Health & Safety

July 30, 2016
 

New urgent care pilot program for prime beneficiaries

To increase access to care, the Department of Defense launched an Urgent Care Pilot Program for TRICARE Prime beneficiaries.

This program allows Prime enrollees two visits to a network or TRICARE authorized provider without a referral or prior authorization.

The Urgent Care Pilot Program is for:
• Active-duty service members, including National Guard or Reserve members activated for more than 30 consecutive days in TRICARE Prime Remote.
• Non-Active-duty service members in TRICARE Prime, TRICARE Prime Remote or TRICARE Young Adult Prime.
• TRICARE Overseas Program beneficiaries traveling in the U.S. are not limited to two visits.

Active-duty service members enrolled in TRICARE Prime are not eligible for this program as their care is managed by their service. This pilot also excludes Uniformed Services Family Health Plan enrollees.

TRICARE Overseas Program enrollees can receive an unlimited number of urgent care visits, but only when they are traveling stateside and seeking care.

There are no point of service deductibles or cost shares for these two urgent care visits, but network copayments still apply.

Once you receive urgent care, you must notify your primary care manager about that care within 24 hours or the first business day after the urgent care visit. Authorization requirements have not changed for follow-up care, specialty care or inpatient care.

When you are not sure of the type of care you need, or you require care outside of standard business hours, call the Nurse Advice Line at 1-800-874-2273. If the Nurse Advice Line recommends an urgent care visit and a referral is submitted, that visit will not count against the two pre-authorized visits allowed under the Urgent Care Pilot. However, if you call the Nurse Advice Line and get a referral to a military hospital or clinic and you go elsewhere for care, that visit will count against your two preauthorized visits.

If you need more information, please visit http://www.tricare.mil/UrgentCarePilot.




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


 
 

 
Air Force photograph by Airman 1st Class Alexander Cook

Thunderbolts receive PACE Leadership Impact Award

Air Force photograph by Airman 1st Class Alexander Cook First Lt. Mariana Tamariz, 56th Fighter Wing executive officer, conducts a briefing during the Bold Operational Leadership Team class at Luke Air Force Base, Ariz., May 18...
 
 
luke-powerifting4

Luke Air Force Base Powerlifting Competition

Air Force photograph by Airman 1st Class Alexander Cook Josh Canterberry, powerlifting competitor, wraps his knee with support wraps before competing in the Luke Air Force Base Powerlifting Competition at Luke AFB, Ariz., May 1...
 
 
Air Force photograph by Airman 1st Class Aspen Reid

Luke expedites patient results with network-approved CT scanner

Over the past two years, radiology personnel at Luke Air Force Base, Ariz., have saved the Air Force time and money since they began using the first secured network-approved computed tomography scanner. The CT scanner allows th...