Balance Billing

What is Balance Billing?

You will receive bills from TRICARE providers for cost-shares, copayments, and deductibles not collected at your time of service.

Balance billing is when your provider bills you for any amount more than the TRICARE-allowable chargeThe maximum amount TRICARE pays for each procedure or service.  This is tied by law to Medicare's allowable charges. after TRICARE processes the claim. TRICARE does not allow network and participating providers to do this.

If you choose to see a non-network, non-participating provider, please note that these providers may balance bill up to 115% of what TRICARE allows.

If you have questions, please send them along with a copy of your bill to TriWest via fax or mail.

• Fax: 866-852-1994
• Mail: TRICARE West Region
  P.O. Box 2130
  Virginia Beach, VA 23450