Health & Safety

August 3, 2012

Why your referral matters

by Brian P. Smith
TriWest Healthcare Alliance

You went to your primary care manager and she suggested you go see a specialist. Maybe it’s for an evaluation; maybe it’s for a specific treatment. You just know you need to make another appointment and you want to make it quickly.

Whether this is your first referral or your fiftieth, having all your information before making the appointment can save you time and money. Quickly start managing your referral information when you register on TriWest.com.

What’s a referral?

When you need care that your primary doctor can’t provide, you will get a referral to see someone else. The request for a referral goes to TriWest Healthcare Alliance and TriWest processes the referral and matches your needed care with a local network specialist (when available). If you live near a military installation with a medical clinic, and that medical clinic offers the specialty care, you may be assigned to the military clinic for care.

When your referral request is authorized, TriWest will let you know:

  • The name and contact information of your network specialist
  • The expiration date of your referral (if you don’t make your appointment within the time allowed, you may have to go back to your primary doctor for a new referral).

You contact the network specialist and make your appointment. Network providers will submit claims to TriWest and send any results back to your primary doctor.

TRICARE Standard and TRICARE Extra plans don’t require referrals or primary care managers. There are, however, higher out-of-pocket costs for care under those plans

How do I get my specialist’s information?

Register for a TriWest.com account, and you will receive an email when your referral is processed – usually within a day or two of your primary doctor submitting the request. Then, you can log into your TriWest.com account to view your specialist. Go to TriWest.com/Register.

You can also choose to get a letter with your specialist information, but that could arrive 10 days after the request is made.

Why is it important to know my assigned specialist?

If you don’t go to a TRICARE network specialist (or the military clinic if you’re assigned to go there), you could end up paying out-of-pocket for your care.

If you’re wondering if there are network specialists near you, you can use TriWest’s Provider Directory. Find providers by specialty, location or name. When you’re at your desktop or laptop, go to TriWest.com/ProviderDirectory. When you’re on the go, bookmark TriWest.com in your mobile device to use the interactive provider directory.




All of this week's top headlines to your email every Friday.


 
 

 

News Briefs January 23, 2015

Fitz-Gerald pedestrian crossing work Through next week, road work will be taking place near the Fitz-Gerald Blvd. and Doolittle Parkway intersections, which is located in the housing area near Chapel 2. This work will result in better visibility of the pedestrian crossings and make crossing at these locations easier and safer for all. Fitz-Gerald and...
 
 
juveniel-court

JIC aims to maintain good order, morale, discipline

In the Sept. 9, 2014, Desert Wings, an article titled Vandalism costs school district $12,000.î The story was about damage that occurred at Bailey Elementary School. The 412th Test Wing has taken to address not only that insta...
 
 
Air Force photograph by Scott M. Ash

SecAF, CSAF discuss future of the Air Force

Air Force photograph by Scott M. Ash Air Force Chief of Staff Gen. Mark A. Welsh III and Secretary of the Air Force Deborah Lee James deliver their, “State of the Air Force,” press conference Jan. 15, 2015, in Washi...
 

 
Air Force photograph by Rebecca Amber

Driving on base could make you eligible for gas tax refund

Air Force photograph by Rebecca Amber The state of California may refund taxes paid on gasoline to residents who use the gasoline while driving on a military installation. Claims must be submitted to the California State Contro...
 
 

Air Force senior leadership addresses need to stabilize RPA enterprise

During a State of the Air Force address held at the Pentagon, Jan 15, Secretary of the Air Force Deborah Lee James announced immediate preliminary steps to develop a get-well plan to improve the health of the MQ-1B Predator and MQ-9 Reaper enterprise in light of extensive combatant commander operational needs. (Intelligence, surveillance and reconnaissance)...
 
 

AFIMSC headquarters site announced

Joint Base San Antonio-Lackland, Texas,†was selected as the host base for the Air Force Installation and Mission Support Center Headquarters. Air Force officials chose the installation after analyzing operational considerations, installation attributes, economic and environmental factors at four candidate locations. “Following site surveys at the four candidate locations, we ultimately ...
 




0 Comments


Be the first to comment!


Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>