All Others Enrolled in a TRICARE Prime Plan

You'll get most care from your primary care manager (PCM). Call your PCM to schedule an appointment.

  • You must have a referral from your PCM for any routine or specialty careSpecialized medical/surgical diagnosis, treatment, or services a primary care provider isn’t qualified to provide. he or she can't provide.
  • You don't need a PCM referral for preventive services or mental health visits if you see a network provider (in your region). 
  • If you get any of the following types of care without a PCM referral, you're using the point-of-service option and will pay more out-of-pocket: 
    • Routine or specialty care from any provider other than your PCM
    • Mental health care from a non-network provider
    • Preventive care from a non-network provider 
  • Learn more about urgent care.

Your Primary Care Manager

TRICARE Prime Remote 
  • May or may not have an assigned PCM depending on the network providers in your remote location.
  • If you don't have an assigned PCM, you can use any TRICARE-authorized providerAn authorized provider is any individual, institution/organization, or supplier that is licensed by a state, accredited by national organization, or meets other standards of the medical community, and is certified to provide benefits under TRICARE. There are two types of TRICARE-authorized providers: Network and Non-Network. DS as your PCM.
TRICARE Prime Overseas
  • You'll have an assigned PCM at a military hospital or clinic.
  • You'll get most care from your assigned PCM.
  • Call International SOS if you need an appointment with an overseas provider.
TRICARE Prime Remote Overseas 
  • Contact your Regional Call Center to schedule all appointments.
  • In Canada, you'll get most care from your PCM at a Canadian Forces Health Facility. For help finding a provider, contact the Canadian Forces Medical Group at 1-613-945-6653.
Looking to book an appointment online at a military hospital or clinic? Visit the Secure Patient Portal for more information.

Last Updated 7/3/2023