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TRICARE Prime

TRICARE Prime is a managed care, Health Maintenance Organization-style option available in Prime Service AreasGeographic areas in the U.S. where we offer TRICARE Prime. They ensure medical readiness of active duty by adding to the capability and capacity of military hospitals and clinics. Prime Service Areas were also built around the Base Realignment and Closure sites. that offers lower costs, but requires referrals for care beyond what your primary care manager provide

>> Learn more about general TRICARE Changes happening in 2018

Question

 

Answer

 

Do I need to enroll?

 

  • Yes. But if you’re already enrolled in TRICARE Prime on January 1, 2018, you will remain so unless you choose to change your coverage or you lose TRICARE eligibility.
  • >>Learn More 

What providers can I see?

 

We will assign you a primary care manager (PCM). Your PCM:

  • May be a civilian network or military provider
  • Provides most of your care
  • Will refer you to specialists (civilian network or military)

What will my costs be?

 

That depends on your beneficiary category.

  • Active duty and their family members pay no copay or cost share when seen by a network provider 
  • All others pay annual enrollment fees and network copays that are generally lower than other plans
  • >>Learn More

TRICARE Prime Remote

TRICARE Prime Remote is an HMO-style managed plan that’s available in remote areas in the United States. By law, you can only use TRICARE Prime Remote if both your sponsor's home and work addresses are more than 50 miles or one hour's drive time from a military hospital or clinic. 

TRICARE Prime Remote is available to active duty service members (including activatedCalled or ordered to active duty service for more than 30 days in a row. Guard/Reserve members) and certain family members. 

Retirees and their families can’t enroll in TRICARE Prime Remote.

>> Learn more about general TRICARE Changes happening in 2018

Question

 

Answer

 

Do I need to enroll?

 

  • Yes. But if you’re already enrolled in TRICARE Prime Remote on January 1, 2018, you will remain so unless you choose to change your coverage or you lose TRICARE eligibility.
  • >>Learn More 

What providers can I see?

 

We will assign you a primary care manager (PCM). Your PCM:

What will my costs be?

 

  • Active duty and their family members pay no copay or cost share when seen by your PCM or referred specialist
  • >>Learn More 

TRICARE Prime Overseas

TRICARE Prime Overseas is an HMO-style managed plan available in overseas areas near military hospitals and clinics. TRICARE Prime Overseas is only available to active duty service members (including activated Guard/Reserve members) and command sponsored family members. 

Retirees and their families can’t enroll in TRICARE Overseas Prime.

>> Learn more about general TRICARE Changes happening in 2018

Question

Answer

Do I need to enroll?

  • Yes. But if you’re already enrolled in TRICARE Prime on January 1, 2018, you will remain so unless you choose to change your coverage or you lose TRICARE eligibility.
  • >>Learn More 

What providers can I see?

We will assign you a primary care manager (PCM). Your PCM:

  • Will be a military provider
  • Provides most of your care
  • Will refer you to specialists
  • Works with International SOS for authorization, when needed

What will my costs be?

  • Active duty and their family members pay no copay or cost share when seen by your PCM or referred specialist
  • >>Learn More

TRICARE Prime Remote Overseas

TRICARE Prime Remote Overseas is an HMO-style managed plan available in designated remote overseas locations:

TRICARE Prime Overseas is only available to active duty service members (including activated Guard/Reserve members) and command sponsored family members. 

Retirees and their families can’t enroll in TRICARE Overseas Prime.

>> Learn more about general TRICARE Changes happening in 2018

Question

Answer

Do I need to enroll?

  • Yes. But if you’re already enrolled in TRICARE Prime on January 1, 2018, you will remain so unless you choose to change your coverage or you lose TRICARE eligibility.
  • >>Learn More  

What providers can I see?

We will assign you a primary care manager (PCM). Your PCM:

  • May be a network provider, if available
  • Provides most of your care
  • Will refer you to specialists
  • Works with International SOS for authorization, when needed

What will my costs be?

  • Active duty and their family members pay no copay or cost share when seen by your PCM or referred specialist
  • >>Learn More


 

Last Updated 11/1/2017

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