West Region

A Message to West Region TRICARE Beneficiaries from the DHA Director

I know that many of our military families have experienced challenges in the TRICARE West region with the transition of managed care responsibilities to the incoming contractor, TriWest Healthcare Alliance.

My overriding focus is on you — our beneficiaries. We have taken a series of actions, to ensure you are as insulated as much as possible from any adverse effects from these performance issues detailed below; we are putting corrective actions in place to fix shortcomings for the long-term; and we are working closely with TriWest to ensure we deliver on the contractual requirements to meet your health care needs.

Read the full message from the DHA Director.

TriWest Healthcare Alliance Commitment: A Message from TriWest President and CEO

At TriWest, there is no greater honor than helping our nation’s heroes get the health care they have earned. That is why we want to assure you the challenges you may be experiencing do not represent the standard of excellence TriWest sets out to deliver. Administering the TRICARE program is an awesome responsibility and privilege for us, and we recognize that a transition of this size and scale has resulted in unforeseen issues that demand solutions. We appreciate your patience and trust as we work in overdrive to correct the root causes and implement solutions in real time. We are committed to providing access to quality, timely health care and we will do whatever it takes to achieve that mission.

Defense Health Agency Announces TRICARE West Region Referral Approval Waiver

Are you enrolled in TRICARE Prime? You should know that the Defense Health Agency has issued a referral approval waiver in the West Region. Learn more about the waiver.

Be sure to bring a copy of the TRICARE West Region Referral Approval Waiver Letter with you to your specialty care appointment.

Read the letter sent to West Region providers reminding them of the waiver.

Are Your Recurring Payments Set Up? Deadline Approaching March 31

You still have time to set up your payment information if you pay by EFT, credit card, or debit card. If you have TRICARE Prime, TRICARE Select, TRICARE Young Adult, TRICARE Reserve Select, or TRICARE Retired Reserve, you have until March 31. If you miss this deadline, you will be disenrolled back to Jan. 1.

How Do I Set Up Payments with TriWest?

You have three options for setting up payments. Act now!

• Option 1: Log in to the Self-Service, Secure Beneficiary Portal. You’ll need your primary email address on file with DEERS to sign up as a new user. Sign up for monthly, quarterly, or annual payments.
• Option 2: Call TriWest Customer Service at 888-TRIWEST (874-9378).
• Option 3: Download the Automatic Monthly TRICARE Payment Set Up Request form. Complete the form and mail it to the address on page 2. The form is for recurring monthly payments.

What Providers Are in the West Region?

The West Region provider directory is now available. You should use this directory to see which providers are in the network. The type of provider you see can determine how much you pay and your process for filing claims.

Are you a TRICARE Prime beneficiary seeing a mental health provider?

From Jan. 1 to March 31, 2025, you will not be charged point of service if your provider is non-network. Your provider will need to be in the TriWest network by April 1, 2025, to avoid point-of-service charges going forward.

Do you already have an authorization for care that doesn’t expire until 2025?

• Are you enrolled in TRICARE Prime? TRICARE has modified the authorization period and point-of-service charges for your care after Jan. 1, 2025.
• Are you a TRICARE Select beneficiary? Make sure that the provider on your pre-authorization is in the TriWest network beginning on Jan. 1, 2025, or you may be responsible for additional out-of-pocket costs. Learn more about possible additional costs to you.
• Are you or any of your family members enrolled in the TRICARE Autism Care Demonstration? TRICARE rules are specific to autism care demonstration requirements.

Still have questions?

Learn How Referrals and Specialty Care Will Work as New TRICARE Contracts Start in 2025