Health Care 150 Worth noting is that many TRICARE members confuse the term “referral” with “authorization.” A referral is when your primary care manager (PCM) or provider sends you to another provider for care. Prior authorization is a review of a requested health care service by your regional contractor (Health Net Federal Services for Hawaii) to see if TRICARE will cover it. If so, your contractor will first try to refer you to a military hospital or clinic. If unavailable, you’ll be referred to a network provider (in your region). For more information, visit “Find A Doctor” on the TRICARE website. Also visit Tricare.mil/Plans/ComparePlans for details on fee information. TRICARE PRIME TRICARE Prime is a managed care option with the most affordable and comprehensive coverage. Enrollment is mandatory for active duty service members and the preferred option for many eligible beneficiaries. There is no enrollment fee or annual deductible for active duty families. Prime provides enhanced vision coverage and preventative services. Your provider will file claims for you (in most cases) and you’ll have fewer out-of-pocket costs. Most TRICARE Prime care is received from your Primary Care Manager (PCM). This military or network provider refers you AGR records and TRICARE health plans have been reinstated in DEERS. Primary Care Manager (PCM) assignments have been reconfirmed and regional contractors have reprocessed claims and referrals. To confirm eligibility status, log into Beneficiary Web Enrollment (BWE) at milonnect.dmdc.osd.mil/milconnect. If you suspect your records have not been restored correctly, please contact your Army personnel office. YOUR TRICARE OPTIONS Please note that you must show as eligible for TRICARE in the Defense Enrollment Eligibility Reporting System (DEERS). Also, you must always update this information with any Qualifying Life Event (QLE) at MilConnect.dmdc.osd.mil. A database of information is available for uniformed services members (sponsors), U.S.-sponsored foreign military, DoD and uniformed services civilians, other personnel as directed by the DoD and their family members. You must register in DEERS to be eligible. To learn more, visit Tricare.mil/Plans, go to the “Plans & Eligibility” column and click on “Compare Plans”. Among the current options are Prime, Select TRICARE For Life, TRICARE Young Adult, TRICARE Reserve, TRICARE Retired and TRICARE ECHO. To enroll, visit Tricare.mil/Plans/Enroll. Tripler Army Medical Center
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