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Filing Claims

In most cases, your provider will file your medical claims for you and you'll receive an explanation of benefits detailing what was paid. Sometimes, you'll need to file your own claims:

  • When traveling
  • If you get care from a non-participating provider
  • If you're using TRICARE For Life and you see a Medicare nonparticipating provider 

If you do, send your claim form to TRICARE as soon as possible after you get care. 

  • In the U.S. and U.S. territories, claims must be filed within one year of service.
  • In all other overseas areas, claims must be filed within three years of service.

The sooner your claim and other paperwork are received, the sooner you or your provider will be paid. Most claims are processed within 30 days. Please check with your claims processor for more information.

  • You'll be reimbursed for TRICARE-covered services at the TRICARE allowable amount.
  • This amount won't include any copayments, cost shares or deductibles.
  • There are special rules for filing claims if you're involved in an accident with possible third-party liability.
  • If you need assistance at any time or if your claim is denied, contact your regional contractor.

Watch the Video: How to File a Claim

Claims for Same-Sex Spouses

Once your spouse shows as eligible for benefits in the Defense Enrollment Eligibility Reporting System (DEERS), he or she can file claims for care received:

  • On or after June 26, 2013—if married before June 26, 2013, or 
  • Back to the date of eligibility in DEERS—if married after June 26, 2013.

Last Updated 11/7/2014

contact Your Contacts
Send Claims To:

Health Net Federal Services
c/o PGBA, LLC/TRICARE
P.O. Box 870140
Surfside Beach, SC 29587-9740

Check Claim Status


Send Claims To:

TRICARE South Region Claims Department
P.O. Box 7031
Camden, SC 29021-7031

Check Claim Status


Send Claims To:
TRICARE West Region
Claims Department
P.O. Box 7064
Camden, SC  29021-7064

Check Claim Status


Filing TRICARE For Life Claims

(In the U.S. & U.S. Territories)

WPS TRICARE For Life
P.O. Box 7890
Madison, WI 53707-7890

Check Claim Status


Overseas Claims Assistance

International SOS
1-877-451-8659

Check Claims Status


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