illness so they can file it with your claim.
If you're able to get care from a military hospital or clinic, that facility will manage your LOD care. Make sure your service-issued LOD/NOE determination on file there.
If you’re not able to get care from a military hospital or clinic, R&SMSO works with your unit medical representative to coordinate your care with a TRICARE-authorized provider.
For more information, visit the R&SMSO Website.
Line of Duty Dental Care
You may qualify for dental care when an injury or illness occurs during active duty status that requires dental treatment. You must have LOD/NOE determination approval from your unit signed by your commander or designated representative.
Send the LOD/NOE documentation to the Active Duty Dental Program contractor, United Concordia, in one of the following ways:
United Concordia Companies, Inc.
P.O. Box 69431
Harrisburg, PA 17106-9430
United Concordia decides if dental coverage is authorized, and if so, tells you what treatment is covered. You are only eligible for treatment for the injury or illness covered under your LOD/NOE determination.
You are not authorized dental care until you are notified that your LOD/NOE determination is approved. If you seek care without approval, you will be responsible for the bill.
If you think you have a dental emergency that cannot wait for the appropriate review and authorization, please contact United Concordia at 1-866-984-2337. To learn more, contact United Concordia or view the Line of Duty Dental Care Flyer.
Note to Air Force Reservists:
A military hospital or clinic can verify your eligibility for LOD Care by calling the Air Force Reserve Command toll-free at 1-888-577- 2561, option “4” from 7:00 am to 5:00 pm EST, Monday – Friday.
Your full Social Security number is required to verify eligibility.