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TRICARE Transition Challenges in the West Region
We are aware of the customer service issues our patients are experiencing in the West Region. Learn more about how we are fixing these issues, including waiving our usual authorization process through March 18.

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Provisional Coverage Program

The Provisional Coverage Program covers some emerging services and supplies.

What do I need to know about the Provisional Coverage Program?

  • We require prior authorization for all services and supplies in the program regardless of your TRICARE plan.
  • We’ll offer provisional coverage for any approved service or supply for up to five years.
  • We can end provisional coverage for any approved service or supply at any time.
  • Before the five year provisional coverage expires, we’ll determine if the service or supply becomes a permanent benefit.

Provisional Coverage of Surgical Treatment of FAI

What is FAI?

FAI is a condition that affects the hip joint. It occurs when some portion of the soft tissue around the hip socket gets pinched or compressed. It causes pain that limits a person's mobility.

What is the provisional coverage for treatment of FAI?

TRICARE covers surgical treatment for FAI when you meet certain criteria. We cover surgical treatment that's open, arthroscopic, or a combined approach. The goal of the hip surgery is to improve the hip joint range of motion and improve or alleviate pain by restoring normal anatomy.

How do I know if this treatment is right for me?

You'll follow your plan's rules for getting care. 

Generally speaking:

When does the provisional coverage of FAI begin?

  • Provisional coverage of FAI begins on January 1, 2016.
  • There is no retroactive coverage.
  • It will end on December 31, 2020 unless we end it early or it becomes a permanent benefit.

How much will it cost?

Your plan and where you get the surgery determines your cost. >>View Your Costs.

What if I still have questions?

If you still have questions, please contact your regional contractor.

Last Updated 8/21/2017

contact Your Contacts
East Region - Humana Military


West Region - Health Net Federal Services

Overseas - International SOS

Country-specific toll-free numbers

Overseas Website


In the U.S. and U.S. Territories, contact WPS-Military and Veterans Health:
(TDD 1-866-773-0405)

In all other overseas areas, call International SOS

US Family Health Plan


US Family Health Plan Website

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