A. “Before starting terminal leave, you should get all of your routine and specialty care done at the military clinic or hospital (military treatment facility) where you’re enrolled or from your network or authorized provider if you’re enrolled in TRICARE Prime Remote. If you’re staying in your local area, nothing changes—you continue to get care as you have in the past. If you’re leaving the area, or are stationed overseas, the following applies:
1. If you move 100 miles beyond your currently assigned MTF, you must still contact your assigned primary care manager (PCM) to get a referral for routine or specialty care. If you move to an area close to another MTF, you should get your care at that MTF.
•If there is no nearby military clinic/hospital, but a Veterans Administration facility is close to where you will be living, ask your current PCM to write a referral and have your regional contractor issue a single preauthorization for you to receive any necessary routine or urgent outpatient medical care at that VA facility until your retirement date.
2. If you’re enrolled in TRICARE Prime Remote, you must continue to get authorization before receiving specialty care. You can call the Reserve and Service Member Support Office (R&SMSO) at (888) 647-6676 for assistance.
3. If you’re:
• Enrolled in the TRICARE Overseas Program – Prime Remote, and not near an MTF,
•If you’re returning stateside from an overseas duty station and not near an MTF, or
•If you’re enrolled stateside and going overseas.
You must call the TRICARE Overseas Program contractor, International SOS Assistance, Inc. (ISOS).
TRICARE Eurasia-Africa Regional Call Center
1-877-678-1207 (Toll-free from the U.S.) www.tricare-overseas.com
TRICARE Latin America & Canada Regional Call Center
1-877-451-8659 (Toll-free from the U.S.) www.tricare-overseas.com
TRICARE Pacific Regional Call Center
Singapore: +65-6339-2676; Sidney: +61-2-9273-2710 (Commercial)
Singapore: 1-877-678-1208; Sidney: 1-877-678-1209 (Toll-free from the U.S.) www.tricare-overseas.com
On 1 March 2014, the CONUS Nurse Advice Line (NAL) will provide 24 hour a day/7 day a week nurse triage, advice and Military Treatment Facility appointing to the Continental United States, Alaska and Hawaii. The NAL goals are to recapture care to the MTF, to reduce unnecessary Emergency Departments and Urgent Care utilization, to improve the patient’s continuous healthcare relationship with his/her MTF and Primary Care Manager and to maximize patient satisfaction.
• MTF enrollees calling the NAL will gain immediate access to advice from registered nurses 24 hours a day/7 days a week using standard triage protocols
• NAL RNs will advise MTF enrollees on the most clinically appropriate level of care ranging from emergency to self-care.
• NAL will provide parent/care-giver the option of a follow-up call if self-care is advised for any pediatric patients.
• NAL will inform PCM of any enrollee call to the NAL via a Telephone-Consult in Your electronic Health Record.”
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