to specialists for care he/she cannot provide, works with your regional contractor for referrals and authorizations, accepts copayments and files claims for you. While the TRICARE Prime program offers the most comprehensive health care benefit, it has some restrictions. Visit Tricare.mil/Plans/Enroll/Prime to see who is qualified and additional details. TRICARE SELECT Replacing TRICARE Standard and Extra, TRICARE Select is a self-managed, fee-for-service preferred provider network plan available to all non-active duty beneficiaries. It differs from TRICARE Standard through a “fixed fee” for care received from network providers. TRICARE Select also requires enrollment with a fee, but only for service members and families entering active duty on or after Jan. 1, 2018. TRICARE Select allows choosing any TRICARE authorized provider for services covered by TRICARE, and to do so without a referral. But in some cases, you may need prior authorization. You can also receive additional preventive care services from a network provider (previously only under TRICARE Prime). However, TRICARE will only reimburse care received from authorized providers, and you may have to pay an annual enrollment fee. With the TRICARE Select system, users will be able to switch only during annual Open Season enrollment or when they have a Qualifying Life Event. Visit Tricare.mil/Plans/Enroll/Select. TRICARE FOR LIFE Available worldwide, TRICARE For Life (TFL) offers secondary coverage to Medicare for all beneficiaries who have both Medicare Part A and B. Medicare provides coverage in the U.S. and U.S. Territories. In all other overseas locations, TRICARE is the primary payer. With TFL, you may visit any authorized provider, have no claims to file (in most cases) and have minimal out-of-pocket costs aside from Medicare Part B premium and enrollment fee. For details on what is covered by TFL, Medicare or both, visit Tricare.mil/Plans/HealthPlans/TFL. Note that beginning Jan. 1, 2021, Group A retirees must pay enrollment fees. In areas without Medicare, TRICARE is the primary provider. For further information and assistance, contact TFL contractor Wisconsin Physicians Service (WPS) at (866) 773-0404 or visit Tricare4u.com. TRICARE EXTENDED CARE HEALTH OPTION (ECHO) The Extended Care Health Option (ECHO) provides financial assistance to beneficiaries with special needs for an integrated set of services and supplies. To use ECHO, qualified beneficiaries must be enrolled in the Exceptional Family Member Program (EFMP) through the sponsor’s branch of service. Enrollment in the EFMP may be waived, for example, when the sponsor’s branch of service does not provide the EFMP, or when the benefiHealth Care 154 IMPORTANT CONTACTS DEERS/MilConnect MilConnect.dmdc.osd.mil/milconnect/public/faq/DEERS TRICARE Tricare.mil Health Net Federal Services HealthNetFederalServices.com TRICARE Online Tricareonline.com/tol2/prelogin/de sktopIndex.xhtml TRICARE Dental Tricare.mil/Dental TRICARE Pharmacy Tricare.mil/Pharmacy Beneficiary Web Enrollment Tricare.mil/BWE
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