Health & Safety

June 27, 2014

Ask the Doc

99th Medical Group

doctor
Q.“I have TRICARE for Life. Do I have to file claims?”

A.If You Have: Medicare and TRICARE
Scenario: You get care in the United States, U.S. Territories, or on board a ship in U.S. territorial waters touching the land areas of the U.S.
You Need To: Do nothing. Your provider files your claim with Medicare first. Medicare processes the claim and automatically forwards the claim to the TRICARE For Life contractor for processing.
If You Have: Medicare and TRICARE
Scenario: You get care overseas or on board a ship more than six hours away from a U.S. port.
You Need To: File a paper claim with the TRICARE Overseas Program Contractor.
If You Have: Medicare, TRICARE, and other health insurance
Scenario: You get care in the United States, U.S. Territories, or on board a ship in U.S. territorial waters touching the land areas of the U.S.
You Need To: File a paper claim with the TRICARE Overseas Program Contractor after Medicare and your other health insurance provider processes your claim.
If you have: Medicare, TRICARE, and other health insurance
Scenario: You get care overseas or on board a ship more than six hours away from a U.S. port.
You Need To: File a paper claim with the TRICARE Overseas Program Contractor after Medicare and your other health insurance provider processes your claim.

Note: As of June 16, the Optometry Clinic has moved out of the basement of Mike O’Callaghan Federal Medical Center and into Bldg. 340 across base, which is the same building as the Satellite Pharmacy and Flight Medicine, across from Papa John’s. The phone number remains the same – (702) 653-3010.

Send your questions to askthedoc@nellis.af.mil.




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